Form BA-403 Fillable Application for Extension of Time to File Vermont Corporate/Business Income Tax Returns
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

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