Form Ri-1041es - Rhode Island Estimated Payment Coupons
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22004
RI-1041ES
Rhode Island Estimated Payment Coupons
Part 1
2004 Estimated Rhode Island Income Tax Worksheet
1.
1. Federal income of fiduciary expected in 2004 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
2. Net modifications to federal income . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
3. Modified federal income - combine lines 1 and 2 - (add net increases or subtract net decreases) . . . . . . . . . . . . . . . . . .
4.
4. Rhode Island deductions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
5. RI taxable income - subtract line 4 from line 3… . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6.
6. Figure the fiduciary's 2004 RI income tax on amount on line 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7.
7. Enter the fiduciary's 2003 RI income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8. Enter the smaller of line 6 or 7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8.
9. Estimated RI withholding and RI credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9.
10. Estimated RI income tax - subtract line 9 from line 8 (if under $250.00 no estimate is required)… . . . . . . . . . . . . . . . . . .
10.
11. Computation of installment - check the box when the estimated payment is to be filed and enter amount indicated . . . . .
April 15, 2004
June 15, 2004
September 15, 2004
January 15, 2005
11.
Enter 1/4 of line 10
Enter 1/3 of line 10
Enter 1/2 of line 10
Enter amount from line 10
12. Enter amount of 2003 RI overpayment elected for credit to 2004 estimated tax. However, if you desire to spread
12.
the credit, divide it by the number of installments and enter here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
13. Amount to be paid with this estimate - subtract line 12 from line 11 and enter here and on RI-1041ES, line 1 . . . . . . . . .
13.
Part 2
Record of Estimated Payments
Column B
Column C
Column D
Column A
2003 Overpayment
Total amount paid and credited
Payment
Check
Date
Number
Number
Amount
credit applied
(add column B and column C)
1.
2.
3.
4.
Total
Part 3
Amended Estimated Tax Schedule
14. Amended estimated income tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14.
15. Amount of estimated tax paid to date and 2003 overpayment chosen for credit to 2004 estimated tax . . . . . . . . . . . . . .
15.
16. Unpaid balance - subtract line 15 from line 14 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
16.
17. Balance due - divide line 16 by the remaining number of installments required to be paid . . . . . . . . . . . . . . . . . . . . . . .
17.
DETACH HERE AND MAIL WITH YOUR PAYMENT
Form RI-1041ES
STATE OF RHODE ISLAND
2004 Payment Coupon
DIVISION OF TAXATION * ONE CAPITOL HILL, PROVIDENCE, RI 02908-5807
NAME
JANUARY 15, 2005
Return this coupon with check or money order
payable to the RI Division of Taxation,
calendar year
ADDRESS
One Capitol Hill, Providence, RI 02908-5807.
Fiscal year filers
Please do not send cash with this coupon.
CITY, STATE & ZIP
enter year ending
1041ES
YOUR SOCIAL SECURITY NUMBER
SPOUSE’S SOCIAL SECURITY NUMBER, IF JOINT PAYMENT
1. ENTER
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
$
0 0
AMOUNT
DUE AND PAID
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