Form Ri 1099-Pt - Rhode Island Pass-Through Withholding - 2009

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2. Payer’s Entity Type
3.
2009
Rhode Island
Check if corrected
Sub S Corporation
RI 1099-PT
Pass-Through
LLC
1. Payer’s Federal Identification Number
Partnership
Fiscal year payers, enter fiscal dates
Withholding
, 2009 to
, 2010
Trust
6. Recipient’s Identification Number
4. Payer’s Name and Address
5. Recipient’s Name and Address
7. Recipient
Individual
Type
Pass-through
Other ____________
8. Recipient’s percent of ownership
9. Recipient’s RI Withholding
Copy A - PAYER copy (attach to your RI-1096PT)
2. Payer’s Entity Type
3.
2009
Rhode Island
Check if corrected
Sub S Corporation
RI 1099-PT
Pass-Through
LLC
1. Payer’s Federal Identification Number
Fiscal year payers, enter fiscal dates
Partnership
Withholding
, 2009 to
, 2010
Trust
6. Recipient’s Identification Number
4. Payer’s Name and Address
5. Recipient’s Name and Address
7. Recipient
Individual
Type
Pass-through
Other ____________
8. Recipient’s percent of ownership
9. Recipient’s RI Withholding
Copy B - PAYER copy (retain for your records)
3.
2. Payer’s Entity Type
2009
Rhode Island
Check if corrected
Sub S Corporation
RI 1099-PT
Pass-Through
LLC
1. Payer’s Federal Identification Number
Partnership
Fiscal year payers, enter fiscal dates
Withholding
, 2009 to
, 2010
Trust
6. Recipient’s Identification Number
4. Payer’s Name and Address
5. Recipient’s Name and Address
7. Recipient
Individual
Type
Pass-through
Other ____________
8. Recipient’s percent of ownership
9. Recipient’s RI Withholding
Copy C - RECIPIENT copy (attach to your Rhode Island income tax return)

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