Vermont Change In Business Principals With Fiscal Responsibility

Change In Business Principals With Fiscal Responsibility
Form BR-401FORM BR-401 Instructions
Change in Business Principals with Fiscal Responsibility
General Information
Please print in BLUE or BLACK ink only.
You must include the title, Social Security Number, name and address of all individuals who are responsible for
the fiscal aspects of your business. These may be partners, shareholders and/or officers such as the president,
treasurer, comptroller, etc.

Form BR-401 Instructions
Page 1 of 1
10/17

Vermont Department of Taxes
Phone: (802) 828-2551

VT Form

BR-401

PO Box 547

Montpelier, VT 05601-0547

*204011100*

CHANGE IN BUSINESS PRINCIPALS
WITH FISCAL RESPONSIBILITY

* 2 0 4 0 1 1 1 0 0 *

List all CURRENT Business Principals with Fiscal Responsibility. Attach additional pages, if necessary.
Business Name		

FEIN

Address	

State	

City	

ZIP Code

ADD NEW PRINCIPAL #1
Last Name	

First Name		

Initial	

Social Security Number

Address				Title
City		

State	

Email Address		

ZIP Code		

Effective Date (mm dd yyyy)

		

Telephone Number

Signature - REQUIRED				

Date Signed

ADD NEW PRINCIPAL #2
Last Name	

First Name		

Initial	

Social Security Number

Address				Title
City		

State	

Email Address		

ZIP Code		

Effective Date (mm dd yyyy)

		

Telephone Number

Signature - REQUIRED				

Date Signed

ADD NEW PRINCIPAL #3
Last Name	

First Name		

Initial	

Social Security Number

Address				Title
City		

State	

Email Address		

ZIP Code		

Effective Date (mm dd yyyy)

		

Telephone Number

Signature - REQUIRED				

Date Signed

ADD NEW PRINCIPAL #4
Last Name	

First Name		

Initial	

Social Security Number

Address				Title
City		

State	

Email Address		

ZIP Code		

Effective Date (mm dd yyyy)

		

Telephone Number

Signature - REQUIRED				

Page 1 of 2

Date Signed

Form BR-401
Rev. 10/20

Entity Name

*204011200*

Federal ID Number

* 2 0 4 0 1 1 2 0 0 *
List all Business Principals who had Fiscal Responsibility who should be REMOVED from the account.
Attach additional pages, if necessary.

REMOVE PRINCIPAL #1
Last Name	

First Name		

Initial	

Social Security Number

Address				Title
City		

State	

Email Address		

ZIP Code		

Effective Date (mm dd yyyy)

		

Telephone Number

REMOVE PRINCIPAL #2
Last Name	

First Name		

Initial	

Social Security Number

Address				Title
City		

State	

Email Address		

ZIP Code		

Effective Date (mm dd yyyy)

		

Telephone Number

REMOVE PRINCIPAL #3
Last Name	

First Name		

Initial	

Social Security Number

Address				Title
City		

State	

Email Address		

ZIP Code		

Effective Date (mm dd yyyy)

		

Telephone Number

REMOVE PRINCIPAL #4
Last Name	

First Name		

Initial	

Social Security Number

Address				Title
City		

State	

Email Address		

ZIP Code		

Effective Date (mm dd yyyy)

		

Telephone Number

Page 2 of 2

Form BR-401
Rev. 10/20

Extracted from PDF file 2023-vermont-form-br-401.pdf, last modified October 2020

Download This Form

Print This Form

More about the Vermont Form BR-401 Individual Income Tax TY 2023

Use Form BR-401 to report any changes made in the principles of your business

We last updated the Change In Business Principals With Fiscal Responsibility in February 2024, so this is the latest version of Form BR-401, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form BR-401 directly from TaxFormFinder. 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 Tax Return
Form IN-114	Individual Income Estimated Tax Payment Voucher Estimated
Form HS-122 (Instructions)	Vermont Homestead Declaration AND Property Tax Credit Claim (Instructions)
Form IN-116	Income Tax Payment Voucher Voucher
Form 176	Statement Of Claimant To Refund Due On Behalf Of Deceased Taxpayer

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 BR-401 from the Department of Taxes in February 2024.

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 BR-401

We have a total of two past-year versions of Form BR-401 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:

2023 Form BR-401

2022 Form BR-401

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.