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*071161199*
VT. DEPT. OF TAXES, PO Box 1779, Montpelier, VT 05601-1779

                                        Income Tax                    Form
   2007                                                                                                         *071161199*
                           Payment Voucher IN-116
  VERMONT

                                                                                                      -     -
                                  -             -                            Spouse or CU Partner
Taxpayer’s Social
                                                                             Social Security Number
Security Number
Taxpayer’s Last Name                                                         First Name                               Initial


Spouse or CU Partner Last Name                                               First Name                               Initial



Mailing Address (Number and Street/Road or PO Box)


City/Town                                                                    State         Zip Code

                                                                                                      -
                                                                                                                                          . 00
                                                                                                                                ,
                                                                                                                  ,
Use this form if you are sending                                                 Amount of this payment $
payment separate from Form IN-111
                                                     Make check payable to: VERMONT DEPARTMENT OF TAXES                                Form IN-116
                                                                                                                         (Rev. 9/07)

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IN-152a - Annualized Income Installment Method

  • 1. *071161199* VT. DEPT. OF TAXES, PO Box 1779, Montpelier, VT 05601-1779 Income Tax Form 2007 *071161199* Payment Voucher IN-116 VERMONT - - - - Spouse or CU Partner Taxpayer’s Social Social Security Number Security Number Taxpayer’s Last Name First Name Initial Spouse or CU Partner Last Name First Name Initial Mailing Address (Number and Street/Road or PO Box) City/Town State Zip Code - . 00 , , Use this form if you are sending Amount of this payment $ payment separate from Form IN-111 Make check payable to: VERMONT DEPARTMENT OF TAXES Form IN-116 (Rev. 9/07)