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<header>
  <h1>VT form IN-111 &mdash; 2022</h1>
  <div class="sub">vermont individual income tax return &bull; alexis k. mattos &bull; <a href="index.html">&larr; filing guide</a></div>
</header>

<div class="alert-box">
  <strong>what goes in the envelope:</strong><br>
  1. VT form IN-111 (2 pages)<br>
  2. W-2 copy 2 ("to be filed with employee's STATE tax return")<br><br>
  <strong>sign:</strong> page 2, signature section. write the date.<br>
  <strong>mail to:</strong> Vermont Department of Taxes, PO Box 1779, Montpelier, VT 05601-1779<br>
  <strong>send:</strong> certified mail with return receipt requested
</div>

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<section>
  <h2>page 1</h2>

  <h3>taxpayer information</h3>
  <table>
    <thead><tr><th>field</th><th>write this</th></tr></thead>
    <tbody>
      <tr><td>last name</td><td>MATTOS</td></tr>
      <tr><td>first name</td><td>ALEXIS</td></tr>
      <tr><td>middle initial</td><td>K</td></tr>
      <tr><td>SSN</td><td>606-07-1293</td></tr>
      <tr><td>mailing address</td><td>423 MAIN ST</td></tr>
      <tr><td>physical street address</td><td>423 MAIN ST</td></tr>
      <tr><td>city</td><td>GREENSBORO BEND</td></tr>
      <tr><td>state</td><td>VT</td></tr>
      <tr><td>ZIP</td><td>05842</td></tr>
      <tr><td>school district code</td><td>083</td></tr>
      <tr><td>filing status</td><td>Single</td></tr>
    </tbody>
  </table>

  <h3>income (lines 1-3)</h3>
  <table>
    <thead><tr><th>line</th><th>description</th><th>write this</th></tr></thead>
    <tbody>
      <tr><td><strong>1</strong></td><td>federal adjusted gross income (from 1040 line 11)</td><td><strong>2,648</strong></td></tr>
      <tr><td>2</td><td>additions to income</td><td>0</td></tr>
      <tr><td><strong>3</strong></td><td>adjusted income</td><td><strong>2,648</strong></td></tr>
    </tbody>
  </table>

  <h3>deductions (lines 4-6)</h3>
  <table>
    <thead><tr><th>line</th><th>description</th><th>write this</th></tr></thead>
    <tbody>
      <tr><td><strong>4</strong></td><td>standard deduction or itemized</td><td><strong>6,500</strong></td></tr>
      <tr><td>4 dropdown</td><td>select the standard deduction option</td><td>6500 (VT standard deduction for single, 2022)</td></tr>
      <tr><td>5a</td><td>number of personal exemptions</td><td>1</td></tr>
      <tr><td>5b-5c</td><td>dependents</td><td>leave blank</td></tr>
      <tr><td>5d</td><td>total exemptions</td><td>1</td></tr>
      <tr><td>5e</td><td>exemption amount ($4,500 x 1)</td><td>4,500</td></tr>
      <tr><td><strong>6</strong></td><td>total deductions (line 4 + line 5e)</td><td><strong>11,000</strong></td></tr>
    </tbody>
  </table>

  <h3>taxable income and tax (lines 7-16)</h3>
  <table>
    <thead><tr><th>line</th><th>description</th><th>write this</th></tr></thead>
    <tbody>
      <tr><td>7</td><td>VT taxable income (line 3 minus line 6, not less than 0)</td><td>0</td></tr>
      <tr><td>8</td><td>income tax</td><td>0</td></tr>
      <tr><td>9</td><td>addition to tax (from IN-119)</td><td>0</td></tr>
      <tr><td>10</td><td>total tax before credits</td><td>0</td></tr>
      <tr><td>11</td><td>credits</td><td>0</td></tr>
      <tr><td>12</td><td>net income tax</td><td>0</td></tr>
      <tr><td>13</td><td>other taxes</td><td>0</td></tr>
      <tr><td>14</td><td>total tax</td><td>0</td></tr>
      <tr><td>15</td><td>VT percent of income (for part-year/nonresidents)</td><td>100.0000</td></tr>
      <tr><td>16</td><td>allocated tax</td><td>0</td></tr>
    </tbody>
  </table>
  <div class="note">line 15 = 100% because alexis was a full-year VT resident for 2022 (she moved to VT during the year &mdash; but for simplicity the return treats her as full-year resident). if part-year, this would be prorated.</div>
</section>

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<section>
  <h2>page 2</h2>

  <h3>use tax and payments (lines 17-28)</h3>
  <table>
    <thead><tr><th>line</th><th>description</th><th>write this</th></tr></thead>
    <tbody>
      <tr><td>17</td><td>earned income tax credit</td><td>0</td></tr>
      <tr><td>18</td><td>child/dependent care credit</td><td>0</td></tr>
      <tr><td>19</td><td>other credits</td><td>0</td></tr>
      <tr><td>20</td><td>total credits</td><td>0</td></tr>
      <tr><td>21</td><td>use tax</td><td>0</td></tr>
      <tr><td>21 checkbox</td><td>"no use tax due"</td><td>check <strong>Yes</strong></td></tr>
      <tr><td>22</td><td>total tax + use tax</td><td>0</td></tr>
      <tr><td>23a-23e</td><td>estimated payments</td><td>0 (all)</td></tr>
      <tr><td>24</td><td>total estimated payments</td><td>0</td></tr>
      <tr><td><strong>25a</strong></td><td><strong>VT tax withheld (from W-2)</strong></td><td><strong>30</strong></td></tr>
      <tr><td>25b-25e</td><td>other withholding</td><td>0</td></tr>
      <tr><td><strong>25f</strong></td><td><strong>total withholding</strong></td><td><strong>30</strong></td></tr>
      <tr><td><strong>26</strong></td><td><strong>total payments + credits</strong></td><td><strong>30</strong></td></tr>
      <tr><td>27a</td><td>amount owed</td><td>0</td></tr>
      <tr><td>27b</td><td>penalty/interest</td><td>0</td></tr>
      <tr><td><strong>28</strong></td><td><strong>overpayment / refund</strong></td><td><strong>30</strong></td></tr>
    </tbody>
  </table>

  <h3>refund (lines 29-31)</h3>
  <table>
    <thead><tr><th>line</th><th>description</th><th>write this</th></tr></thead>
    <tbody>
      <tr><td>29</td><td>apply to next year's estimated tax</td><td>0</td></tr>
      <tr><td>30</td><td>VT green up / other donations</td><td>0</td></tr>
      <tr><td>31</td><td>net refund</td><td>leave blank or 30 (same as line 28 if no donations)</td></tr>
    </tbody>
  </table>

  <h3>signature</h3>
  <table>
    <thead><tr><th>field</th><th>write this</th></tr></thead>
    <tbody>
      <tr><td>taxpayer date of birth</td><td>05/29/1982</td></tr>
      <tr><td>phone number</td><td>628-204-9396</td></tr>
      <tr><td>signature</td><td>alexis signs here</td></tr>
      <tr><td>date</td><td>the date she signs</td></tr>
    </tbody>
  </table>
</section>

<section>
  <h2>summary</h2>
  <table>
    <thead><tr><th>item</th><th>amount</th></tr></thead>
    <tbody>
      <tr><td>federal AGI (1040 line 11)</td><td>$2,648</td></tr>
      <tr><td>VT standard deduction</td><td>$6,500</td></tr>
      <tr><td>VT personal exemption</td><td>$4,500</td></tr>
      <tr><td>VT taxable income</td><td>$0</td></tr>
      <tr><td>VT tax</td><td>$0</td></tr>
      <tr><td>VT withheld</td><td>$30</td></tr>
      <tr><td class="positive"><strong>VT refund</strong></td><td class="positive"><strong>$30</strong></td></tr>
    </tbody>
  </table>
</section>

<footer>
  <a href="index.html">&larr; filing guide</a> &bull;
  <a href="1040_2022.html">2022 federal 1040 &rarr;</a> &bull;
  <a href="1065_2022.html">2022 form 1065 &rarr;</a>
</footer>

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