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RI-4868

Rhode Island Application for Automatic Extension of Time To

2015

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

of time to file a Rhode Island Individual Income Tax Return.

April 15, 2016.

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, 2016 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:

For information regarding the payment of taxes by credit card,

1. Prepare the Rhode Island Extension Form RI-4868.

please visit the Credit Card Payments page of the Division of

2. On line A, clearly show the full amount properly estimat-

Taxation’s website.

ed as Rhode Island income tax for the year 2015. 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

Enter on page 1 of Form RI-1040 or RI-1040NR, in the upper left

Taxation on or before April 15, 2016.

corner, the confirmation number you were given at the end of the

4. Pay the amount of Rhode Island tax due as calculated on

transaction and the amount of your tax payment (not including the

Form RI-4868 on or before April 15, 2016.

convenience fee).

5. Be sure to attach a copy of Form RI-4868 to your Rhode

Island return when it is filed.

6. Retain the top portion of this form for your records.

Detach and return the lower portion with your payment.

Date Paid

Check Number

Amount

DETACH EXTENSION AT PERFORATION TO MAIL IN

STATE OF RHODE ISLAND Application for Extension of Time

RI-4868

2015

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

Form Ri-4868 - Application For Automatic Extension Of Time To File A Rhode Island Individual Income Tax Return - 2015

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