Vermont Department of Taxes 

                                Form BA-403                                                                                                           *234031100*
       Application for Extension of Time to File                                                                                                      *234031100*
 Vermont Corporate/Business Income Tax Returns

• File this application on or before the due date of the Vermont Corporate Income Tax Return (Form CO-411) or Vermont 
    Business Income Tax Return (Form BI-471 or Form BI-476).

• An extension of time to file a federal return automatically extends the time to file with Vermont until 30 days beyond the 
    federal extension date .  However, tax is due on the original due date .

• For businesses filing a Vermont Consolidated or Unitary Group return, the extension, payments and return must be 
    submitted by the Vermont Parent or Principal Vermont Corporation (PVC), respectively, using their name and Federal 
    Employee Identification Number.  The Parent or PVC must have nexus in Vermont.

 Entity Name (Principal Vermont Corporation)                                             FEIN 
  12345678901234567890123456789012(36)      123456789
 Address                                                                                 Tax year BEGIN date (YYYYMMDD)                                  Tax year END date (YYYYMMDD)
  12345678901234567890123456789012(36)      20230101         20231231
 Address (Line 2)                                                
  12345678901234567890123456789012(36)    City      State       ZIP Code                      CONSOLIDATED OR GROUP RETURN TO BE FILED 
                                            X (1120 series)
  Foreign12345678901234567(21)   Country              12  1234567890                          COMPOSITE RETURN TO BE FILED 
                                            X (1120S or 1065)
  12345678901234567890123456789012(36)
 Federal tax return to be filed 
                                (EXCEPT for 1120S)
                (Check one box) X               990 or 1120 series    X           1120S       X1065/1065-B

CALCULATION OF TAX DUE                                                                        Enter all amounts in whole dollars.

                                     123456789012345 1. Estimated tax liability    . . . . . . . . . . . . . . . . . . . . 1. . _____________________.00

                                     123456789012345 2.  Previous payments   . . . . . . . . . . . . . . . . . . . . . . .  .2.  _____________________.00

  3. Amount of tax due with this application. 
      Line 1 minus Line 2 .  Do not enter negative value .   
                                                         123456789012345 Make check payable toVermont Department of Taxes.  .  .  .  .  .  .  .  .  .  .  . 3.  .  . ____________________.  .  . .00

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, 
up to a maximum of 25%. Returns filed after the due date without an authorized extension are subject to a late filing fee. The 
interest rate is set annually by the Commissioner of Taxes under 32 V.S.A. § 3108.

Mail to:
         Vermont Department of Taxes
         133 State Street
         Montpelier, VT  05633-1401

                                                                              For Department Use Only                                                    Form BA-403
                                                                                Ck. Amt.       Init.                                                     Page 1 of 1
5454                                                                                                                                                     Rev. 10/23