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*071111199*
                         DUE DATE: April 15, 2008                                       PRINT in BLUE or BLACK INK                                 DEPT USE ONLY
                                                                                                        FORM
                            2007 Income Tax Return
                                                   IN-111
                           VERMONT
                                                                                                                                                                          *071111199*
                          1 TAXPAYER INFORMATION                                                                      If filing jointly,
                                                                                                                                                            -           -
                                                          -             -                                             Spouse or CU Partner
                         Taxpayer’s Social
                                                                                                                      Social Security Number
                         Security Number
                         Taxpayer’s Last Name                                                                         First Name                                                             Initial
                                                                                                                                                                                                                       CHECK
                                                                                                                                                                                                                       HERE if
                         Spouse or CU Partner Last Name                                                                First Name                                                            Initial
                                                                                                                                                                                                                       Fiscal
                                                                                                                                                                                                                       Year Filer
                         Mailing Address (Number and Street/Road or PO Box)



                         City/Town                                                                                     State            Zip Code

                                                                                                                                                             -                                         1 VT School
                                                                                                                                                                                                       District Code

                                                                                                                                                       2 City/Town of Legal Residence on 12/31/2007                     State
                                 Check here if this is                                                      Check if Spouse or CU
                                                                              Check if taxpayer died
                                 an AMENDED return                                                          Partner died during 2007
                                                                              during 2007
                          2 TAX FILING INFORMATION
                                                                                                   7a          7b
                                         3           4                 5            6                                                                                                                       8
                                                                                                                                                  Enter Spouse or CU Partner full name
                         FILING
                                                                                                  Married    CU
                         STATUS Single Head of   Married CU Partner                                                                                                                                      Qualifying Widow(er)
                                                                                                                                    Enter Spouse or
                                                                                                                                                                   -          -
                                                                                                  Filing     Filing
                                                         Filing                                                                                                                                          with dependent
                                       Household Filing                                                                             CU Partner Social
                                                                                                  Separately Separately
                                                 Jointly Jointly                                                                                                                                         children
                                                                                                                                    Security Number

                          9. EXEMPTIONS CLAIMED (From Federal Form 1040–Line 6d; 1040A–Line 6d; 1040EZ/1040NR-EZ–enter 0, 1, or 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9.
                                                                                                                                                                    Check to
                         10. ADJUSTED GROSS INCOME (From Federal Form 1040–Line 37; 1040A–Line 21;
                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                                                                                                                                                                    indicate loss
                             1040EZ–Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .               10.
                          3 TAXABLE INCOME
                                                                                                                                                     Check to
                         11. FEDERAL TAXABLE INCOME If the Federal amount is zero, see instructions on page 7
                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                                                                                                                                                     indicate loss 11.
                             (From Federal Form 1040–Line 43; 1040A–Line 27; 1040EZ–Line 6) . . . . . . . . . . . . . . . . . .

                         12. ADDITIONS TO FEDERAL TAXABLE INCOME
                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                             Income from Non-VT State and Local Obligations (from Form IN-112, VT Schedule A, Part I, Line 3) . . . . . . . 12.
                                                                                                                       Check to
                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                                                                                                                       indicate loss 13.
                         13. FEDERAL TAXABLE INCOME WITH ADDITIONS (Add Lines 11 and 12) . . . . . . . . . . . . . .

                         14. SUBTRACTIONS FROM FEDERAL TAXABLE INCOME
                                                                                                                                                             . 00
                                                                                                                                              ,
                                                                                                                               ,
                             14a. Interest Income from U.S. Obligations . . . . . . . . . . . . . . 14a.

                                                                                    . 00
                                                                   ,
                                                   ,                                                                                                         . 00
                                                                                                                                              ,
                                                                                                                               ,
                                                                                        x 40% 14c.
                              14b.
                                     Capital Gains (from Capital Gains Worksheet, Line M on page 7.
                                     Enter “0” if Line M is negative or a capital loss amount.)
                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                             14d. TOTAL SUBTRACTIONS (Add Lines 14a and 14c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14d.
                                                                                                                                            Check to
                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                                                                                                                                            indicate loss
                         15. VT TAXABLE INCOME (Subtract Line 14d from Line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . .                             15.

                          4 VT INCOME TAX
                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                         16. VT INCOME TAX FROM VT TAX TABLE OR TAX RATE SCHEDULE on Line 15 amount . . . . . . . . . . . . . . . . . 16.

                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                         17. ADDITIONS TO VT INCOME TAX (from Form IN-112, VT Schedule A, Part II, Line 10) . . . . . . . . . . . . . . . . . . . . 17.
Staple W-2/1099’s here




                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                         18. VT INCOME TAX WITH ADDITIONS (Add Lines 16 & 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18.

                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                         19. SUBTRACTIONS FROM VT INCOME TAX (from Form IN-112, VT Schedule A, Part II, Line 16) . . . . . . . . . . . . . 19.

                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                         20. VT INCOME TAX (Subtract Line 19 from Line 18) If Line 19 is more than Line 18, enter zero . . . . . . . . . . . . . . . 20.

                                                                                                                                                                                                                  .          %
                         21. INCOME ADJUSTMENT (from Form IN-113, Line 42 OR 100.00%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21.

                                                                                                                                                                                                                       . 00
                                                                                                                                                                                                        ,
                                                                                                                                                                                    ,
                         22. ADJUSTED VT INCOME TAX (Multiply Line 20 by Line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22.

                                                                                                                                                           
                                                                                                                                   Continued on back                                                                      15
                                                                                                                                                                                                  Form IN-111
*071111299*
Carried forward from Line 22 _____________________________
                                                                                                                                                                       *071111299*
 5 CREDITS AND USE TAX
                                                     . 00                                                                          . 00                                                                  . 00
                                    ,                                                                             ,                                                                            ,
                    ,                                                                             ,                                                                                ,
                                                                       +                                                                              =
 23.                                                                            24.                                                                           25.
       CREDIT FOR INCOME TAX PAID TO OTHER                                            VT TAX CREDITS (From Form IN-112,                                                TOTAL VT CREDITS
       STATE OR CANADIAN PROVINCE (From                                               Schedule D, Line 6 OR Form IN-119)                                               (Add Lines 23 and 24)
       Form IN-112, VT Schedule B, Line 6)
                                                                                                                                                                                                         . 00
                                                                                                                                                                                               ,
                                                                                                                                                                                   ,
26. VT INCOME TAX AFTER CREDITS (Subtract Line 25 from Line 22, but not less than zero). . . . . . . . . . . . . . . . . . . . . 26.

                                                                                                                                                                                                         . 00
                                                                                                                                                                                               ,
                                                                                                                                                                                   ,
27. USE TAX (See page 8 for instructions and chart) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27.

                                                                                                                                                                                                         . 00
                                                                                                                                                                                               ,
                                                                                                                                                                                   ,
28. TOTAL VT TAXES (Add Lines 26 and 27). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28.
6 VOLUNTARY                            Nongame Wildlife Fund                           Children’s Trust Fund                          VT Campaign Fund
CONTRIBUTIONS
                                                                                                            . 00
                                                            . 00 +                                                                                          . 00                                         .00
                                                                                           ,
                                           ,                                                                                               ,                                                   ,
                                                                                                                           + 29c.                                           =
                                29a.                                            29b.                                                                                               29d.

                                                                                                                                                                                                         . 00
                                                                                                                                                                                               ,
                                                                                                                                                                                   ,
30. TOTAL OF VT TAXES  CONTRIBUTIONS (Add Line 28 and Line 29d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30.
 7 PAYMENTS AND CREDITS
                                                                                                                                                      . 00
                                                                                                                                     ,
                                                                                                                      ,
       31a. VT Tax Withheld (attach state copy of W-2, 1099, etc.) . . . . . . . . . 31a.

                                                                                                                                                      . 00
                                                                                                                                     ,
                                                                                                                      ,
       31b. 2007 Estimated Tax or Extension Payments . . . . . . . . . . . . . . . . 31b.

                                                                                                                                                      . 00
                                                                                                                                     ,
       31c. Earned Income Tax Credit (from Form IN-112, VT Schedule C) . . 31c.

                                                                                                                                                      .00
                                                                                                                                     ,
       31d. Renter Rebate (from Form PR-141, Line 9) . . . . . . . . . . . . . . . . . . 31d.

                                                                                                                                                      . 00
                                                                                                                                     ,
                                                                                                                      ,
       31e. VT Real Estate Withholding (See Instructions on page 9). . . . . . . 31e.
       31f. Business Entity Payments for Nonresident Partner,
                                                                                                                                                      . 00
                                                                                                                                     ,
                                                                                                                      ,
            Member, or Shareholder (from VT Form WH-435, see page 9) . . . 31f.
       31g. Low Income Child  Dependent Care Credit
                                                                                                                                                      .00
                                                                                                                                     ,
            (See Instructions on page 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31g.
                                                                                                                                                                                                         . 00
                                                                                                                                                                                               ,
                                                                                                                                                                                   ,
31h. TOTAL PAYMENTS AND CREDITS (Add Lines 31a through 31g). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31h.
 8 REFUND
                                                                                                                                                                                                         . 00
                                                                                                                                                                                               ,
                                                                                                                                                                                   ,
32. OVERPAYMENT If Line 30 is less than Line 31h, subtract Line 30 from Line 31h . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32.

                                                                                                                                                       . 00
                                                                                                                                      ,
                                                                                                                      ,
33a. REFUND TO BE CREDITED TO 2008 ESTIMATED TAX PAYMENT
     Amount on 31d cannot be credited to 2008 estimated tax payment . . . . . 33a.
                                                                                                                                                       . 00
                                                                                                                                      ,
                                                                                                                      ,
33b. REFUND TO BE CREDITED TO 2008 PROPERTY TAX BILL . . . . . . . . 33b.
                                                                                                                                                                                                         . 00
                                                                                                                                                                                               ,
                                                                                                                                                                                   ,
34. REFUND AMOUNT (Subtract Lines 33a and 33b from Line 32) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34.
 9 AMOUNT YOU OWE
                                                                                                                                                                                                         . 00
                                                                                                                                                                                               ,
                                                                                                                                                                                   ,
35. If Line 30 is more than Line 31h, subtract Line 31h from Line 30. See page 3 for instructions on tax due. . . . . . . . . . . 35.
                                        0 0 Interest and Penalty on Underpayment of 37. Add Lines 35 and 36 . 37.                                                                                        . 00
                                               .                                                                                                                                               ,
                                                                                                                                                                                   ,
                              ,
              ,                                  Estimated Tax (Worksheet IN-152 or 152A)
36.
 For amended
                        Original refund received ________________            Refund due now __________________                  Original payment_________________                  Amount due now _______________
 returns only
10                                Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my
                                  knowledge and belief, they are true, correct and complete. Preparers cannot use return information for purposes other than preparing returns.
 SIGN
 HERE                     Signature                                                               Date                Occupation                   Check if age Telephone Number (optional)

                                                                                                                                                                                       -           -
                                                                                                                                                    65 or older
 Keep
 a copy
                          Signature. If a joint return, BOTH must sign.                            Date               Occupation
                                                                                                                                                                                       -           -
 for your
 records.
                            Check here if authorizing the VT Department of Taxes to discuss this return and attachments with your preparer.
                           Preparer’s                                                                        Date                                Check if             Preparer’s
                           signature                                                                                                              self-               SSN or
 Preparer’s                                                                                                                                     employed              PTIN
                           Firm’s name (or yours if self-employed) and address                                                                                        EIN
 Use Only
                                                                                                                                                                      Preparer’s Telephone Number


       16         Form IN-111

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IN-112 - Tax Adjustment and Credits

  • 1. *071111199* DUE DATE: April 15, 2008 PRINT in BLUE or BLACK INK DEPT USE ONLY FORM 2007 Income Tax Return IN-111 VERMONT *071111199* 1 TAXPAYER INFORMATION If filing jointly, - - - - Spouse or CU Partner Taxpayer’s Social Social Security Number Security Number Taxpayer’s Last Name First Name Initial CHECK HERE if Spouse or CU Partner Last Name First Name Initial Fiscal Year Filer Mailing Address (Number and Street/Road or PO Box) City/Town State Zip Code - 1 VT School District Code 2 City/Town of Legal Residence on 12/31/2007 State Check here if this is Check if Spouse or CU Check if taxpayer died an AMENDED return Partner died during 2007 during 2007 2 TAX FILING INFORMATION 7a 7b 3 4 5 6 8 Enter Spouse or CU Partner full name FILING Married CU STATUS Single Head of Married CU Partner Qualifying Widow(er) Enter Spouse or - - Filing Filing Filing with dependent Household Filing CU Partner Social Separately Separately Jointly Jointly children Security Number 9. EXEMPTIONS CLAIMED (From Federal Form 1040–Line 6d; 1040A–Line 6d; 1040EZ/1040NR-EZ–enter 0, 1, or 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9. Check to 10. ADJUSTED GROSS INCOME (From Federal Form 1040–Line 37; 1040A–Line 21; . 00 , , indicate loss 1040EZ–Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10. 3 TAXABLE INCOME Check to 11. FEDERAL TAXABLE INCOME If the Federal amount is zero, see instructions on page 7 . 00 , , indicate loss 11. (From Federal Form 1040–Line 43; 1040A–Line 27; 1040EZ–Line 6) . . . . . . . . . . . . . . . . . . 12. ADDITIONS TO FEDERAL TAXABLE INCOME . 00 , , Income from Non-VT State and Local Obligations (from Form IN-112, VT Schedule A, Part I, Line 3) . . . . . . . 12. Check to . 00 , , indicate loss 13. 13. FEDERAL TAXABLE INCOME WITH ADDITIONS (Add Lines 11 and 12) . . . . . . . . . . . . . . 14. SUBTRACTIONS FROM FEDERAL TAXABLE INCOME . 00 , , 14a. Interest Income from U.S. Obligations . . . . . . . . . . . . . . 14a. . 00 , , . 00 , , x 40% 14c. 14b. Capital Gains (from Capital Gains Worksheet, Line M on page 7. Enter “0” if Line M is negative or a capital loss amount.) . 00 , , 14d. TOTAL SUBTRACTIONS (Add Lines 14a and 14c) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14d. Check to . 00 , , indicate loss 15. VT TAXABLE INCOME (Subtract Line 14d from Line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . 15. 4 VT INCOME TAX . 00 , , 16. VT INCOME TAX FROM VT TAX TABLE OR TAX RATE SCHEDULE on Line 15 amount . . . . . . . . . . . . . . . . . 16. . 00 , , 17. ADDITIONS TO VT INCOME TAX (from Form IN-112, VT Schedule A, Part II, Line 10) . . . . . . . . . . . . . . . . . . . . 17. Staple W-2/1099’s here . 00 , , 18. VT INCOME TAX WITH ADDITIONS (Add Lines 16 & 17) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18. . 00 , , 19. SUBTRACTIONS FROM VT INCOME TAX (from Form IN-112, VT Schedule A, Part II, Line 16) . . . . . . . . . . . . . 19. . 00 , , 20. VT INCOME TAX (Subtract Line 19 from Line 18) If Line 19 is more than Line 18, enter zero . . . . . . . . . . . . . . . 20. . % 21. INCOME ADJUSTMENT (from Form IN-113, Line 42 OR 100.00%) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 21. . 00 , , 22. ADJUSTED VT INCOME TAX (Multiply Line 20 by Line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22. Continued on back 15 Form IN-111
  • 2. *071111299* Carried forward from Line 22 _____________________________ *071111299* 5 CREDITS AND USE TAX . 00 . 00 . 00 , , , , , , + = 23. 24. 25. CREDIT FOR INCOME TAX PAID TO OTHER VT TAX CREDITS (From Form IN-112, TOTAL VT CREDITS STATE OR CANADIAN PROVINCE (From Schedule D, Line 6 OR Form IN-119) (Add Lines 23 and 24) Form IN-112, VT Schedule B, Line 6) . 00 , , 26. VT INCOME TAX AFTER CREDITS (Subtract Line 25 from Line 22, but not less than zero). . . . . . . . . . . . . . . . . . . . . 26. . 00 , , 27. USE TAX (See page 8 for instructions and chart) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 27. . 00 , , 28. TOTAL VT TAXES (Add Lines 26 and 27). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28. 6 VOLUNTARY Nongame Wildlife Fund Children’s Trust Fund VT Campaign Fund CONTRIBUTIONS . 00 . 00 + . 00 .00 , , , , + 29c. = 29a. 29b. 29d. . 00 , , 30. TOTAL OF VT TAXES CONTRIBUTIONS (Add Line 28 and Line 29d) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30. 7 PAYMENTS AND CREDITS . 00 , , 31a. VT Tax Withheld (attach state copy of W-2, 1099, etc.) . . . . . . . . . 31a. . 00 , , 31b. 2007 Estimated Tax or Extension Payments . . . . . . . . . . . . . . . . 31b. . 00 , 31c. Earned Income Tax Credit (from Form IN-112, VT Schedule C) . . 31c. .00 , 31d. Renter Rebate (from Form PR-141, Line 9) . . . . . . . . . . . . . . . . . . 31d. . 00 , , 31e. VT Real Estate Withholding (See Instructions on page 9). . . . . . . 31e. 31f. Business Entity Payments for Nonresident Partner, . 00 , , Member, or Shareholder (from VT Form WH-435, see page 9) . . . 31f. 31g. Low Income Child Dependent Care Credit .00 , (See Instructions on page 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31g. . 00 , , 31h. TOTAL PAYMENTS AND CREDITS (Add Lines 31a through 31g). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 31h. 8 REFUND . 00 , , 32. OVERPAYMENT If Line 30 is less than Line 31h, subtract Line 30 from Line 31h . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32. . 00 , , 33a. REFUND TO BE CREDITED TO 2008 ESTIMATED TAX PAYMENT Amount on 31d cannot be credited to 2008 estimated tax payment . . . . . 33a. . 00 , , 33b. REFUND TO BE CREDITED TO 2008 PROPERTY TAX BILL . . . . . . . . 33b. . 00 , , 34. REFUND AMOUNT (Subtract Lines 33a and 33b from Line 32) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34. 9 AMOUNT YOU OWE . 00 , , 35. If Line 30 is more than Line 31h, subtract Line 31h from Line 30. See page 3 for instructions on tax due. . . . . . . . . . . 35. 0 0 Interest and Penalty on Underpayment of 37. Add Lines 35 and 36 . 37. . 00 . , , , , Estimated Tax (Worksheet IN-152 or 152A) 36. For amended Original refund received ________________ Refund due now __________________ Original payment_________________ Amount due now _______________ returns only 10 Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct and complete. Preparers cannot use return information for purposes other than preparing returns. SIGN HERE Signature Date Occupation Check if age Telephone Number (optional) - - 65 or older Keep a copy Signature. If a joint return, BOTH must sign. Date Occupation - - for your records. Check here if authorizing the VT Department of Taxes to discuss this return and attachments with your preparer. Preparer’s Date Check if Preparer’s signature self- SSN or Preparer’s employed PTIN Firm’s name (or yours if self-employed) and address EIN Use Only Preparer’s Telephone Number 16 Form IN-111