Form Ri-1040es - Rhode Island Estimated Payment Coupons Page 2
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2Form RI-1040ES
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STATE OF RHODE ISLAND
DIVISION OF TAXATION * ONE CAPITOL HILL, PROVIDENCE, RI 02908-5810
2003 Payment
Return this coupon with check or money
NAME
DUE DATE
order payable to the R.I. Division of
SEPTEMBER 15,
Taxation, One Capitol Hill, Providence, RI
ADDRESS
02908-5810. Please do not send cash with
2003
this coupon.
CITY, STATE & ZIP
ITE
YOUR SOCIAL SECURITY NUMBER
SPOUSE'S SOCIAL SECURITY NUMBER, IF JOINT PAYMENT
1. ENTER
0 0
$
AMOUNT DUE
AND PAID
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
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DETACH HERE AND MAIL WITH YOUR PAYMENT
Form RI-1040ES
l l
STATE OF RHODE ISLAND
DIVISION OF TAXATION * ONE CAPITOL HILL, PROVIDENCE, RI 02908-5810
2003 Payment
Return this coupon with check or money
NAME
DUE DATE
order payable to the R.I. Division of
Taxation, One Capitol Hill, Providence, RI
JUNE 15, 2003
ADDRESS
02908-5810. Please do not send cash with
this coupon.
CITY, STATE & ZIP
ITE
YOUR SOCIAL SECURITY NUMBER
SPOUSE'S SOCIAL SECURITY NUMBER, IF JOINT PAYMENT
1. ENTER
0 0
$
AMOUNT DUE
AND PAID
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
l l
DETACH HERE AND MAIL WITH YOUR PAYMENT
Form RI-1040ES
l l
STATE OF RHODE ISLAND
DIVISION OF TAXATION * ONE CAPITOL HILL, PROVIDENCE, RI 02908-5810
2003 Payment
Return this coupon with check or money
NAME
DUE DATE
order payable to the R.I. Division of
Taxation, One Capitol Hill, Providence, RI
APRIL 15, 2003
ADDRESS
02908-5810. Please do not send cash with
this coupon.
CITY, STATE & ZIP
ITE
YOUR SOCIAL SECURITY NUMBER
SPOUSE'S SOCIAL SECURITY NUMBER, IF JOINT PAYMENT
1. ENTER
0 0
$
AMOUNT DUE
AND PAID
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
l l
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