INSTRUCTIONS FOR USING THIS FILL-IN FORM

1 Page 3 Reporting Period - check only ONEc Januaryc Februaryc Marchc Aprilc Mayc Junec Julyc Augustc Septemberc Octoberc Novemberc DecemberMONTHLY filersc 1st quarter (Jan. - Mar.)c 2nd quarter (Apr. - June)c 3rd quarter (July - Sep.)c 4th quarter (Oct. - Dec.)QUARTERLY filersc (Jan. - Dec.)ANNUAL filersVT Department of TaxesSales and Use Tax ReturnNOTE: form SUT-451 is subject to change without notice. Please check our website ( ) quarterly to make sure you are filing on the current Name. If Sole Proprietorship, enter Owner s Name (Last name first)Mailing Address (Number and Street/Road or PO Box)CityStateZIP CodeForeign CountryE-mail AddressVermont Account IDFederal ID NumberReporting Period YEAR ( fill in the year here, then select period below) SUT- INSTRUCTIONS FOR USING THIS FILL-IN form Fields shaded pink MUST have data entered before printing the form .

2 fill in the business name, address, account numbers, and reporting period information on this page. Info will auto-populate onto form SUT-451 (page 2 of this document). Dollar amounts should be entered directly on the form (page 2 of this document). Default print settings will print only page 2 ( form SUT-451).For faster processing, file and pay Sales and Use Tax through here to go to to get started 4 form SUT-451 Rev. 10/15 1. Total Sales ..1. _____. ____ 2. Nontaxable Sales ..2. _____.

3 ____ 3. Taxable Sales (Line 1 minus Line 2) ..3. _____. ____ 4a. Total State SALES TAX Due (Line 3 x _____%) ..4a. _____. ____ 4b. Total State USE TAX Due. SEE INSTRUCTIONS ..4b. _____. ____ 4c. Total LOCAL OPTION TAX Due (Add Lines 5-22 below, if applicable) ..4c. _____. ____ c I certify that no Local Option Tax is due 4d. TOTAL TAX DUE (Add Lines 4a, 4b, and 4c) ..4d. _____. ____PART I SALES AND USE TAXESPART II _____% LOCAL OPTION TAXES Check our website for updates on new Local Option DUEMUNICIPALITYTAX DUEMUNICIPALITYUse BLUE or BLACK ink only.

4 Please do not make any marks in boxes or on lines that you intend to leave Department of Taxes PO Box 547 Montpelier, VT 05601-0547 Phone: (802) 828-2551 5. _____ _____. ___ 6. _____ _____. ___ 7. _____ _____. ___ 8. _____ _____. ___ 9. _____ _____. ___ 10. _____ _____. ___ 1 1 . _____ _____. ___ 12. _____ _____. ___13. _____ _____. ___ 14. _____ _____. ___ 15. _____ _____. ___ 16. _____ _____. ___ 17. _____ _____. ___ 18. _____ _____. ___ 19. _____ _____. ___ 20. _____ _____.

5 ___ 21. _____ _____. ___ 22. _____ _____. ___*154511100**154511100*VT FormSUT-451 SALES AND USETAX RETURNTax returns must be filed even if no tax is Name Vermont Account IDAddress Federal ID NumberCity State ZIP Code Reporting Period (MM DD YYYY - MM DD YYYY)Foreign Country (if not United States) Due DateE-mail Address For Department Use OnlyCheck here if authorizing the VT Department of Taxes to discuss this return and attachments with your III CERTIFICATION I hereby certify that I have examined this return and to the best of my knowledge and belief it is true, correct, and of Officer or Authorized Agent Date Preparer s Signature DateTitle Telephone Number Firm s name (or yours, if self-employed)

6 And address Preparer s Telephone Number Preparer s PTIN or EINMANCHESTERWILLISTONSTRATTONBURLINGTON DOVERS BURLINGTONKILLINGTONMIDDLEBURYRUTLAND TOWNWINHALLWILMINGTONST ALBANS