Form Ri-1040v - Rhode Island Payment Voucher
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RI-1040V
Rhode Island Payment Voucher
What Is Form RI-1040V and Do You Need To Use It?
How To Prepare Your Payment?
It is a statement you send with your payment of any balance
Make your check or money order payable to the "R.I.
due on line 19 of your Form RI-1040 or Form RI-1040NR.
Division of Taxation." Do not send cash.
Using Form RI-1040V allows us to process your payment more
accurately and efficiently. We strongly encourage you to use
Make sure your name and address appears on your check or
Form RI-1040V, but there is no penalty if you do not do so.
money order.
Write "Form RI-1040V," your daytime phone number and
How To Fill In Form RI-1040V?
social security number on your check or money order. If you
Form RI-1040V
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STATE OF RHODE ISLAND
are filing a joint return, enter the social security number
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 34, PROVIDENCE, RI 02908-5808
2001
shown first on your return.
DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT
Œ Œ
Ž Ž
1. NAME
3. ENTER THE FIRST FOUR
LETTERS OF YOUR LAST
NAME
ADDRESS
CITY, STATE & ZIP
RI-1040V
• •
2. YOUR SOCIAL SECURITY NUMBER
How To Send In Your Return, Payment and
SPOUSE'S SOCIAL SECURITY NUMBER, IF JOINT PAYMENT
4. ENTER AMOUNT
0 0
$
• •
DUE AND PAID
RI-1040V?
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Box 1.
Enter your name(s) and addresses as shown on your
Retain the top portion of this form for your records. Detach
return.
and return the lower portion with your payment.
Enter your social security number and your spouse's
DO NOT staple or otherwise attach your payment of Form
Box 2.
social security number in the boxes provided.
RI-1040V to your return or to each other. Instead, just put
them loose in the envelope.
Box 3.
Enter the first four letters of your last name. See
examples below.
If an envelope came with your tax package, please use it to
mail your tax return, payment, and Form RI-1040V.
Name
Enter
If you do not have that envelope or you used a paid preparer,
John Brown……………………………………….
BROW
Juan DeJesus………………………………………
DEJE
mail your tax return, payment and Form RI-1040V to the
Rhode Island Division of Taxation, One Capitol Hill Suite
Joan A. Lee………………………………………
LEE
Nancy McCarthy………………………………
MCCA
34, Providence, RI 02908-5808.
Helen O'Neill…………………………………….
ONEI
Pedro Torres-Lopez…………………………
TORR
Date paid
Check number
Amount
Box 4.
Enter the amount of the payment you are making.
$
DETACH HERE AND MAIL WITH YOUR PAYMENT
Form RI-1040V
l l
STATE OF RHODE ISLAND
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 34, PROVIDENCE, RI 02908-5808
2001
DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT
1. NAME
3. ENTER THE FIRST FOUR
LETTERS OF YOUR LAST
NAME
ADDRESS
CITY, STATE & ZIP
RI-1040V
2. YOUR SOCIAL SECURITY NUMBER
SPOUSE'S SOCIAL SECURITY NUMBER, IF JOINT PAYMENT
4. ENTER
0 0
$
AMOUNT DUE
AND PAID
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