Form BFT-1-1Q Fillable First Quarter
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

1 JANUARY $ 000096 $ 12345678901234567890123456 12345678901234567890123456 12345678901234567890123456 12345678901234567890123456789 12345678901234567890123456789 12345678901234567890123456789 12345678901234567890123456789012123456789012345678901 12345678901234567890123456789012123456789012345678901234 12345678901234567890123456789012123456789012345678901234567890123456789012345678901212345678901234567890123456789012345678901234567890121234567890123456789012345678901234567890123456789012123456789012345678901 12345678901234567890123456789FEBRUARY 12345678901234567890123456789012123456789012345678901231234567890123456789012345678901212345678901234567890123123456789012345678901234567890121234567890123456789012312345678901234567890123456789012123456789012345678901234 1st Quarter 1st Quarter 20 2 FEBRUARY $ 000096 $ 3 MARCH $ 000096 $ above Deposit means deposit as defined in Title 12 Paragraph 204 204 2(a)(1) of the code of federal regulations Address of Preparer APRIL AUGUST Average Monthly Deposit Average monthly deposit The average monthly deposit for any taxable month shall be determined by the deposits held BANK FRANCHISE TAX RETURN BFS x BFT 1 City State ZIP Code DECEMBER Divide Total by 12 = (1) (2) (3) FEBRUARY Form BFT 1 I declare under the penalties of perjury this return is true correct and complete to the best of my knowledge If prepared by a person other than the taxpayer his/her declaration further provides under 32 V S A 5901 5903 in Vermont by the corporation on the last business day of each of the 12 months directly preceding the taxable month for INSTRUCTIONS JANUARY JANUARY 1 MARCH 31 20 JANUARY FEBRUARY MARCH loan associations or building and loan associations A corporation is a bank if it accepts any deposits and makes any loans whether or not it is defined as a bank for federal or state regulatory purposes Mailing Address Is this a change of address? MARCH Month of NOVEMBER OCTOBER other than for the preparation of this return unless a separate valid consent form is signed by the taxpayer and Print or type complete bank name Federal ID Number quarter of the corporation s taxable year under the Federal Internal Revenue Code for the three months of that quarter Refer to 32 V S A 5836 for the exact wording of the statute If there are any questions please call (802) 828 6839 retained by the preparer Rev 10/08 SEPTEMBER Signature of Corporation Officer Title Date Signature of Preparer Firm Name Date TAX COMPUTATION SCHEDULE Tax Credit $ Tax is payable quarterly to the commissioner not later than the 25th day of the month following the last day of each Tax Rate Tax Due The tax is due from all corporations operating as banks savings banks savings institutions trust companies savings and this information has not been and will not be used for any other purpose or made available to any other person TOTAL $ TOTAL 12 MO TOTAL TAX DUE $ VERMONT Vermont Department of Taxes PO Box 547 Montpelier VT 05601 0547 Phone: (802) 828 6839 VT SCHEDULE OF AVERAGE DEPOSITS which the average monthly deposit is to be determined Divide these by 12 using VT Schedule of Average Deposits Yes D