Please PRINT in BLUE or BLACK INK DEPT USE ONLY FILE YOUR RETURN ELECTRONICALLY FOR A FASTER REFUND. GO TO TAX.VERMONT.GOV FOR MORE INFORMATION. Form IN-111 Page 1 of 2 Rev. 10/24 Vermont Department of Taxes 2024 Form IN-111 Vermont Income Tax Return Amount Due (from Line 32) .00 *241111100* * 2 4 1 1 1 1 1 0 0 * 1. Federal Adjusted Gross Income (federal Form 1040, Line 11). . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 1. ___________________________ .00 2. Net Modifications to Federal AGI (Schedule IN-112, Part I, Line 18). . . . . . . . . . . . . . .. . . . . . . . . . . . . 2. ___________________________ .00 3. Federal AGI with Modifications (ADD Lines 1 and 2). . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 3. ___________________________ .00 4. 2024 Vermont Standard Deduction from filing status section above. . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 4. ___________________________ .00

Please see instructions if you or your spouse checked any standard

deduction boxes on federal Form 1040, page 1. 5. Personal Exemptions:

5a. ________ + 5b. ________ + 5c. ________ = 5d.___________ 5e. MULTIPLY Line 5d by $5,100 (2024 Personal Exemption). . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . 5e. ___________________________ .00 6. ADD Lines 4 and 5e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 6. ___________________________ .00 7. Vermont Taxable Income (SUBTRACT Line 6 from Line 3. If less than zero, enter -0-). . . . . . . . . . . 7. ___________________________ .00 8. Vermont Income Tax from tax table or tax rate schedule . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 8. ___________________________ .00 (If Line 1 is greater than $150,000, see instructions) 9. Net Adjustment to Vermont Tax (Schedule IN-119, Part I, Line 15). . . . . . . . . . . . . . . . .. . . . . . . . . . . . . 9. ___________________________ .00 10. Vermont Income Tax with Adjustment (ADD Lines 8 and 9. If less than zero, enter -0-). . . . . . . . . . 10. ___________________________ .00

13. ___________________________ .00 14. Vermont Income Tax (Line 10 MINUS Line 13. If less than zero, enter -0-) . . . . . . . . . . . . . . . . . . . 14. ___________________________ .00 15. Income Adjustment (Schedule IN-113, Line 35, or 100. 0000%). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . 15. ________ . _________% 16. Adjusted Vermont Income Tax (MULTIPLY Line 14 by Line 15). . . . . . . . . . . . . . . . . . . . . . . . . . . . 16. _ _____________________________.00 ___________ .00 ___________ .00 13. Charitable Contribution Deduction (Enter the lesser of Line 12 or $1,000) . . . . . . 11. Tax-Deductible Charitable Contribution 12. Multiply Line 11 by 5% (0.05)

(See instructions) 5a. Enter "1" for yourself if no one can claim you as a dependent 5d. Total Exemptions (ADD Lines 5a through 5c) 5c. Enter number of OTHER dependents claimed on federal Form 1040 5b. Enter "1" for your jointly filed spouse or CU partner if no one can claim them as a dependent

Taxpayer’s Last Name First Name MI Social Security Number

Spouse’s/CU Partner’s Last Name First Name MI Social Security Number

Mailing Address (Number and Street/Road or PO Box) 911/Physical Street Address on 12/31/2024

City State ZIP Code or Foreign Postal Code Foreign Country Vermont School District Code Check if Deceased Check if Deceased Qualifying Widow(er) ($14,850) Head of Household ($11,100) Married/CU Filing Separately ($7,400) Married/CU Filing Jointly ($14,850) Single ($7,400) Filing Status and Standard Deduction Vermont Residency Status as of 12/31/2024 (check one) NONRESIDENT PART-YEAR RESIDENT RESIDENT Enter Healthcare Coverage Code (See instructions for code options) Check all that apply CANNABIS With Recomputed Federal Return RECOMPUTED Return EXTENDED Return AMENDED Return FARMER / FISHERMAN 5454 Clear ALL fields

Signature Date (MMDDYYYY) Date of Birth (MMDDYYYY) Daytime Telephone Number Signature (If a joint return, BOTH must sign.) Date (MMDDYYYY) Date of Birth (MMDDYYYY) Daytime Telephone Number Paid Preparer’s Signature

Date (MMDDYYYY) Preparer’s Telephone Number Firm’s Name (or yours if self-employed) and address

Preparer’s SSN or PTIN FEIN Keep a copy for your records. Form IN-111 Page 2 of 2 Rev. 10/24 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. Other State Credit (Schedule IN-117, Line 21) Vermont Tax Credits (Schedule IN-119, Part II) Total Vermont Credits (Add Lines 17 and 18) OR Check to certify no Use Tax is due. Check if the Department of Taxes may discuss this return with the preparer shown. *241111200* * 2 4 1 1 1 1 2 0 0 * Amount from Line 16 .00

Taxpayer’s Last Name Social Security Number For Amended Returns Only:

Original refund received Refund due now Original payment Amount due now .00 .00 .00 .00 17. _____________________.00 + 18._____________________ .00 = 19. ___________________________ .00 20. Vermont Income Tax after credits (SUBTRACT Line 19 from Line 16. If Line 19 is greater than Line 16, enter -0-). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20. ___________________________ .00 21. Child Care Contributions for Self-Employed individuals (see instructions for calculation). . . . . . . . . 21. ___________________________ .00 22. Use Tax for taxable items on which no sales tax was charged, including online purchases. (See instructions, worksheet, and chart). . . . 22. ___________________________ .00 23. Total Vermont Taxes (ADD Lines 20 through 22). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23. ___________________________ .00 24a. __________.00 + 24b. __________.00 + 24c. __________.00 + 24d. __________.00 = 24e.___________ .00 25. Total of Vermont Taxes and Voluntary Contributions (ADD Lines 23 and 24e). . . . . . . . . . . . . . . . . . 25. ___________________________ .00 26a. 2024 Vermont Tax Withheld from W-2, 1099. . . . . . . . . . . . . . . . . . . . 26a. ___________________ .00 26b. 2024 Estimated Tax payments, amount carried forward from 2023, and/or payment made with 2024 extension. . . . . . . . . . . . . . . . . . . . . . . 26b. ___________________ .00 26c. Refundable Credits (Schedule IN-112, Part II: Full-Year Residents-Line 8; Part-Year Residents-Line 12). . . . . . . . 26c. ___________________ .00 26d. 2024 Vermont Real Estate Withholding from Form RW-171. . . . . . . . 26d. ___________________ .00 26e. 2024 Nonresident Estimated Tax payments (nonresident withholding) allocated on Schedule K-1VT, Line 5. . . . . 26e. ___________________ .00 26f. Total Payments and Credits (ADD Lines 26a through 26e). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26f. ___________________________ .00 27. Overpayment. If Line 25 is less than Line 26f, SUBTRACT Line 25 from Line 26f. . . . . . . . . . . . 27. ___________________________ .00 28a. Refund to be credited to 2025 Estimated Tax Payment. . . . . . . . . . . . . 28a. ___________________ .00 28b. Refund to be credited to 2025 Property Tax Bill. . . . . . . . . . . . . . . . . . 28b. ___________________ .00 29. REFUND AMOUNT (SUBTRACT Lines 28a and 28b from Line 27). . . . . . . . . . . . . . . . . . . . . . . 29. ___________________________ .00 30. If Line 25 is more than Line 26f, subtract Line 26f from Line 25. See instructions on tax due. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30. ___________________________ .00 31. Interest and Penalty on

32. AMOUNT DUE

Underpayment of Estimated Tax. . . 31. _________________.00 (ADD Lines 30 and 31).32. ___________________________ .00 (Worksheet IN-152 or IN-152A) Green Up Vermont Total Contributions Vermont Veterans Fund Vermont Children’s Trust Foundation Nongame Wildlife Fund 5454 Clear ALL fields Save and go to Important Printing Instructions Save and Print