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MONTPELIER, VERMONT psd.vtdps@vermont.govVERMONTCOMPANYANNUAL REGULATORY INFORMATION REPORTING REQUIREMENT OF Company Name: Address 2:Address:Zip:State:City: Telephone:If name was changed during the

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Obtain the form 124711100 from the Vermont Department.

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Individuals or businesses who are required to report information to the Vermont Department.

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124711100 - Vermont Department is a tax form used to report income earned in the state of Vermont.

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