Ri Schedule Iii - Part-Year Resident Tax Calculation - 2016
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2State of Rhode Island and Providence Plantations
2016 RI Schedule III
Part-year Resident Tax Calculation
Name(s) shown on Form RI-1040NR
Your social security number
THIS SCHEDULE IS ONLY TO BE COMPLETED BY PART-YEAR RESIDENTS.
FULL YEAR NONRESIDENTS COMPLETE RI SCHEDULE II.
A part-year resident is a person who changed his legal residence by moving into or out of Rhode Island at any time during
the year 2016. If you are a part-year resident you should complete this schedule. If you did not earn any income outside
the state of Rhode Island while you were living in Rhode Island, complete part 1 below. If any of your income earned while
you were living in Rhode Island was taxed by another state, complete Part 1 and Part 2 of this Schedule.
If at any time during 2016 you were not a legal resident of RI, DO NOT COMPLETE THIS SCHEDULE. Complete RI Schedule II.
PART 1: ALLOCATION AND TAX WORKSHEET
Instructions for this schedule can be found on page I-7.
FEDERAL INCOME
RI RESIDENT PERIOD
RI NONRESIDENT PERIOD
Enter the dates you were a RI resident:
Column A
Column B
Column C
Column D
MM/DD/YYYY
________________
From
Income from
Income from Col A
Income from Col A
Income from Col C
MM/DD/YYYY
________________ .
to
Federal Return
from RI Resident time
from NonResident time
from RI sources
1
Wages, salaries, tips, etc from Fed Form
1040 or 1040A, line 7, or 1040EZ, line 1
2
Interest and dividends from Fed Form 1040
or 1040A, lines 8a and 9a, or 1040EZ, line 2
Business income from Federal Form
3
1040, line 12............................................
4
Sale or exchange of property from Federal
Form 1040, lines 13 or 14, or 1040A, line 10
Pension and annuities; rents, royalties,
5
etc. from Federal Form 1040, lines 15b,
16b and 17, or 1040A, lines 11b and 12b
6
Farm income from Federal Form 1040,
line 18......................................................
Miscellaneous income from Fed Form
7
1040, lines 10, 11, 19, 20b and 21; 1040A,
lines 13 and 14b; or 1040EZ, line 3............
8
TOTAL. Add lines 1 through 7 ................
9
Adjustments to AGI from Federal Form
1040, line 36, or 1040A, line 20 ..............
10
Adjusted gross income. Subtract line 9
from line 8...............................................
11
Net modifications to Fed AGI from RI-
1040NR, RI Schedule M, line 3 ...............
Modified Fed AGI. Combine lines 10 and
12
11. Amount in column A must equal the
amount on RI-1040NR, page 1, line 3.....
13
TOTAL RI INCOME. Add line 12 from column B and line 12 from column D..................................................................... 13
14
Allocation. Divide line 13 by line 12, column A. If line 13 is greater than line 12, column A, enter 1.0000 ....................... 14
_ . _ _ _ _
15
RI tax after allowable federal credits before allocation from RI-1040NR, page 1, line 10...........................................
15
RI INCOME TAX. Multiply line 15 by line 14. If you have income earned in another state while you were a resident of RI,
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complete Part 2. Otherwise, enter tax here and on RI-1040NR, pg 1, line11. Check the Part-year resident box.................
Page 13
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