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4 Vermont Department of Taxes 4
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6 Form BI-470 *234701100* 6
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Vermont Business Income Tax *234701100*
8 8 Page 1
9 Payment Voucher 9
10 10
11 Use this form if not submitting payment with Form BI-471 or Form BI-476. 11
12 (The Department does accept payments with Forms BI-471 and BI-476.) 12
13 If you filed electronically, DO NOT include a copy of that return with this payment. 13
14 14
15 PRINT in BLUE or BLACK INK 15
16 Entity Name FEIN 16
17 17
12345678901234567890123456789012(36) 123456789
18 Address Tax year BEGIN date (YYYYMMDD) Tax year END date (YYYYMMDD) 18
19 19
12345678901234567890123456789012(36) 20230101 20231231
20 Address (Line 2) 20
21 21
12345678901234567890123456789012(36)
22 City State ZIP Code 22
23 Amount of this payment 23
12345678901234567(21) 12 1234567890 (Use WHOLE DOLLARS)
24 123456789012345Foreign Country If “$0,” DO NOT file . . . . . . . . . . . ______________________________.00 24
25 1234567890123456789012345678(32) 25 FORM (Place at FIRST page)
26 26 Form pages
27 Send return Vermont Department of Taxes Phone: (802) 828-5723 27
28 28
and check to: 133 State Street
29 Montpelier, VT 05633-1401 For Department Use Only Form BI-470 29
30 Ck. Amt. Init. Page 1 of 1 30
31 5454 Rev. 10/23 31 1 - 1
32 32
33 33
34 34
35 35
36 Instructions for Vermont Business Income Tax Payment Voucher 36
37 Form BI-470 37
38 38
39 General Information Instructions 39
40 40
41 Use Form BI-470 to pay Business Income taxes, which include • Print in blue or black ink. 41
42 S-Corps, Partnerships, and many LLCs. • Enter the beginning and ending date of the 42
43 Do not include Form BI-470 if you are making payments with entity’s tax year in the required format— 43
44 another return, such as: YYYYMMDD. 44
45 45
46 • Form BI-471 - Business Income Tax Return • Enter the Federal Employer Identification 46
47 • Form WH-435 - Estimated Income Tax Payments for Number (FEIN). 47
48 Nonresident Shareholders, Partners, or Members • Enter the business name and address, 48
49 49
50 • Form BA-403 - Application for Extension of Time to file including country, if other than the United 50
51 Vermont Corporate/Business Income Tax Returns States. 51
52 Form BI-470 may be used, for example, if: • Enter the total amount of payment 52
53 included with this coupon. Enter a whole 53
• You mailed your return or payment coupon, but forgot
54 54
55 to include a check. dollar amount. 55
FORM (Place at LAST page)
56 • You or your tax preparer filed your documents • Do not file Form BI-470 if no payment is 56
Form pages
57 electronically, and you want to send a check separately. due. 57
58 58
59 Do not use Form BI-470 for Corporate Income tax accounts. 59
60 C-Corporations should use Form CO-414, Corporate Estimated 60
61 Tax Payment Voucher, to make estimated payments, or Form BI-470 Instructions 61 1 - 1
62 Form CO-422, Corporate Income Tax Payment Voucher, in lieu Page 1 of 1 62
63 Rev. 10/23 63
of this form.
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