Enlarge image | 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 3 - 3 FORM (Place at LAST page) Form pages 3 - 3 Schedule CO-419 Page 1 of 1 5454 Rev. 10/23 |