(The Department does accept payments with BI 471 and BI 476 )
Address Tax Year BEGIN date (YYYYMMDD)
BA 403 Application for Extension of Time
BI 471 Business Income Tax Return
City State ZIP Code
Do not file $0 BI 470 if no payment is due
Enter the beginning and ending date of the entity s
Enter the business name and address including
Enter the Federal Employer Identification Number
Enter the total amount of payment included with
Entity Name Federal ID Number
Foreign Country (if not United States)
Print in blue or black ink
Tax Year END date (YYYYMMDD)
WH 435 Estimated Income Tax Payments
You mailed your form or payment coupon
You or your tax preparer filed your documents
(FEIN)
*144701100*
10/14
Amount of this payment (Use WHOLE DOLLARS) If $0 DO NOT file $
BI 470
BI 470 may be used for example if:
BUSINESS INCOME TAX RETURN
but forgot to include a check
C Corporations should use Form CO 414 to make
country if other than the United States
Do not include Form BI 470 if you are making payments
Do not use BI 470 for Corporate Income tax accounts
electronically and you want to send a check
estimated payments
For Department Use Only
for Nonresident Shareholders Partners or
Form BI 470
Form BI 470 Instructions
General Information
If you filed electronically DO NOT include a copy of that return with this payment
Instructions
many LLCs
Members
PAYMENT VOUCHER
Phone: (802) 828 5723
separately
tax accounts which include S Corps Partnerships and
tax year in the required format YYYYMMDD
this coupon Enter a whole dollar amount
Use Form BI 470 to direct a payment for Business Income
USE THIS FORM IF NOT SUBMITTING PAYMENT WITH FORM BI 471 OR FORM BI 476
Vermont Department of Taxes 133 State Street Montpelier VT 05633 1401
VT Form
with another return or form such as:
