Form Ri-1040 - Rhode Island Resident Individual Income Tax Return 2001 Page 2
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52001
SCHEDULE I
RI MODIFICATIONS TO FEDERAL AGI
23.
A. Modifications increasing Federal AGI - income from obligations of any state or its
23A.
political subdivisions, other than RI (attach documentation)………………………………………….
Other modifications increasing Federal AGI (see instructions - attach documentation)……………….
23B.
B.
23C.
C. Total modifications increasing Federal AGI - add lines 23A and 23B…………………………………………………………………………………………..
24.
A. Modifications decreasing Federal AGI - income from obligations of the U.S. government
24A.
included in Federal AGI but exempt from state income taxes (attach documentation)……………………………
Other modifications decreasing Federal AGI (see instructions - attach documentation)……………………..
24B.
B.
(
)
24C.
C. Total modifications decreasing Federal AGI - add lines 24A and 24B (enter as a negative amount)……………………………………………….
Net modifications to Federal AGI - combine lines 23C and 24C (enter here and on page 1, line 2)…………………………………………………………
25.
25.
SCHEDULE II
ALLOWABLE FEDERAL CREDITS
26.
26. RI income tax - page 1, line 10………………………………………………………………………………………………………………………………….
27.
27. Foreign tax credit - Federal Form 1040, line 43………………………………………………………………………………
28.
28. Credit for child and dependent care expenses - Federal Form 1040, line 44; 1040A, line 27………………………………..
29.
29. Credit for the elderly or the disabled - Federal Form 1040, line 45; 1040A, line 28……………………………….
30. General business credit(s); mortgage interest credit; credit for prior year minimum tax; empowerment
30.
zone employment credit; qualified electric vehicle credit - Federal Form 1040, line 50……………………………..
31. Federal earned income credit - Federal Form 1040, line 61a; 1040A, line 39a; 1040EZ, line 9a;
31.
Telefile item L (second box)………………………………………………………………………………………………………………
32.
32. Total - add lines 27, 28, 29, 30 and 31……………………………………………………………………………………………………………
33.
33. Tentative allowable Federal credits - multiply line 32 by 25.5%……………………………………………………………………………………..
34.
34. Maximum credit (line 26 or 33 whichever is smaller) - Enter here and on page 1, line 11A………………………………………………………..
NOTE: Attach a signed copy of the other
SCHEDULE III
CREDIT FOR INCOME TAXES PAID TO ANOTHER STATE
state return.
35.
35. RI income tax - (page 1, line 10) less allowable Federal credits - (page 2, line 34)………………………………………………………………….
36.
36. Adjusted Gross Income from other state. If more than one state - see instructions……………………………………………………………….
37. Modified Federal AGI - page 1, line 3…………………………………………………………………………………………………………………….
37.
.
38. Divide line 36 by line 37…………………………………………………………………………………………………………………………………… __
38.
__ __ __ __
39.
39. Tentative credit - multiply line 35 by line 38…………………………………………………………………………………………………………………
40.
40. Tax due and paid to other state………………….
(see specific instructions)……………..
Insert name of state paid
……………………….
41.
41. Maximum tax credit (line 35, 39 or 40 whichever is the smallest) Enter here and on page 1, line 11C…………………………………………
SCHEDULE IV
RI CHECKOFF CONTRIBUTIONS
NOTE: Contributions will increase your balance due or reduce your refund.
42.
42A.
A. Drug Program account……………………………………………
$1.00
$5.00
$10.00
Other
$
Yes
……………………………………….
42B.
B. Olympic Contribution $1.00 ($2.00 if a joint return)………………………
………. No
42C.
C. R.I. Organ Transplant Fund…………………………………………
$1.00
$5.00
$10.00
Other
$
D. R.I. Council on the Arts………………………………………. $1.00
$5.00
$10.00
Other
$
42D.
E. R.I. Nongame Wildlife Appropriation…………………………….
$1.00
$5.00
$10.00
Other
$
42E.
42F.
F. Childhood Disease Victims' Fund……………………………………..
$1.00
$5.00
$10.00
Other
$
42G.
G. Total Contributions - add lines 42A, 42B, 42C, 42D, 42E and 42F - Enter here and on page 1, line 16……………………………..
Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct and complete.
Your
Spouse's
Ø Ø
Ø Ø
Date
Date
Signature
Signature
ü ü
If you do not need forms mailed to you next year, check box.
May the Division contact your preparer about this return?
Yes
No
PAID PREPARER'S SIGNATURE & ADDRESS
SSN, PTIN or EIN
Telephone Number
(
)
page 2
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