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Vermont Free Printable  for 2021 Vermont Statement Of Claimant To Refund Due On Behalf Of Deceased Taxpayer

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Statement Of Claimant To Refund Due On Behalf Of Deceased Taxpayer
Form 176

Vermont Department of Taxes 133 State Street Montpelier, VT 05601-0547 CLAIMANT DECEDENT Vermont Phone: (802) 828-6820 STATEMENT OF CLAIMANT TO REFUND DUE ON BEHALF OF DECEASED TAXPAYER Form 176 Decedent’s Name Social Security Number Address at Time of Death Date of Death City State Claimant’s Name Social Security Number Address Relationship or other capacity City State ZIP Code ZIP Code A. Has an executor or administrator been appointed for the estate of the above-named decedent?  Yes*.  No. Will an executor or administrator be appointed for the estate?. . . . . . . . . . . . . . . . .  Yes*  No * If you answered “Yes” to either of these questions, the executor or administrator must file for the refund. B. Did the decedent have, at the time of his/her death, any interest in real estate, stocks, bonds, joint bank accounts or property, trusts, partnerships, or through power of appointment, either as joint beneficiary, joint tenant, or tenant by the entirety with right of survivorship?  Yes. What was the total value of those assets at time of death?. . . . . . . . . . . . . $_______________________.  No. SIGNATURE OF CLAIMANT I request a refund of taxes overpaid by or on behalf of the decedent. Under penalties of perjury, I declare that I have examined this claim, and to the best of my knowledge and belief, it is true, correct, and complete. Date Daytime Telephone Number SIGN HERE Form 176 Rev. 04/12
Extracted from PDF file 2019-vermont-form-176.pdf, last modified May 2012

More about the Vermont Form 176 Individual Income Tax

We last updated the Statement Of Claimant To Refund Due On Behalf Of Deceased Taxpayer in February 2020, and the latest form we have available is for tax year 2019. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Vermont Department of Taxes. You can print other Vermont tax forms here.


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Other Vermont Individual Income Tax Forms:

TaxFormFinder has an additional 51 Vermont income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form IN-111 Vermont Personal Income Tax Return
Form IN-116 Income Tax Payment Voucher
Schedule IN-112 VT Tax Adjustments and Credits
Income Tax Instructions Form IN-111 Income Tax Instructional Booklet
Schedule IN-153 Capital Gain Exclusion Calculation

Download all VT tax forms View all 52 Vermont Income Tax Forms


Form Sources:

Vermont usually releases forms for the current tax year between January and April. We last updated Vermont Form 176 from the Department of Taxes in February 2020.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Vermont Form 176

We have a total of eight past-year versions of Form 176 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:



TaxFormFinder Disclaimer:

While we do our best to keep our list of Vermont Income Tax Forms up to date and complete, we cannot be held liable for errors or omissions. Is the form on this page out-of-date or not working? Please let us know and we will fix it ASAP.

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Source: http://www.taxformfinder.org/vermont/form-176