1                                                                                                                                                                                                                                                         1
 0  0  0  0 20  0  0  0  0  1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8      2
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
          3                                                                                                                                                                                                                                                         3
          4                          Vermont Department of Taxes                                                                                                                                                                                                    4
          5                                                                                                                                                                                                                                                         5
          6                          2023 Schedule IN-113                                                                                                                         *231131100*                                                                       6
          7                                                                                                                                                                                                                                                         7
                    Vermont Income Adjustment Calculations                                                                                                                        * 23 1131100*
          9                                                                                                                                                                                                                                                         9
          8                                                                                                                                                                                Please PRINT in BLUE or BLACK INK                                        8  Page 25
          10                Nonresidents and Part-Year Residents Must Complete Parts I and II                                                                                                    INCLUDE WITH FORM IN-111                                           10
          11                Full-Year Residents with Adjustments Complete only Part II                                                                                                                                                                              11
          12                         Taxpayer’s Last Name                                                                            First Name                                   MI                            Taxpayer’s Social Security Number                   12
          13                                                                                                                                                                                                                                                        13
                   12345678901234567       12345678901234567    1   123456789
          14                                                                                                                                                                                                                                                        14
          15     PART I.          Enter figures as they appear on your federal return or recomputed federal return in Column A and list the Vermont portion in                                                                                                      15 FORM  (Place at FIRST page)
          16                      Column B. See instructions.                                                                                                                                                                                                       16 Form pages 
          17                                                             Dates of Vermont residency in 2023                                                                                   Name of State(s), Canadian province, or                               17
          18                                                                                                                                                                                  country during non-Vermont residency                                  18
                            From                                                                       To
          19                (MMDDYYYY):             MM /       DD /            YYYY          (MMDDYYYY):                             MM /       DD /               YYYY                      (use standard 2-character abbreviation)                          12    19
          20                                                                                                                                                                                                                                                        20
          21                                                                                                                                                                                                                                                        21
                                                                                                                                                                                                                                                                       25 - 26
          22                                                                                                                                                                                                                                                        22
                                                                                                                                              A.                                                                                                 B.
          23                                                                                                                   Federal Amount $                                                                                   Vermont Portion $                 23
          24                                                                                                                                                                                                                                                        24
          25       1.                              Wages, salaries, tips, etc.  . . . . . . . . . . . . . . . . . .1A.  __________________________12345678901234             .00                                   1B. __________________________12345678901234 .00 25
          26                                                                                                                                                                                                                                                        26
          27                                    2. Taxable interest .............. . . . . . . . . . . . .   2A.  __________________________12345678901234             .00                                         2B. __________________________12345678901234 .00 27
          28                                                                                                                                                                                                                                                        28
          29       3.                              Ordinary dividends . . . . . . . . . . . . . . . . . . . . . . .3A.  __________________________12345678901234             .00                                   3B. __________________________12345678901234 .00 29
          30                                                                                                                                                                                                                                                        30
          31       4.                              Taxable IRAs, pensions, and annuities ........            4A.  __________________________12345678901234             .00                                         4B. __________________________12345678901234 .00 31
          32                                                                                                                                                                                                                                                        32
          33       5.                              Taxable Social Security .......   ...........             5A.  __________________________12345678901234             .00                                         5B. __________________________12345678901234 .00 33
          34                                                                                                                                                                                                                                                        34
          35       6.                              Taxable refunds of state and local income taxes           6A.  __________________________12345678901234             .00                                         6B. __________________________12345678901234 .00 35
          36                                                                                                                                                                                                                                                        36
          37       7.                              Alimony received ............ . . . . . . . . . . . .     7A.  __________________________12345678901234             .00                                         7B. __________________________12345678901234 .00 37
          38                                                                                                                                                                                                                                                        38
          39       8.                              Business income or loss . . . . . . . . . . . . . . . . . . .8A.  __________________________12345678901234             .00                                      8B. __________________________12345678901234 .00 39
          40                                                                                                                                                                                                                                                        40
          41       9.                              Capital gain or loss   . . . . . . . . . . . . . . . . . . . . . .9A.  __________________________12345678901234             .00                                 9B. __________________________12345678901234 .00 41
          42                                                                                                                                                                                                                                                        42
                   10.      Rents, royalties, partnerships,  
          43                                   S corporations, trusts, etc . . . . . . . . . . . . . . . . . 10A.  __________________________12345678901234             .00                                        10B. __________________________12345678901234.00 43
          44                                                                                                                                                                                                                                                        44
          45                                    11. Farm income or loss  . . . . . . . . . . . . . . . . . . . . .11A.  __________________________12345678901234             .00                                   11B. __________________________12345678901234.00 45
          46                                                                                                                                                                                                                                                        46
          47       12.                                Unemployment compensation  . . . . . . . . . . . . .   12A.  __________________________12345678901234             .00                                        12B. __________________________12345678901234.00 47
          48                                                                                                                                                                                                                                                        48
          49       13.                              Other: Specify ............... . . . . . . . . . . .     13A.  __________________________12345678901234             .00                                        13B. __________________________12345678901234.00 49
          50                                                                                                                                                                                                                                                        50
                   14.  TOTAL INCOME  
          51                                   (ADD Lines 1 through 13) . . . . . . . . . . . . . . .        14A.  __________________________12345678901234             .00                                        14B. __________________________12345678901234.00 51
          52                                                                                                                                                                                                                                                        52
          53                                                                                                                                                                                                                                                        53
          54                                                                                                                                                                                                                                                        54
          55                                                                                                                                                                                                                                                        55
          56                                                                                                                                                                                                                                                        56
          57                                                                                                                                                                                                                                                        57
          58                                                                                                                                                                                                                                                        58
          59                                                                                                                                                                                                                                                        59
          60                                                                                                                                                                                                                                                        60
          61                                                                                                                                                                                                                         Schedule IN-113                61
          62                                                                                                                                                                                                                                  Page 1 of 2           62
          63                            5454                                                                                                                                                                                                     Rev. 10/23         63
 0  0  0  0 640  0  0  0  0 1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8      64
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
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          1                                                                                                                                                                                                                                                                     1
 0  0  0  0 20  0  0  0  0  1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                  2
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
          3                                                                                                                                                                                                                                                                     3
          4                                            Taxpayer’s Last Name                                     Social Security Number                                                                                                                                          4
          5                                                                                                                                                                                                                                                                     5
                         12345678901234567    123456789
          6                                                                                                                                                                       *231131200*                                                                                   6
          7                                                                                                                                                                                                                                                                     7
                                                                                                                                                                                  * 23 1131200*
          8                                                                                                                                                                                                                                                                     8  Page 26
          9                                                                                                                          Column A.                                                                                             Column B.                            9
          10                                                                                                                   Federal Amount $                                                                                   Vermont Portion $                             10
                    15.     IRA, Keogh/SEP/SIMPLE  
          11                                   (Reported on federal Form 1040) . . . . . . . . . .        15A.  _______________________12345678901234             .00                                           15B.  _________________________12345678901234               .00 11
          12                                                                                                                                                                                                                                                                    12
          13            12345678.       12345678.  Self _________________   Spouse _________________                                                                                                                                                                            13
          14                                                                                                                                                                                                                                                                    14
                   16.      Student Loan Interest  
          15                                   (Reported on Form 1040) . . . . . . . . . . . . . . . .    16A.  _______________________12345678901234             .00                                           16B. 12345678901234______________________                   .00 15 FORM  (Place atLAST page)
          16                                                                                                                                                                                                                                                                    16 Form pages 
          17       17.  Employee Deductions: Reservists,                                                                                                                                                                                                                        17
                            Performing Artists, Fee-basis Gov’t  
          18                                   Officials (Reported on Form 1040)  ........                17A.  _______________________12345678901234             .00                                           17B. 12345678901234______________________                   .00 18
          19                                                                                                                                                                                                                                                                    19
                   18.  Self-Employment Deductions: Tax and  
          20                                   Health Insurance (Reported on Form 1040) ..                18A.  _______________________12345678901234             .00                                           18B. 12345678901234______________________                   .00 20
          21                                                                                                                                                                                                                                                                    21
                   19.  Health Savings Account                                                                                                                                                                                                                                     25 - 26
          22                                   (Reported on Form 1040) . . . . . . . . . . . . . . . .    19A.  _______________________12345678901234             .00                                           19B. 12345678901234______________________                   .00 22
          23                                                                                                                                                                                                                                                                    23
          24       20.                                Moving Expenses (Reported on Form 1040) .           20A.  _______________________12345678901234             .00                                           20B. 12345678901234______________________                   .00 24
          25                                                                                                                                                                                                                                                                    25
                   21.  Penalty on Early Withdrawal of Savings  
          26                                   (Reported on Form 1040) . . . . . . . . . . . . . . . .    21A.  _______________________12345678901234             .00                                           21B. 12345678901234______________________                   .00 26
          27                                                                                                                                                                                                                                                                    27
          28       22.                              Alimony Paid (Reported on Form 1040) ....             22A.  _______________________12345678901234             .00                                           22B. 12345678901234______________________                   .00 28
          29                                                                                                                                                                                                                                                                    29
                   23.  Domestic Production Activities  
          30                                   (Reported on Form 1040) . . . . . . . . . . . . . . . .    23A.  _______________________12345678901234             .00                                           23B. 12345678901234______________________                   .00 30
          31                                                                                                                                                                                                                                                                    31
                   24.      Educator Expenses and Tuition & Fees  
          32                                   (Reported on Form 1040) . . . . . . . . . . . . . . . .    24A.  _______________________12345678901234             .00                                           24B. 12345678901234______________________                   .00 32
          33                                                                                                                                                                                                                                                                    33
                   25.  Deductions not listed above but reported  
          34                                   on Form 1040 ............... . . . . . . . . . .           25A.  _______________________12345678901234             .00                                           25B. 12345678901234______________________                   .00 34
          35                                                                                                                                                                                                                                                                    35
                   26. TOTAL ADJUSTMENTS 
          36                                   (ADD Lines 15 through 25)  . . . . . . . . . . . . .       26A.  _______________________12345678901234             .00                                           26B. 12345678901234______________________                   .00 36
          37                                                                                                                                                                                                                                                                    37
          38       27.                                                          12345678901234Adjusted Gross Income (SUBTRACT Line 26A from Line 14A)  ................... . . . . . . . . . . . .                 27.  ______________________                              .00 38
          39                                                                                                                                                                                                                                                                    39
          40       28.                                                          12345678901234Vermont Portion of AGI (SUBTRACT Line 26B from Line 14B) ................... . . . . . . . . . . . .                 28.  ______________________                              .00 40
          41                                                                                                                                                                                                                                                                    41
                   29.  Non-Vermont Income (SUBTRACT Line 28 from Line 27)  
          42                                                               12345678901234Also enter on Part II, Line 31 below . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .29.   _________________________.00 42
          43                                                                                                                                                                                                                                                                    43
          44     PART II.  Adjustment for Vermont Exempt Income and Military Exempt Income                                                                                                                                                                                      44
          45                                                                                                                                                                                                                                                                    45
                    30.     Adjusted Gross Income. If Part I completed, enter Line 27 amount.  
          46                                                               12345678901234Otherwise, enter amount from Form IN-111, Line 1 ............................... . . . . . . . . . . . .                  30.  ______________________                              .00 46
          47                                                                                                                                                                                                                                                                    47
          48                                    12345678901234 31.  Non-Vermont Income (Line 29 above)  ....... 31.  _______________________.00                                                                                                                                 48
          49                                                                                                                                                                                                                                                                    49
                    32.     Military pay. Number of months  
          50                on active duty ______12                (See instructions) ......                 32.  _______________________12345678901234                  .00                                                                                                    50
          51                                                                                                                                                                                                                                                                    51
          52                                                                1234567890123433. Total (ADD Lines 31 and 32) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .33.  ______________________.00 52
          53                                                                                                                                                                                                                                                                    53
          54                                                                1234567890123434.  Vermont Income (SUBTRACT Line 33 from Line 30) ............................ . . . . . . . . . . . .                 34.  ______________________.00                               54
          55                                                                                                                                                                                                                                                                    55
                    35.  INCOME ADJUSTMENT % (DIVIDE Line 34 by Line 30 MULTIPLY,                                                                               the result by 100 and  
          56                                                                    carry the result out to the fourth decimal place.)  Also enter on Form IN-111, Line 15 (See instructions) .....                                   35.  ________123.1234__________%              56
          57                                                                                                                                                                                                                                                                    57
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          61                                                                                                                                                                                                                         Schedule IN-113                            61
          62                                                                                                                                                                                                                                  Page 2 of 2                       62
          63                            5454                                                                                                                                                                                                     Rev. 10/23                     63
 0  0  0  0 640  0  0  0  0 1  1  1  1  1  1  1  1  1  1  2  2  2  2  2  2  2  2  2  2  3  3  3  3  3  3  3  3  3  3  4  4  4  4  4  4  4  4  4  4  5  5  5  5  5  5  5  5  5  5  6  6  6  6  6  6  6  6  6  6  7  7  7  7  7  7  7  7  7  8  8  8  8  8  8  8                  64
 1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5  6  7  8  9  0  1  2  3  4  5
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