Form Ri-4868 - Application For Automatic Extension Of Time To File Rhode Island Individual Income Tax Return - 2014

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RI-4868
Rhode Island Application for Automatic Extension of Time To
2014
File a Rhode Island Individual Income Tax Return
PURPOSE OF FORM RI-4868
ADDITIONAL INFORMATION
Use Form RI-4868 to obtain an automatic 6 month extension
The tax due on the return must be paid on or before April
of time to file a Rhode Island Individual Income Tax Return.
15, 2015.
Form RI-4868 can be used to extend the filing of Form RI-
1040, Rhode Island Resident Individual Tax Return, or RI-
HOW TO PREPARE YOUR PAYMENT?
1040NR, Nonresident Income Tax Return.
Make your check or money order payable to the "R.I. Division of
Taxation." Do not send cash. Make sure your name and address
The filing or granting of an extension of time to file does
appear on your check or money order. Write "Form RI-4868",
not extend the time for payment of tax due on the return.
your daytime phone number and your social security number on
your check or money order.
Filing Form RI-4868 DOES NOT extend the time to
file Form RI-1040H or Form RI-6238. These forms
HOW TO SEND IN YOUR RI-4868
must be filed on or before April 15, 2015 even if you
Retain the top portion of this form for your records. Detach and return
file an extension for Form RI-1040.
the lower portion with your payment. DO NOT staple or otherwise
attach your payment and Form RI-4868 to each other. Instead, just
EXTENSION OF TIME
put them loose in the envelope. Mail your payment and Form RI-
The Rhode Island extension form need not be filed if you are
4868 to the Rhode Island Division of Taxation, Dept#87, PO Box
not required to make payment with Rhode Island extension
9703, Providence, RI 02940-9703.
form.
PAYMENT BY CREDIT CARD
If you must file a Rhode Island request for extension, you
should:
1. Prepare the Rhode Island Extension Form RI-4868.
2. On line A, clearly show the full amount properly estimat-
ed as Rhode Island income tax for the year 2014. If a
proper estimate is not made, the extension request will
not be considered valid.
3. File the extension with the Rhode Island Division of
Taxation on or before April 15, 2015.
Contact the service provider listed on this page and follow their
4. Pay the amount of Rhode Island tax due as calculated on
instructions. Enter on page 1 of Form RI-1040 or RI-1040NR, in
Form RI-4868 on or before April 15, 2015.
the upper left corner, the confirmation number you were given at
5. Be sure to attach a copy of the Form RI-4868 to the front
the end of the transaction and the amount of your tax payment
of the Rhode Island return when it is filed.
(not including the convenience fee).
6. Retain the top portion of this form for your records.
Detach and return the lower portion with your payment.
Telephone: 1-800-2PAY-TAX (1-800-272-9829)
Internet:
Date Paid
Check Number
Amount
$
DETACH EXTENSION AT PERFORATION TO MAIL IN
STATE OF RHODE ISLAND Application for Extension of Time
RI-4868
2014
DIVISION OF TAXATION - DEPT#87 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
APPLICATION FOR AUTOMATIC EXTENSION OF TIME TO FILE RHODE ISLAND INDIVIDUAL INCOME TAX RETURN
Enter tentative tax computation
1. Name(s)
A. Tentative Rhode Island
income tax
Address
RI-4868
B. Total tax withheld, payments
City
State
ZIP Code
& credits
2. Your social security number
C. Balance Due (line A less line B)
3. ENTER
$
Spouse’s social security number, if joint payment
0 0
AMOUNT
ENCLOSED

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