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

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