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            Vermont Department of Taxes 

              Schedule CO-419                                                                                                       *234191100*

Vermont Apportionment of Foreign Dividends                                                                                          *234191100*
                                                                                                                                                                                                                                                 Page 3
            (for Unitary Filers Only)                                                                                                     Include with Form CO-411

                    Entity Name (same as on Form CO-411)                                                          Fiscal Year Ending (YYYYMMDD)                                                                            FEIN
  12345678901234567890123456789012(36)       20231231        123456789

                                                           Column A                                               Column B                                                                                   Column C
                                                           EVERYWHERE                                             VERMONT                                                                                    Vermont as portion
                                                           (Denominator)                                          (Numerator)                                                                                of EVERYWHERE
 1. Total Income, Sales, and Gross  
    Receipts (Schedule BA-402,  
                    Lines 13A and 13B)  . . . . . . . .1A. 123456789012345     ________________________ .00  1B.  ________________________123456789012345    .00
 2. Sales Increment (ADD Lines 10 
    and 20 from all attached 
                    123456789012345Schedules CO-420)  . . . . . . . .2A.  ________________________ .00
 3. Adjusted Sales Increment 
                    123456789012345(ADD Lines 1A and 2A)  . . . .3A.  ________________________ .00
 4. Modified Sales Factor  (DIVIDE Line 1B by Line 3A.  MULTIPLY the result by 100 and  
                                                            carry the result out to the sixth decimal place.)   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. . __________123.123456______________% FORM  (Place atFIRST page)
                                                                                                                                                                                                                                                 Form pages 
                                                         123456789012345 5. FOREIGN DIVIDENDS as defined in Reg . ยง 1 .5862(d) .  (Schedule BA-402, Line 2A)  . . . . . . . . . . . . . .5. .  .________________________ .00
 6.  VERMONT FOREIGN DIVIDENDS TAXABLE INCOME (MULTIPLY Line 5 by Line 4) 
                                                         123456789012345Enter onto Schedule BA-402, Line 2B and Form CO-411, Line 9 .  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6. . ________________________ .00

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                                                                                                                                                                                                                                                 FORM  (Place at LAST page)
                                                                                                                                                                                                                                                 Form pages 

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                                                                                                                                                 Schedule CO-419
                                                                                                                                                                                                             Page 1 of 1
5454                                                                                                                                                                                                         Rev. 10/23






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