Vermont Department of Taxes 

              2023 Form IN-151                                                                  *231511100*
     Vermont Application for Extension                                                          *231511100*
                                                                                                                                                                                                                          Page 1
     of Time to File Form IN-111

•  This form must be filed if you are unable to file your Vermont Income Tax Return by the due date of April 15, 2024 and 
  you are not filing a federal extension or if you are required to make an extension payment.

•  An extension only allows additional time to file the Vermont Income Tax Return and avoids a late filing penalty.  If tax is 
  due, you must pay it by the April due date.  Interest and late payment penalty accrue from April 15 to the date of payment.

• NOTE:  This extension does not apply to Form HS-122, Vermont Homestead Declaration OR Property Tax Credit Claim. 
  Form HS-122 is due April 15 of the current year. Late-filed Homestead Declarations will be charged a late filing penalty 
  up to 8% of the corrected education tax by the town.

• Did you know?  You can file an extension online.  Visit us on the web at myvtax.vermont.gov.

         Taxpayer’s Last Name                               First Name                          MI                                    Taxpayer’s Social Security Number
 1234567890123(17)       1234567890123(17)    1         123456789                                                                                                                                                         FORM  (Place at FIRST page)
     Spouse’s/CU Partner’s Last Name                        First Name                          MI            Spouse’s or CU Partner’s Social Security Number                                                             Form pages 
 1234567890123(17)       1234567890123(17)    1         123456789 
                      Mailing Address (Number and Street/Road or PO Box)                                                              For Department Use Only
 12345678901234567890123456789012(36)
                 City                              State                 ZIP Code 
 123456748901234567(21)    12   1234567890                                                                                                                                                                                1 - 1
         Foreign Country (if not United States)                                                         Email Address 
 123456789012345678901234(28)   123456789012345678901234567890123456789012

                                                TAX CALCULATION WORKSHEET
                          Use this worksheet to determine if you may owe Vermont tax. 

                                           123456789 1. Estimated individual income tax liability .......... 1.  _____________________.00

                                           123456789 2. Previous payments ........................... 2.  _____________________.00

                                                               123456789 3.  Amount of tax paid with extension  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3.  _____________________ .00

                                                   VERMONT PAYMENT OPTION

Vermont Department of Taxes
PO Box 1779
Montpelier, VT  05601-1779
Phone:  (866) 828-2865 toll-free in Vermont or (802) 828-2865                                                                                                                                                             FORM  (Place at LAST page)
                                                                                                                                                                                                                          Form pages 

Filing by Paper:  Make check payable to Vermont Department of Taxes and mail with this form to the address above.

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                                                                                                                                         Form IN-151
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            5454                                                                                                                         Rev. 10/23