Form Ri-1040v - Rhode Island Return Payment Voucher - 2016

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2016
RI-1040V
Rhode Island Return Payment Voucher
WHAT IS FORM RI 1040V AND DO YOU NEED TO USE IT?
HOW TO PREPARE YOUR PAYMENT
Make your check or money order payable to the "R.I. Division
It is a statement you send with your payment of any
of Taxation." Do not send cash. Make sure the name and
balance due on line 15c of your Form RI-1040 or line 18c of your
address appears on the check or money order. Write "Form RI-
Form RI-1040NR. Using Form RI-1040V allows us to process
1040V," daytime phone number and social security number on
your payment more accurately and efficiently.
We strongly
your check or money order.
encourage you to use Form RI-1040V, but there is no penalty if
you do not do so.
HOW TO FILL IN FORM RI-1040V
HOW TO SEND IN YOUR RETURN, PAYMENT, AND RI-1040V
RI-1040V
STATE OF RHODE ISLAND Payment Voucher
2016
DIVISION OF TAXATION - ONE CAPITOL HILL - PROVIDENCE, RI 02908-5807
Retain the top portion of this form for your records. Detach and
return the lower portion with your payment. DO NOT staple or
DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT
otherwise attach your payment or Form RI-1040V to your return
NAME
3
1
or to each other. Instead, just put them loose in the envelope.
ADDRESS
Mail your tax return, payment and Form RI-1040V to the Rhode
RI-1040V
CITY, STATE & ZIP CODE
3
2
Island Division of Taxation, One Capitol Hill, Providence, RI
SOCIAL SECURITY NUMBER
0 0
4. ENTER
$
02908-5807.
AMOUNT
SPOUSE'S SOCIAL SECURITY NUMBER
ENCLOSED
Box 1. Enter your name(s) and address as shown on your
PAYMENT BY CREDIT CARD
return.
Box 2. Enter your social security number and your spouse’s
For information regarding the payment of taxes by credit
social security number (if making a joint payment) in the
card, please visit the Credit Card Payments page of the
boxes provided.
Division of Taxation’s website.
Box 3. Enter the amount of the payment you are making.
Also, enter below for your records.
Date Paid
Check Number
Amount
Enter on page 1 of
Form RI-1040 or RI-1040NR
, in the upper left
corner, the confirmation number you were given at the end of the
transaction and the amount of your tax payment (not including
the convenience fee).
DETACH VOUCHER AT PERFORATION TO MAIL IN WITH YOUR PAYMENT
STATE OF RHODE ISLAND Payment Voucher
RI-1040V
2016
DIVISION OF TAXATION - ONE CAPITOL HILL - PROVIDENCE, RI 02908-5807
DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT OR YOUR RETURN
1. Name(s)
Address
RI-1040V
City
State
ZIP Code
2. Your social security number
3. ENTER
$
Spouse’s social security number, if joint payment
0 0
AMOUNT
ENCLOSED

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