Form T-204r-Annual - Sales And Use Tax Return - Annual Reconciliation 2015

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State of Rhode Island and Providence Plantations
Form T-204R-Annual - 2015
Sales and Use Tax Return - Annual Reconciliation
Name
Federal employer identification number
Address
For the period ending:
12/31/2015
Address 2
NAICS code
City, town or post office
State
ZIP code
E-mail address
SALES AND USE TAX RETURN TO BE FILED BY SELLERS OF TANGIBLE PERSONAL PROPERTY
If you file a consolidated Sales Tax Return, list all locations by Rhode Island identification number including the 2 digit
location number. If there are more than 10 locations, please attach a separate listing. If you have multiple locations,
but file individual Sales Tax Returns, you must file a T-204R-Annual for each location.
Have you sold or closed your business?.......
If yes, on what date?
Yes
Before completing lines A through E, complete Schedules A and B on page 2.
A
Total Net Taxable Sales for the period Jan - Dec.
NOTE: Line A must equal Net Taxable Sales from pg 2, line 5
A
B
1
Amount of tax. Multiply line A by 7% (.07)..............................................................
B1
2
MOTOR VEHICLE DEALERS ONLY
B2
Sales tax collections from non-residents for the period Jan through Dec...............
Total Tax. Add lines B1 & B2.......................................................................................................................................
3
B3
C
1
Total tax remitted for the period January through December...................................
C1
2
Prepaid sales tax on cigarettes for the period January through December.............
C2
ROOM RESELLERS ONLY
3
C3
Sales tax paid to hotels ..........................................................................................
4
Credit balance (if any) per line E of the 2014 Annual Reconciliation return - Form T-204R
C4
5
Sales tax due and paid to another state on items included in Schedule A, line 2.... C5
6
Total Tax Paid. Add lines C1 through C5.....................................................................................................................
C6
Line C6 should equal line B3. If line B3 is more than line C6, there is a balance due. Please remit payment to
D
D
the RI Division of Taxation and send in with this Annual Reconciliation. See instructions for additional information.
If line C6 is more than line B3, there is a credit due which will be credited to the 2016 sales tax payments.
E
E
Note: Taxpayer must submit a “Claim for Refund” form with this reconciliation in order to receive a refund
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Authorized officer signature
Print name
Date
Telephone number
Paid preparer signature
Print name
Date
Telephone number
Paid preparer address
City, town or post office
State
ZIP Code
PTIN
May the Division of Taxation contact your preparer? YES
DUE ON OR BEFORE JANUARY 31, 2016

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