Vermont General Information

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1 VTGen Vermont General Information Return Information VTGen (0) VT School district code street address (Physical street address as of /) Authorize discussion with state taxing authority ( = Yes, = No) (If different than option selected on federal Screen 00) Using recomputed federal return (Married filing separate only) General footnote Use Tax To report items costing more than $,000 when using use tax table or all items when not using table Total out-of-state purchases Calculate tax with use tax reporting table Nongame Wildlife Fund Children's Trust Fund Vermont Veterans' Fund Green Up Day VT Contributions 0

2 VTEst Vermont Estimates Overpayment Application VTEst (0) VT Application of 0 overpayment = Refund 00% of overpayment = Apply 00% of overpayment to 0 estimate, refund excess = Apply to first estimate, refund excess = Apply equally to each estimate, refund excess = Apply amount specified below to estimates until exhausted, refund excess = Apply to first and second estimates, refund excess = Apply 00% of overpayment to 0 estimates, no refund = Apply amount specified below to next year Amount for code or Do not calculate estimates for code or (If Estimates - declaration for 0 is blank) Amount to apply to property tax (Overpayment is applied first to any penalties, then to estimates and then to property tax) Estimates - declaration for 0 = Use 0 liability (Default when overpayment applied to 0) = Use 0 liability adjusted by amount below = Use 0 even if less than $00 = Use amounts entered below, before overpayment Estimates - Calculated State estimated payments for 0 are entered on federal Screen St Pmt. Withholding adjustment Amount for code Amounts for code, or 0 estimates paid: st payment nd payment rd payment th payment Amounts for code : Taxable income Tax Credits Options for code (A = 0%, C = Add desired refund amount) Amount of refund desired Do not proforma 0 declaration code, use code or code for 0 estimates Number of 0 vouchers desired = Four vouchers A = First voucher Adjust printing of filing instructions on federal Screen Est for Code. = Use current year liability, = Use current year liability even if less than $ 00 = Last three vouchers B = Second voucher = Last two vouchers C = Third voucher = Use 0 amounts adjusted by amounts below = Suppress printing of vouchers = Use tax from Tax Projection Worksheet (Resident or nonresident status only) = Use amounts entered below = Last voucher Amounts for code or Estimates paid Amount to round up each estimate Treat th quarter estimate as due on //

3 VTProp Vermont Property Tax Adjustment Claim and Renter Rebate General Information VTProp (0) VT School district code (If different from code entered on Screen Gen) Location of residence (If different from address entered on federal Screen 00) SPAN number (xxx-xxx-xxxxx) Suppress printing HS- Filing an amended Schedule HI-, Household Income Homestead Declaration Date of closing or change Grantor and sole beneficiary of a revocable trust owning the property Life estate holder of the property Residing in dwelling owned by a related farmer Homestead property crossing town boundaries Business use of dwelling (xx.xx) Rental use of dwelling (xx.xx) Buildings other than dwelling used for business or rented Filing a property tax adjustment claim at a later date 0 Property Tax Adjustment Claim All fields in this section are resident only Complete Form HS- Section B, if household income is too high Anticipate selling Vermont house site on or before April Housesite value Housesite education tax Housesite municipal tax Ownership percentage of property (If not 00%) (xxx.xx) Allocable mobile home lot rent (Form LC-, Line ) Education tax allocated from land trust, co-op or nonprofit mobile home park Municipal tax allocated from land trust, co-op or nonprofit mobile home park Education tax on contiguous property Municipal tax on contiguous property 0 Renter Rebate All fields in this section are resident only Complete Form PR-, Renter Rebate Claim, if household income is too high Rented in Vermont all months of 0 Allowable rent (Enter amount from line of Form LC-) Efile certificate number (Form LC-) Renters rebate will not be included on tax return (mail form to address listed at bottom of page) Homestead Declaration Withdrawal 0 - Date Form HS- was filed Property sold (Enter date of closing) Name of buyer Property Rented Property converted to non-homestead Declaration submitted in error Claimant died before April Other explanation of withdrawal

4 VTAmend Vermont Amended Return General Information VTAmend (0) VT Explanation of changes Transfer original information Overpayment allowed on the original tax return Amount paid with the original return Interest and penalties Form IN- Estimates Recalculated Do not recalculate estimated tax payments (Retain estimates as originally calculated) st payment nd payment rd payment th payment Overpayment applied to 0 estimated tax 0 Originally calculated

5 VTCU Vermont Civil Union Filer General Information VTCU (0) VT Civil union filer (Enter 'X' to suppress this Vermont return from printing) Proforma carryover information from civil union member return Proforma Information Enter amounts to proforma to next year's federal screens in the separate taxpayer and spouse federal clients. Blank amounts will not proforma. Exclude voluntary contributions, penalties, interest, use tax, and itemized deduction recoveries from taxes paid with return or overpayment. Client ID Tax paid with return Overpayment Total payments (Withholding, estimate, extension and other payments) Payments made in 0 for 0 return Extension payment Overpayment applied to 0 estimates Taxpayer 0 Spouse Schedule A cash contributions Calculated estimates: st quarter nd quarter rd quarter th quarter Treat th quarter estimate as paid on // 0

6 VTSTCr Vermont Credit for Taxes Paid to Other States State Income and Tax Information VTSTCr (0) VT State postal code and name Modified adjusted gross income from the other state Bonus depreciation add back Non-Vermont state and local obligations taxes in the other state Bonus depreciation subtraction US government interest Tax paid to other state 0 Calculated Force

7 VTAdj Vermont Adjustments to Income Adjustments for Exempt Income Enter interest and dividend income on federal Screen B&D, federal Screen K-, federal Screen KT and federal Screen K-St Number of months on active duty Military pay (Force) Railroad retirement income (Force) Adjustment for Recapture of Excess State / Local Tax VTAdj (0) VT Adjusted 0 addback Adjustment for Investment Tax Credit Investment tax credit (Force) Capital Gain Exclusion All fields in this section are force fields except for gains held three years or less Complete Form Part II (Force)(example's when capital gains are from a pass through entity or installment sale) Net capital gains held for three years or less Net capital gains on sales of assets held more than three years: Real estate used as primary or non-primary home Depreciable personal property Stocks and bonds publicly traded or other financial instruments Amount from recomputed federal Form 0

8 VTHI Vermont Household Income Household Members and Income VTHI (0) VT Amending Form HS- Amending Form PR- Name and SSN of others with income in household Cash public assistance or welfare Social security or veteran's benefits Unemployment or worker's compensation Wages, salaries, tips, etc. Interest and dividends US, state and municipal obligation interest Alimony, child support received Business income Capital gains Pensions and annuities Rental and royalty income Farm, partnership, S corporation income Other gains from Form Other income Adjustments to Income Social security or Medicare withheld, or self employment tax Business expenses for reservists Alimony paid Tuition and fees Self employed health insurance Health saving account Child support paid Taxpayer Spouse Taxpayer Spouse 0 0 Others Others

9 VTYr Federal taxable income Vermont Two Year Comparison Income Enter amounts from 0 Form IN- Adjustments VTYr (0) VT Non-Vermont state and local obligations Bonus depreciation Add back of state and local taxes Add back of itemized deductions Interest income from US obligations Capital gains exclusion Adjustment for bonus depreciation Additions Subtractions Tax and Credits Tax from tax table or tax rate schedule Tax on qualified plans Recapture of investment tax credit Tax from Form Recapture of Vermont credits Child and dependent care credit Credit for elderly or disabled Investment tax credit Farm income averaging credit Business solar energy credit Income adjustment percent (xxx.xx) Credit for taxes paid to other state Other credits Sales or use tax 0 0 Payments Income tax withheld Estimated tax payments Earned income tax credit Other payments Renter rebate Low income child and dependent care credit Contributions and Penalties Contributions Penalties and interest 0

10 VTTPW Vermont Tax Projection General Information 0 items that will not default to 0 amounts are marked with an asterisk () Print Tax Projection Worksheet Federal taxable income (If different from federal Tax Projection Worksheet) Adjustments VTTPW (0) VT0 Non-Vermont state and local obligations Bonus depreciation Add back of state and local income taxes Add back of itemized deductions Interest income from US obligations Capital gains exclusion Adjustment for bonus depreciation Additions Subtractions Tax and Credits Tax from tax table or tax rate schedule (Force) Tax on qualified plans Recapture of investment tax credit Tax from Form (If different from federal Tax Projection Worksheet) Recapture of Vermont credits Child and dependent care credit (If different from federal Tax Projection Worksheet) Credit for elderly or disabled (If different from federal Tax Projection Worksheet) Investment tax credit Farm income averaging credit Business solar energy credit Income adjustment percent (If different than 00%) (xxx.xx) Credit for taxes paid to other state Other credits Sales or use tax 0 0 Payments Income tax withheld Estimated tax payments (Force) Earned income tax credit (If different from % of federal Tax Projection Worksheet amount) Other payments Renter rebate Low income child and dependent care credit

11 VTELF Vermont Electronic Filing Electronic Filing Information Consent to Disclose Information By using a computer system and software to prepare and transmit my client's return electronically, I consent to the disclosure of all information pertaining to my use of the system and software to create my client's return and to the electronic transmission of my client's tax return to the Vermont Department of Taxes, as applicable by law. VTELF (0) VT Suppress Vermont electronic file when filing federal return electronically Form -VT has already been signed and returned Signature date (If different from federal) Spouse signature date (If different from taxpayer signature date or federal Spouse signature date) ERO signature date (If different from taxpayer signature date or federal ERO signature date) HS- Electronic Filing Information Create electronic file for Form HS- (Federal electronic file is suppressed on federal Screen ELF and Form IN- is not filed) (Do not enter X in this field if IN- is filed on or before the due date) Suppress Form HS- when filing Form IN- electronically (Form HS- previously filed electronically)

12 VTPRR Vermont Preparer Review Income VTPRR (0) VT Federal taxable income Non-Vermont state and local obligations Bonus depreciation Add back of state and local income taxes Add back of itemized deductions Interest income from US obligations Capital gains exclusion Adjustment for bonus depreciation Adjustments Additions Subtractions Tax and Credits Tax from tax table or tax rate schedule Tax on qualified plans Recapture of investment tax credit Tax from Form Recapture of Vermont credits Child and dependent care credit Credit for elderly or disabled Investment tax credit Farm income averaging credit Business solar energy credit Income adjustment percent (xxx.xx) Credit for taxes paid to other state Other credits Sales or use tax 0 0 Payments Income tax withheld Estimated tax payments Earned income tax credit Other payments Renter rebate Low income child and dependent care credit Contributions Contributions

13 VTPOA Vermont Power of Attorney General Information T, S VTPOA (0) VT Authorized to receive tax returns and information filed with the Department Authorized to represent in informal discussions with Department personnel Authorized to negotiate the assessment and payment of tax liabilities Authorized to represent in appeals before the Commissioner of Taxes Authorized to prepare and file state tax return Additional acts with respect to the following matters: Appointee Information Data transfers from federal Screen POA. Enter Tax Matters Information to generate the state Power of Attorney. Appointee name Appointee address City, state, zip code or country 0 Telephone number Tax Matters Information Type of taxes and tax periods: Special skills or expertise All prior Powers of Attorney are hereby revoked except:

14 VTBank Vermont Direct Deposit, Electronic Funds Withdrawal Direct Deposit and Electronic Funds Withdrawal Vermont direct deposit and electronic funds withdrawal are available only when filing electronically Suppress direct deposit of refund Use Refund Advantage for refund deposit (Available when filing electronically and a bank product is selected on federal Screen RAL) Enable electronic funds withdrawal for a balance due return Date of withdrawal (If different from due date of the return. If filing after original due date, enter date filed.) Amount to withdraw (If different from balance due on return) VTBank (0) VT Extension Payment Electronic Funds Withdrawal Enable electronic funds withdrawal for extension payment Date of withdrawal (If other than original date of return) Account Information Enter account information for Vermont direct deposit or electronic funds withdrawal Primary account information transfers from federal Screen Bank. Routing transit number Name of financial institution Depositor account number Type of account ( = Savings, = Checking, = IRA (Deposit only, where state allows)) Non-US financial institution (International ACH transaction) 0

15 VT Vermont Refund for Deceased Taxpayer VT (0) VT General Information Enter information below if different from information on federal Screen 0 Court has appointed a personal representative for the estate ( = Yes, = No) If no, personal representative will be appointed ( = Yes, = No) Did the Decedent have, at the time of death, assets as joint beneficiary, joint tenant or tenant by the entirety ( = Yes, = No) Total value of the assets at time of death Name and address of personal representative or other person claiming refund: First and last name Social security number Relationship to Decedent Street address and apartment number City, state, zip code 0

16 VTeSign Vermont Electronic Signature VTeSign (0) VT esignature - Suppression Enable esignature for a nominal per envelope fee at Setup > Office Configuration > esignature tab. UltraTax CS automatically generates an esignature envelope when the electronic file declaration is being sent to the client. Use this section to suppress the efile declaration from being sent with the envelope for electronic signature. Form, Vermont Individual Income Tax Declaration Bank Account Verification Worksheet esignature - Other Signer for joint returns (T, S, J)(Bank Account Verification)

17 VTPen Vermont Penalties and Interest Date Filed and Suppression Options VTPen (0) VT Date return filed (If different than due date of return) Suppress penalties on return: Underpayment of estimated tax ( = Suppress Form IN- penalty on return, = Print Form IN-, suppress penalty on return) Late filing interest Failure to pay Failure to file Underpayment of Estimated Tax 0 tax Annualized Income Installment Method Withholding: (Fourth quarter defaults to total withholdings less first three quarters) st quarter nd quarter rd quarter Required federal payment: (Force) (From federal Form 0, page, line ) /0 - / /0 - / /0 - / /0 - / 0 Waiver of Underpayment Penalty Explanation of waiver (Required for waiver calculation) Amount (If different than 00% of underpayment penalty)

18 VTNRPY Vermont Nonresident and Part-year Resident Part-year Residency Dates and Nonresident State VTNRPY (0) VT Part-year residency dates: From To Other state(s) of residency Earned Income Credit Part-year Adjustments Wages, tips, etc (Force) Self-employment income (Force) AGI Worksheet State Amounts Schedule D (Force) Form (Force) Schedule E (Force) Net operating loss carryover (Enter as a positive number) Taxpayer 0 Spouse

19 VTCr Vermont General Credits General Credits Enter contributions to college savings plans on federal Screen 0Q. In the state use field enter code. Child and dependent care expenses certified by Vermont Agency of Human Services Child care optimization (Force)( = Form IN- Credit, = Form IN- Refundable Credit) Business solar energy credit VTCr (0) VT Lifeline Telephone Service Credit All fields in this section are resident only Certify statement of agreement (Initials signed automatically) Certify statement of agreement (Initials signed manually) Service provider Service type: Phone Internet Name and address on phone bill: (If different than information entered on federal Screen 00) Account holder SSN First name Last name Date of birth Street address Billing address City, state, zip code Spouse or partner 0 Address is temporary Number of people in household Taxpayer lives at an address occupied by multiple households Taxpayer shares an address with other adults who do not contribute income to household First time applying for a Lifeline application Public benefits: SquaresVT Fuel assistance Reach up Federal public housing Medicaid SSI Veterans / Survivors pension Home phone number (Force) 0 0

20 VTCrB EIN Business name Charitable housing Qualified sale of mobile home park Research and development Affordable housing Rehabilitation of certified historic buildings Platform lifts, elevators and sprinkler systems Historic rehabilitation Facade improvement Code improvements Venture seed capital fund Vermont Business Credits Economic Incentive Income Tax Credits Use a separate input screen for each business entity VTCrB (0) Earned in Prior Year Current YearCarryforward 0 VT0 Recapture of Vermont credits Economic Advancement Tax Incentive Credits Payroll tax Research and development tax Capital investment tax Workforce development tax Export tax High-tech business Sustainable technology research and development tax Sustainable technology export Schedule K- income from this entity Recapture 0

21 VTDepr Vermont Depreciation Adjustments Adjustment for Assets Placed in Service in the Current Year All fields on this screen are force fields Federal depreciation State depreciation Depreciation adjustment for pass-through entities Adjustment for Assets Placed in Service in Prior Years Federal depreciation State depreciation Depreciation adjustment for pass-through entities Disposition adjustment VTDepr (0) VT

22 VTExt Vermont Extension Extension Information Extension may be filed electronically. Calculate extension Extended due date Extension payment actually made; reportable on main return Estimate of total tax liability (Force) Balance due on extension (Force) Additional payment Date Paid VTExt (0) Amount VT

23 VTYrN Total federal income (Form IN-, line ) Total Vermont income (Form IN-, line 0) Income allocation factor (xxx.xx) Vermont taxable income Vermont Two Year Comparison for Nonresidents Income Allocation Enter amounts from 0 Form IN- Tax and Credits VTYrN (0) VT Income tax Adjustments to tax Income tax after allocation Nonrefundable credits Payments, Contributions, Penalties and Interest Income tax withheld Estimates Other payments and refundable credits Contributions Penalties and interest 0

24 VTPRRN Vermont Preparer Review for Nonresidents Income Allocation VTPRRN (0) VT Total federal income (Form IN-, line ) Total Vermont income (Form IN-, line 0) Income allocation factor (xxx.xx) Vermont taxable income Tax and Credits Income tax Adjustments to tax Income tax after allocation Nonrefundable credits Payments and Contributions Income tax withheld Estimates Other payments and refundable credits Contributions 0

25 VTTPWN Vermont Tax Projection for Nonresidents General Information 0 items that will not default to 0 amounts are marked with an asterisk () Print Tax Projection Worksheet VTTPWN (0) VT Income Allocation Total federal income (Form IN-, line ) Total Vermont income (Form IN-, line 0) Income allocation factor (Force) (xxx.xx) Vermont taxable income Tax and Credits Income tax Adjustments to tax Income tax before allocation (Force) Income tax after allocation (Force) Nonrefundable credits Payments 0 Income tax withheld Estimates (Force) Other payments and refundable credits

26 VTTPComp Vermont Tax Projection Comparison General Information Enter items from the 0 column of the 0 Tax Projection Worksheet Print Tax Projection Comparison Report Federal taxable income Adjustments VTTPComp (0) VT Non-Vermont state and local obligations Bonus depreciation Add back of state and local taxes Add back of itemized deductions Interest income from US obligations Capital gains exclusion Adjustment for bonus depreciation Additions Subtractions Tax and Credits Tax from tax table or tax rate schedule Tax on qualified plans Recapture of investment tax credit Tax from Form Recapture of Vermont credits Child and dependent care credit Credit for elderly or disabled Investment tax credit Farm income averaging credit Business solar energy credit Income adjustment percent (xxx.xx) Credit for taxes paid to other state Other credits Sales or use tax 0 0 Payments Income tax withheld Estimated tax payments Earned income tax credit Other payments Renter rebate Low income child and dependent care credit

27 VTTPCmpN Vermont Tax Projection Comparison for Nonresidents General Information Enter amounts from the 0 column of the 0 Nonresident Tax Projection Worksheet Print Tax Projection Comparison Report VTTPCmpN (0) VT Income Allocation Total federal income Total Vermont income Income allocation factor (xxx.xx) Vermont taxable income Tax and Credits Income tax Adjustments to tax Income tax before allocation Income tax after allocation Nonrefundable credits 0 Payments Income tax withheld Estimates Other payments and refundable credits

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