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4 Vermont Department of Taxes 4
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6 Form CO-422 *234221100* 6
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Vermont Corporate Income Tax *234221100*
8 8 Page 1
9 Payment Voucher 9
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11 If you filed electronically, DO NOT include 11
12 Use this form if not submitting payment with Form CO-411. a copy of that return with this payment. 12
13 (The Department does accept payments with Form CO-411.) 13
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15 Entity Name (Principal Vermont Corporation) FEIN 15
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12345678901234567890123456789012(36) 123456789
17 Address Tax year BEGIN date (YYYYMMDD) Tax year END date (YYYYMMDD) 17
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12345678901234567890123456789012(36) 20230101 20231231
19 Address (Line 2) 19
20 Amount of this payment. 20
12345678901234567890123456789012(36)
21 City State ZIP Code Use WHOLE DOLLARS. 21
22 12345678901234567(21) 12 1234567890 If $0, DO NOT file ............$ ______________________________123456789012345.00 22
23 Foreign Country 23
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1234567890123456789012345678(32)
25 25 FORM (Place at FIRST page)
26 Send return Vermont Department of Taxes Phone: (802) 828-5723 26 Form pages
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and check to: 133 State Street
28 For Department Use Only 28
Montpelier, VT 05633-1401 Form CO-422
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Ck. Amt. Init.
30 5454 Rev. 10/23 30
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Instructions for Vermont Corporate Income Tax Return Payment Voucher
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37 Form CO-422 37
38 General Information Instructions 38
39 39
40 Use Form CO-422 to pay Corporate Income taxes. • Print in blue or black ink. 40
41 Do not include Form CO-422 if you are sending payments with • Enter the beginning and ending date of the 41
42 another return such as: entity’s tax year in the required format - 42
43 YYYYMMDD. 43
• CO-411 - Corporate Income Tax Return
44 • Enter the Federal Employer Identification 44
45 • CO-414 - Corporate Estimated Tax Payment Voucher 45
Number (FEIN).
46 • BA-403 - Application for Extension of Time to File 46
47 Vermont Corporate/Business Income Tax Returns • Enter the business name and address, 47
48 including country, if other than the United 48
CO-422 may be used, for example, if:
49 States. 49
50 • You mailed your return or payment coupon, but forgot to 50
• Enter the total amount of payment included
51 include a check. 51
with this coupon. Enter a whole dollar
52 • You or your tax preparer filed your documents amount. 52
53 electronically, and you want to send a check separately. 53
54 • Do not file Form CO-422 if no payment is 54
Do not use Form CO-422 for Business Income tax accounts.
55 due. 55
Business Income tax filers should use Form WH-435, Vermont FORM (Place at LAST page)
56 56 Form pages
57 Estimated Income Tax Payments for Nonresident Shareholders, Mail voucher and payment to: 57
58 Partners, or Members, to make estimated payments on behalf of Vermont Department of Taxes 58
59 nonresident owners, or Form BI-470, Vermont Business Income 133 State Street 59
60 Tax Payment Voucher, in lieu of this form. Montpelier, VT 05633-1401 60
61 61
Form CO-422 Instructions 1 - 1
62 Page 1 of 1 62
63 Rev. 10/23 63
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