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Form Ri-W3 - Information For Employers Filing Reconciliation Of Rhode Island Individual Income Tax Withheld Page 2

with the package of wage and tax statements and Form RI-W3 which you

6. Form W-2 must contain the following information:

send to the Rhode Island Division of Taxation. Remittance for taxes

a. Complete name, address and social security number of the

withheld should be mailed with the employers return form (941-QM - 941-M

employee.

or 941Q).

8. Employers who use mechanical or electronic listing equipment may

b. Total wages (including tips) paid in the tax year and compensation

substitute a listing or magnetic tape in lieu of state tax department copy W-2.

not subject to the withholding.

(Employers who wish to submit magnetic tapes must obtain prior written

approval of tape formats from the R

c. The Rhode Island tax withheld amount must be clearly identified.

d. Full name and address of the employer.

9. If necessary, further assistance may be obtained at the Division of

Taxation, One Capitol Hill, Providence, Rhode Island 02908-5809.

e. The employer's federal identification number.

7. Do not enclose any remittance for taxes withheld from your employees

MONTH

1st QTR OF MONTH

2nd QTR OF MONTH

3rd QTR OF MONTH

4th QTR OF MONTH

TOTAL

JANUARY

FEBRUARY

MARCH

APRIL

MAY

JUNE

JULY

AUGUST

SEPTEMBER

OCTOBER

NOVEMBER

DECEMBER

TOTAL FOR YEAR - ENTER HERE AND ON LINE 2A (FRONT)

TO BE USED ONLY BY EMPLOYERS FILING QUARTER-MONTHLY RETURNS