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              Vermont Department of Taxes 

                 Schedule BI-473                                                                                                             *234731100*

                 Vermont Composite                                                                                                           *234731100*
                                                                                                                                                                                                                                                        Page 5
                                                                                                                                                     Include with Form BI-471
PRINT in BLUE or BLACK INK

                        Entity Name (same as on Form BI-471)                                                 Fiscal Year Ending (YYYYMMDD)                                             FEIN
  12345678901234567890123456789012(36)       20231231        123456789

                                                                                                                                                     Enter all amounts in whole dollars.

                                                         123456789012345  1. Taxable Income (Schedule BI-477, Line 27)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. . ________________________.00

                                                            100.123456  2. Vermont Income Tax Adjustment % (Schedule BI-477, Line 29)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. . __________ . ______________%

                                                         123456789012345  3. Vermont Adjusted Income(MULTIPLY Line 1 by Line 2)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. . ________________________.00

                                                            100.123456  4. Percentage of income from Line 3 passed through to nonresidents  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. . __________ . ______________%
                                                                                                                                                                                                                                                        FORM  (Place at FIRST page)
                                                         123456789012345  5. Total nonresident income (MULTIPLY Line 3 by Line 4)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. . ________________________.00             Form pages 

                                                         123456789012345  6. Composite net operating loss (Enter as a Positive Number, Attach Statement)  . . . . . . . . . . . . . . . . . . . . . . 6. . ________________________.00

                      7. Additional Adjustments (Specify) __________________________________________ 12345678901234567890123456          . . . . . . . . . . . . . . 7. . 123456789012345________________________.00
                                                                                                                                                                                                                                                        5 - 5
                                                         123456789012345  8.  Vermont taxable composite income (SUBTRACT Line 6 from Line 5 and ADD Line 7)  . . . . . . . . . . . 8. . ________________________.00

                                                         123456789012345  9. Composite Tax (MULTIPLY Line 8 by 7.6% (0.076)) . If negative, enter -0-   . . . . . . . . . . . . . . . . . . . . . 9. . ________________________.00

 10.  Tax credits available for composite shareholders/partners/members  
                                                         123456789012345(Attach Schedules BA-404 and BA-406)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. . ________________________.00

      NOTE:  Line 10 tax credits may not reduce your tax liability to less than the minimum tax . Review 
      program guidelines to determine if there are other limitations regarding usage of tax credits .

                                                         123456789012345 11. Vermont Composite Tax due(Line 9 MINUS Line 10)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11. . ________________________.00

                                                                                                                                                                                                                                                        FORM  (Place at LAST page)
                                                                                                                                                                                                                                                        Form pages 

                                                                                                                                                                          Schedule BI-473                                                               5 - 5
                                                                                                                                                                          Page 1 of 1
5454                                                                                                                                                                      Rev. 10/23






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