1 Estimated tax liability 1
133 State Street
2 Previous payments 2
3 AMOUNT OF TAX DUE WITH THIS APPLICATION
Address Tax Year BEGIN date (YYYYMMDD)
An extension of time to file a Federal return automatically extends the time to file with Vermont until 30 days beyond the
City State ZIP Code
Entity Name Federal ID Number
Federal tax return to be filed (Check ONE)
File this application on or before the due date of the Vermont Corporate Income Tax Return or Vermont Business Income
For businesses filing a Vermont Consolidated or Unitary Group return the extension payments and return must be submitted
Foreign Country (if not United States)
Montpelier VT 05633 1401
Tax Year END date (YYYYMMDD)
VT Department of Taxes
(1120 series)
*144031100*
1065 / 1065 B
1120S
990 or 1120 series (EXCEPT for 1120S)
An extension of time to file a Vermont corporate or business income tax return does not extend the time for paying the tax
Any tax due and unpaid by the original due date will bear interest at the statutory rate and a penalty of 1% or 5% per month
APPLICATION FOR EXTENSION OF
BA 403
BUSINESS INCOME TAX RETURNS
by the Vermont Parent or Principal Vermont Corporation respectively using their name and FEIN The Parent or PVC
CALCULATION OF TAX DUE
COMPOSITE RETURN TO BE FILED (1120S or 1065)
CONSOLIDATED OR GROUP RETURN TO BE FILED
Enter all amounts in whole dollars
Federal extension date However tax is due on the original due date
Form BA 403
Make check payable to Vermont Department of Taxes and mail it with this application to:
must have nexus in Vermont
Phone: (802) 828 5723
Rev 10/14
Subtract Line 2 from Line 1 Do not enter negative value 3
Tax Return
The interest rate is set annually by the Commissioner of Taxes in accordance with 32 V S A 3108
TIME TO FILE VERMONT CORPORATE/
up to a maximum of 25% Returns filed after the due date without an authorized extension are subject to a late filing fee
Vermont Department of Taxes 133 State Street Montpelier VT 05633 1401
VT Form
