Form Ri 1099-Pt - Rhode Island Pass-Through Withholding - 2005

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2. Payer’s Entity Type
Rhode Island
Check if corrected
Sub S Corporation
2005
Pass-Through
LLC
1. Payer’s Federal Identification Number
RI 1099-PT
Partnership
Withholding
Trust
5. Recipient’s Identification Number
3. Payer’s Name and Address
4. Recipient’s Name and Address
6. Recipient
Individual
Type
Pass-through
Other ____________
7. Recipient’s percent of ownership
8. Recipient’s RI Withholding
Copy A - PAYER copy (attach to your RI-1096PT)
2. Payer’s Entity Type
Rhode Island
Check if corrected
Sub S Corporation
2005
Pass-Through
LLC
1. Payer’s Federal Identification Number
RI 1099-PT
Partnership
Withholding
Trust
5. Recipient’s Identification Number
3. Payer’s Name and Address
4. Recipient’s Name and Address
6. Recipient
Individual
Type
Pass-through
Other ____________
7. Recipient’s percent of ownership
8. Recipient’s RI Withholding
Copy B - PAYER copy (retain for your records)
2. Payer’s Entity Type
Rhode Island
Check if corrected
Sub S Corporation
2005
Pass-Through
LLC
1. Payer’s Federal Identification Number
RI 1099-PT
Partnership
Withholding
Trust
5. Recipient’s Identification Number
3. Payer’s Name and Address
4. Recipient’s Name and Address
6. Recipient
Individual
Type
Pass-through
Other ____________
7. Recipient’s percent of ownership
8. Recipient’s RI Withholding
Copy C - RECIPIENT copy (attach to your Rhode Island income tax return)

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