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VERMONT DEPARTMENT OF TAXES
                                                                        PO BOX 547
                                                                  MONTPELIER, VT 05601-0547


                                VERMONT BANK FRANCHISE TAX RETURN
                                  OCTOBER 1, 2008 - DECEMBER 31, 2008

                                                                                   FOURTH QUARTER
Print or type complete bank name                                                       Federal ID Number


Mailing Address                                                                    Is this a change of address?
                                                                                        Yes               No
City                                             State                  ZIP Code



                                     TAX COMPUTATION SCHEDULE
   Month of                 Average Monthly Deposit
                                    BFS x                    Tax Rate =                     Tax Due

1. OCT 2008             $                                     .000096          $

2. NOV 2008             $                                     .000096          $

3. DEC 2008             $                                     .000096          $


                                                         TOTAL TAX DUE         $

                                                         Tax Credit            $

                                                         TOTAL                 $

I declare under the penalties of perjury, this return is true, correct and complete to the best of my
knowledge. If prepared by a person other than the taxpayer, his/her declaration further provides under
32 V.S.A. §§5901-5903 this information has not been and will not be used for any other purpose or
made available to any other person other than for the preparation of this return unless a separate valid
consent form is signed by the taxpayer and retained by the preparer.


Signature of Corporation Officer                 Title                                         Date

Signature of Preparer                            Firm Name                                     Date

Address of Preparer

                                                                                                   Form BFT-1
                                                                                     Rev. 11/07
VT SCHEDULE OF AVERAGE DEPOSITS
                                          FOURTH QUARTER 2008

                                    OCTOBER                         NOVEMBER                         DECEMBER
                                                            10987654321098765432121098765432109876543210987654321
                                                            10987654321098765432121098765432109876543210987654321
                                                            10987654321098765432121098765432109876543210987654321
  OCT 31, 2007                                              65432109876543210987654321765432109876543210987654321
                                                            10987654321098765432121098765432109876543210987654321
                                                            10987654321098765432121098
                                                            65432109876543210987654321
                                                            65432109876543210987654321
                                                            65432109876543210987654321
  NOV 30, 2007                                              65432109876543210987654321
                                                            65432109876543210987654321
  DEC 31, 2007
  JAN 31, 2008
  FEB 29, 2008
  MAR 31, 2008
  APR 30, 2008
  MAY 30, 2008
  JUN 30, 2008
  JUL 31, 2008
  AUG 29, 2008
  SEP 30, 2008                                      98765432109876543210987654321
                                                    98765432109876543210987654321
                                                    98765432109876543210987654321
  OCT 31, 2008           43210987654321098765432121098765432109876543210987654321
                                                    98765432109876543210987654321
                                                    98765432109876543210987654321
                         432109876543210987654321210987654321098765432109876543211
                         43210987654321098765432121098765432109876543210987654321
                         43210987654321098765432121098765432109876543210987654321
  NOV 28, 2008           43210987654321098765432121098765432109876543210987654321
                         4321098765432109876543212109876543210987654321098765432
  TOTAL 12 MO.
  Divide Total by 12 =       (1)                              (2)                              (3)



                                                    INSTRUCTIONS
1. The tax is due from all corporations operating as banks, savings banks, savings institutions, trust companies, savings and
   loan association or building and loan associations. A corporation is a “bank” if it accepts any deposits and makes any
   loans, whether or not it is defined as a “bank” for federal or state regulatory purposes.
2. Average monthly deposit - The average monthly deposit for any taxable month shall be determined by the deposits held
   in Vermont by the corporation on the last business day of each of the 12 months directly preceding the taxable month for
   which the average monthly deposit is to be determined. Divide these by 12 using VT Schedule of Average Deposits
   above. Deposit means “deposit” as defined in Title 12, Paragraph 204, §204.2(a)(1) of the code of federal regulations.
3. Tax is payable quarterly to the commissioner not later than the 25th day of the month following the last day of each
   quarter of the corporation’s taxable year under the Federal Internal Revenue Code, for the three months of that quarter.
4. Refer to 32 V.S.A. §5836 for the exact wording of the statute. If there are any questions, please call (802) 828-6839.

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Notice of Change of Ownership

  • 1. VERMONT DEPARTMENT OF TAXES PO BOX 547 MONTPELIER, VT 05601-0547 VERMONT BANK FRANCHISE TAX RETURN OCTOBER 1, 2008 - DECEMBER 31, 2008 FOURTH QUARTER Print or type complete bank name Federal ID Number Mailing Address Is this a change of address? Yes No City State ZIP Code TAX COMPUTATION SCHEDULE Month of Average Monthly Deposit BFS x Tax Rate = Tax Due 1. OCT 2008 $ .000096 $ 2. NOV 2008 $ .000096 $ 3. DEC 2008 $ .000096 $ TOTAL TAX DUE $ Tax Credit $ TOTAL $ I declare under the penalties of perjury, this return is true, correct and complete to the best of my knowledge. If prepared by a person other than the taxpayer, his/her declaration further provides under 32 V.S.A. §§5901-5903 this information has not been and will not be used for any other purpose or made available to any other person other than for the preparation of this return unless a separate valid consent form is signed by the taxpayer and retained by the preparer. Signature of Corporation Officer Title Date Signature of Preparer Firm Name Date Address of Preparer Form BFT-1 Rev. 11/07
  • 2. VT SCHEDULE OF AVERAGE DEPOSITS FOURTH QUARTER 2008 OCTOBER NOVEMBER DECEMBER 10987654321098765432121098765432109876543210987654321 10987654321098765432121098765432109876543210987654321 10987654321098765432121098765432109876543210987654321 OCT 31, 2007 65432109876543210987654321765432109876543210987654321 10987654321098765432121098765432109876543210987654321 10987654321098765432121098 65432109876543210987654321 65432109876543210987654321 65432109876543210987654321 NOV 30, 2007 65432109876543210987654321 65432109876543210987654321 DEC 31, 2007 JAN 31, 2008 FEB 29, 2008 MAR 31, 2008 APR 30, 2008 MAY 30, 2008 JUN 30, 2008 JUL 31, 2008 AUG 29, 2008 SEP 30, 2008 98765432109876543210987654321 98765432109876543210987654321 98765432109876543210987654321 OCT 31, 2008 43210987654321098765432121098765432109876543210987654321 98765432109876543210987654321 98765432109876543210987654321 432109876543210987654321210987654321098765432109876543211 43210987654321098765432121098765432109876543210987654321 43210987654321098765432121098765432109876543210987654321 NOV 28, 2008 43210987654321098765432121098765432109876543210987654321 4321098765432109876543212109876543210987654321098765432 TOTAL 12 MO. Divide Total by 12 = (1) (2) (3) INSTRUCTIONS 1. The tax is due from all corporations operating as banks, savings banks, savings institutions, trust companies, savings and loan association or building and loan associations. A corporation is a “bank” if it accepts any deposits and makes any loans, whether or not it is defined as a “bank” for federal or state regulatory purposes. 2. Average monthly deposit - The average monthly deposit for any taxable month shall be determined by the deposits held in Vermont by the corporation on the last business day of each of the 12 months directly preceding the taxable month for which the average monthly deposit is to be determined. Divide these by 12 using VT Schedule of Average Deposits above. Deposit means “deposit” as defined in Title 12, Paragraph 204, §204.2(a)(1) of the code of federal regulations. 3. Tax is payable quarterly to the commissioner not later than the 25th day of the month following the last day of each quarter of the corporation’s taxable year under the Federal Internal Revenue Code, for the three months of that quarter. 4. Refer to 32 V.S.A. §5836 for the exact wording of the statute. If there are any questions, please call (802) 828-6839.