Vermont Department of Taxes 

       Schedule BA-410                                          *234101100*

       Vermont Corporate and Business                           *234101100*
                                                                                                                                      Page 2
       Income Tax Affiliation                                   Include with Form CO-411 
                                                                                         or Form BI-471
REQUIRED FOR COMBINED AND CONSOLIDATED RETURNS
Please provide information for all affiliates/subsidiaries/entities contributing income/activity to Vermont Unitary Group.
       Entity Name (same as on Form CO-411 or Form BI-471) Fiscal Year Ending (YYYYMMDD)              FEIN
  12345678901234567890123456789012(36)       20231231        123456789
                                                                                                      Pass-
                                                                Unitary                               through             Has 
                                                                                         Disregarded                      Vermont 
                                                                group                                 entity 
       Affiliate Name                                      FEIN member?                  entity?      directly            sales or 
                                                                                         (“Y” or “N”) owned?              activity?
                                                                (“Y” or “N”)                                              (“Y” or “N”)
                                                                                                      (“Y” or “N”)
 
   1.  12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   2.  12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   3.  12345678901234567890123456789012(36)  123456789    Y     N     Y     N                                                         FORM  (Place atFIRST page)
                                                                                                                                      Form pages 
    4. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   5.  12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   6.  12345678901234567890123456789012(36)  123456789    Y     N     Y     N                                                         2 - 2
 
   7.  12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   8.  12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   9.  12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   10. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   11. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   12. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   13. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   14. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   15. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   16. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
                                                                                                                                      FORM  (Place at LAST page)
 
   17. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N                                                         Form pages 
 
   18. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
 
   19. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N
                                                                                                                                      2 - 2
   20. 12345678901234567890123456789012(36)  123456789    Y     N     Y     N

                                                                                         Schedule BA-410
       USE ADDITIONAL SCHEDULES, IF NECESSARY                                                    Page 1 of 1
5454                                                                                                  Rev. 10/23