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Staple W-2/1099’s here

2008

INCOME TAX RETURN

*081111100*

DUE DATE: April 15, 2009

PRINT in BLUE or BLACK INK

DEPT USE ONLY

FORM

VERMONT

IN-111

*081111100*

If filing jointly,

Taxpayer’s Social

Spouse or CU Partner

Security Number

Social Security Number

Taxpayer’s Last Name

First Name

Initial

					CHECK
	Spouse or CU Partner Last Name	First Name		Initial	HERE if
Information	Spouse or CU Partner Last Name	First Name		Initial	Fiscal
					Fiscal
					Year Filer
					Year Filer
Taxpayer	Mailing Address (Number and Street/Road or PO Box)
Taxpayer	City/Town		-	District Code
	City/Town	State	Zip Code
				1 VT School

				Check here if this is						Check if taxpayer							Check if Spouse or CU																2 City/Town of Legal Residence on 12/31/2008																																					State
				Check here if this is						Check if taxpayer							Check if Spouse or CU
				an AMENDED return						died during 2008							Partner died during 2008


2						FILING STATUS
2						FILING STATUS								7a			7b
Information	3			4			5			6																																																			8
																															Enter Spouse or CU Partner full name
														Married			CU

			Single		Head of			Married		CU Partner											Enter Spouse or CU																																									Qualifying Widow(er)
			Single		Head of			Married		CU Partner				Filing			Filing				Enter Spouse or CU																																									Qualifying Widow(er)
					Household			Filing		Filing				Filing			Filing				Partner Social																					-						-														with dependent
					Household			Filing		Filing				Separately			Separately				Partner Social																																									with dependent
								Jointly		Jointly											Security Number																																									children



Filing			9. EXEMPTIONS CLAIMED (Federal Form 1040–Line 6d; 1040A–Line 6d; 1040EZ/1040NR-EZ–enter 0, 1, or 2) . . . .																																						.		. .	.	. .	.	. . .	. . .	.	. .	.				. .		.	. .	. .	.		.	. .	.	. .	.	. .	. 9.
Filing																															Check to
Tax	10.			ADJUSTED GROSS INCOME (Federal Form 1040–Line 37; 1040A–Line 21; 1040EZ–Line 4)																											indicate loss										10.											,									,								.			0			0
Tax																																																																								0			0


3	11.			FEDERAL TAXABLE INCOME If the Federal amount is zero, see instructions on																										Check to

																																																																								0			0
				page 7 (Federal Form 1040–Line 43; 1040A–Line 27; 1040EZ–Line 6)																										indicate loss											11.											,									,								.			0			0
																					. .

			12a.	Income from Non-VT State and Local Obligations (Schedule IN-112, VT Calculation A, Part I, Line 3)																																							12a.											,								,							.				0		0

			12b.	50% Bonus Depreciation from 2008 Federal Economic Act													. . .	. . . .	. . .	. . .	. .	. . .	. . .		. . . .			. .		.	.	.	. . .			. . .			.	. .			12b.									,									,								.			0			0
																														Check to
																														Check to																																											0		0
	13.			FEDERAL TAXABLE INCOME WITH ADDITIONS (Add Lines 11, 12a and 12b)																			. . .		. .					indicate loss											13.													,								,							.				0		0
Income
			14a.	Interest Income from U.S. Obligations																																							14a.									,									,								.			0			0
			14a.	Interest Income from U.S. Obligations										. . .	. . . .	. . .	. . .	. .	. . .	. . .		. . . .			. .		.	.	.	. . .			. . .			.	. .						14a.									,									,								.			0			0

Taxable			14b.			,			,		.	0	0	x 40%		14c.					,							,										.			0			0
Taxable				Capital Gains (Capital Gains Worksheet, Line M on page 7.)

			14d.			,			,		.	0	0	x 40%		14e.					,							,										.			0			0
				Amount from Line 11 above (If negative, enter “0”)													Capital Gains Limitation
			14f.	Amount from Line 11 above (If negative, enter “0”)													Capital Gains Limitation																									.	14f.																													0			0
			14f.	Add Lines 14a and the smaller of Line 14c or 14e											. . . .		. . .	. . .	. . .	. . . .	. .	. . .	. . .		. . .		. . .			. .		.	. .		.	. .	.			. . .			14f.									,									,								.			0			0
																															Check to
	15.			VT TAXABLE INCOME (Subtract Line 14f from Line 13)																											indicate loss										15.												,								,										.	0			0
																. . .	. . .	. . . .	. . .	. .	. . .	. . .		. .																																																0			0

4
4		16.		VT INCOME TAX FROM VT TAX TABLE OR TAX RATE SCHEDULE on Line 15 amount																																					16.											,									,								.			0			0
		16.																											. .		.	. .	.		. . .				. . .		16.											,									,								.			0			0

	17.			ADDITIONS TO VT INCOME TAX (Schedule IN-112, VT Calculation A, Part II, Line 10)																									.	. .		.	. .		.	. .	.			. . .	17.. .											,									,								.			0			0

Tax	18.			VT INCOME TAX WITH ADDITIONS (Add Lines 16 & 17)														. . .	. . . .	. . .	. .	. . .	. . .		. . .			. .		. .		.	. .	.		. . .				. . .	18.. .											,									,								.			0			0
Tax
VT Income	19.			SUBTRACTIONS FROM VT INCOME TAX (Schedule IN-112, VT Calculation A, Part II, Line 18). . . .																										. .		.	. .	.		. . .				. . .	19.. .											,									,								.			0			0

	20.			VT INCOME TAX (Subtract Line 19 from Line 18) If Line 19 is more than Line 18, enter zero																										.	.	.	. .	.		. . .			.	. .	20.. .											,									,								.			0			0
	20.																																								20.. .											,									,								.					%
			21. INCOME ADJUSTMENT (Schedule IN-113, Line 43 OR 100.00%)																																																						.	21.									.
			21. INCOME ADJUSTMENT (Schedule IN-113, Line 43 OR 100.00%)													. .	. . .	. . .	. . .	. . . .	. .	. . .	. . .		. . .	.		. .	.	. .		.	. .		.	. .	.			. . .		. . .		.	. .	.	. . .			. .	.					.		21.									.

	22.			ADJUSTED VT INCOME TAX (Multiply Line 20 by Line 21)													. . .	. . . .	. . .	. . .	. .	. . .	. . .		. . . .			. .		.	.	.	. .	.		. . .			.	. .	22.. .											,									,								.			0			0

Continued on back ☛

Form IN-111

Carried forward from Line 22 _____________________________

*081111200*

5
5											0	0	+ 24.																						0		0			= 25.							0	0
	23.			,			,			.	0	0	+ 24.											,				,					.		0		0			= 25.				,	,	.	0	0
Tax		CREDIT FOR INCOME TAX PAID TO OTHER															VT TAX CREDITS (Schedule IN-112,																										TOTAL VT CREDITS
Tax		STATE OR CANADIAN PROVINCE															VT Calculation D, Line 6 OR Schedule IN-119)																										(Add Lines 23 and 24)
Use		STATE OR CANADIAN PROVINCE															VT Calculation D, Line 6 OR Schedule IN-119)																										(Add Lines 23 and 24)
		(Schedule IN-112, VT Calculation B, Line 6)
		(Schedule IN-112, VT Calculation B, Line 6)																																													0	0
and	26.	VT INCOME TAX AFTER CREDITS (Subtract Line 25 from Line 22, but not less than zero) . . . .																												. . .	.	. .	. . .	.	. .	.	. .	.	.	. . 26				,	,	.	0	0
and	26.																																							. . 26				,	,	.
Credits	27.	USE TAX (See page 8 for instructions and chart)												. . .	. . .	.	. . .		. . .	. . .		.		. .	. . .	. . .	. . .	. . .	. . .	. . .		. . .	. . .	.	. .	.	. .	.		. . . 27				,	,	.	0	0

	28.	TOTAL VT TAXES (Add Lines 26 and 27)																																					.	. . 28.				,	,	.	0	0
	28.	TOTAL VT TAXES (Add Lines 26 and 27)											. . . .	. . .	.	. .	.	. .	.		. .	. . .	. . .	. . .	. . .	. . .	. . .		. . .	. . .	.	. .	.	. .	.					. . 28.				,	,	.	0	0

6		Nongame Wildlife Fund										Children’s Trust Fund																		VT Campaign Fund
Contributions		Nongame Wildlife Fund										Children’s Trust Fund																		VT Campaign Fund

	29a.		,		.	0		0	+	29b.			,				.	0		0			+					29c.				,								.	0	0	=	29d.	,	.	0	0

	30. TOTAL OF VT TAXES & VOLUNTARY CONTRIBUTIONS (Add Line 28 and Line 29d)																												. . .	. . .	.	. .	. . .	.	. .	.	. .	.	.	. . 30				,	,	.	0	0
																																								. . 30				,	,	.

7
7			31a. VT Tax Withheld (Attach state copy of W-2, 1099, etc.)							31a.					,							,								.		0			0
																																0			0

			31b. 2008 Estimated Tax or Extension Payments							31b.					,							,								.		0			0

Credits			31c.	Earned Income Tax Credit (Schedule IN-112, VT Calculation C)						31c.												,								.		0			0

			31d.	Renter Rebate (Form PR-141, Line 9)						31d.													,								.		0		0
and																																	0		0

																																		0		0
Payments			31e. VT Real Estate Withholding (See instructions on page 9)							31e.					,								,								.			0		0
			31f. Business Entity Payments for Nonresident Partner,
			31f. Business Entity Payments for Nonresident Partner,																										.			0			0
				Member, or Shareholder (Form WH-435, see page 9)						31f.					,						,											0			0
				Member, or Shareholder (Form WH-435, see page 9)						31f.					,						,
			31g. Low Income Child & Dependent Care Credit
			31g. Low Income Child & Dependent Care Credit							31g.																					.		0		0
				(See instructions on page 9)		. .	. . .	. . .	. . . . . . . . . . . . . . . . . . . . . . . . . . .	31g.													,								.		0		0
		31h.	TOTAL PAYMENTS AND CREDITS (Add Lines 31a through 31g)							. . . . .	.	. .		. . .			. . .	. . .	. . .	.			. .	. . .	. . .	.	. .	.			. . .		. . 31h.				,	,	.	0	0
8
8		32.	OVERPAYMENT If Line 30 is less than Line 31h, subtract Line 30 from Line 31h																													32.					,	,	.	0	0
		32.												. . .			. . .	. . .	. . .			.	. .	. . .	. . .	.	. .	.			. . .	32.					,	,	.	0	0
		33a.	REFUND TO BE CREDITED TO 2009 ESTIMATED TAX PAYMENT
Refund		33a.	REFUND TO BE CREDITED TO 2009 ESTIMATED TAX PAYMENT							33a.
			Amount on 31d cannot be credited to 2009 estimated tax payment							33a.						,							,								.

		33b.	REFUND TO BE CREDITED TO 2009 PROPERTY TAX BILL							33b.					,								,								.		0			0


	34.		. . . . . . . . . .REFUND AMOUNT (Subtract Lines 33a and 33b from Line 32)							. . . . .	.	. .	.	. . .			. . .	. . .	. . .	.			. .	. . .	. . .	.	. .	.			. . .	. . . 34.					,	,	.	0	0

9
9																																								0	0
Due	35.		If Line 30 is more than Line 31h, subtract Line 31h from Line 30. See page 10 for instructions on tax due.. . . . . . . . . . . . . . . . . . 35.																																		,	,	.	0	0
									Interest and Penalty on Underpayment of
	36.				,	.	0	0	Interest and Penalty on Underpayment of									37. Add Lines 35 and 36 . 37.																				,	.	0	0
				,					Estimated Tax (Worksheet IN-152 or 152A)																												,
				,					Estimated Tax (Worksheet IN-152 or 152A)																												,
For amended				Original refund received ________________ Refund due now __________________															Original payment_________________																		Amount due now _______________
returns only																			Original payment_________________																		Amount due now _______________

10 Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge

and belief, they are true, correct and complete. Preparers cannot use return information for purposes other than preparing returns.

Signature

Date

Occupation

Check if age

Telephone Number (optional)

65 or older

Signatures

Signature. If a joint return, BOTH must sign.

Date

Occupation

Check here if authorizing the VT Department of Taxes to discuss this return and attachments with your preparer.

Preparer’s signature

Date

Preparer’s

SSN or

PTIN

Use Only

Firm’s name (or yours if self-employed) and address

EIN

Preparer’s Telephone Number

16 Form IN-111

Keep a copy for your records.

Question	Answer
Form Name	Vermont Form In 111
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	IN-112, 12a, 14a, 2009

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