Vermont Department of Taxes 

            Form BI-470                                                                      *234701100*

Vermont Business Income Tax                                                                  *234701100*
                                                                                                                                                                      Page 1
          Payment Voucher

                 Use this form if not submitting payment with Form BI-471 or Form BI-476. 
                          (The Department does accept payments with Forms BI-471 and BI-476.)
                 If you filed electronically, DO NOT include a copy of that return with this payment.

PRINT in BLUE or BLACK INK
Entity Name                                             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
                                                                 Amount of this payment  
  12345678901234567(21)    12  1234567890                        (Use WHOLE DOLLARS) 
                                                         123456789012345Foreign Country If “$0,” DO NOT file  . . . . . . . . . .  . ______________________________.00
  1234567890123456789012345678(32)                                                                                                                                    FORM  (Place at FIRST page)
                                                                                                                                                                      Form pages 
        Send return       Vermont Department of Taxes               Phone:  (802) 828-5723
        and check to:     133 State Street
                          Montpelier, VT  05633-1401                For Department Use Only                   Form BI-470
                                                          Ck. Amt.                               Init.        Page 1 of 1
5454                                                                                                          Rev. 10/23                                              1 - 1

        Instructions for Vermont Business Income Tax Payment Voucher
                                                 Form BI-470

General Information                                                 Instructions
Use Form BI-470 to pay Business Income taxes, which include         •  Print in blue or black ink.
S-Corps, Partnerships, and many LLCs.                               •  Enter the beginning and ending date of the 
Do not include Form BI-470 if you are making payments with                   entity’s tax year in the required format—
another return, such as:                                                     YYYYMMDD.
•  Form BI-471 - Business Income Tax Return                         •  Enter the Federal Employer Identification 
•  Form WH-435 - Estimated Income Tax Payments for                           Number (FEIN).
        Nonresident Shareholders, Partners, or Members              •  Enter the business name and address, 
•  Form BA-403 - Application for Extension of Time to file                   including country, if other than the United 
        Vermont Corporate/Business Income Tax Returns                        States.
Form BI-470 may be used, for example, if:                           •  Enter the total amount of payment 
•  You mailed your return or payment coupon, but forgot                      included with this coupon.  Enter a whole 
        to include a check.                                                  dollar amount.
                                                                                                                                                                      FORM  (Place at LAST page)
•  You  or  your  tax  preparer  filed  your  documents             •  Do not file Form BI-470 if no payment is 
                                                                                                                                                                      Form pages 
        electronically, and you want to send a check separately.             due.
Do not use Form BI-470 for Corporate Income tax accounts.  
C-Corporations should use Form CO-414, Corporate Estimated 

Tax  Payment  Voucher,  to  make  estimated  payments,  or                                             Form BI-470 Instructions                                       1 - 1
Form CO-422, Corporate Income Tax Payment Voucher, in lieu                                                    Page 1 of 1
of this form.                                                                                                 Rev. 10/23