Form BI-470 Fillable Business Income Tax Return Payment Voucher
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

(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: