Form Ri-1040x - Amended Rhode Island Individual Income Tax Return - 2010
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1
2Amended Rhode Island Individual Income Tax Return
RI-1040X
2010
(To be used by resident, nonresident and part-year resident taxpayers)
First Name
Initial
Last Name
Your Social Security Number
NAME AND
ADDRESS
Initial
Last Name
Spouse’s Social Security Number
Spouse’s First Name
Present Home Address (number and street, including apartment no. or rural route)
Daytime Telephone Number
Please
(
)
print or type
City or Town of Legal Residence
City, Town or Post Office
State
Zip Code
A.
Enter name and address used on original return (if same as above write “SAME”)
ADDITIONAL
INFORMATION
B.
Are you filing an amended federal income tax return? ...................................................................................
Yes
C.
Have you been advised your federal return is under examination? ...............................................................
Yes
D.
On original return
FILING
1. Single
2. Married filing jointly
3. Married filing separately
4. Head of Household
5. Qualifying widow(er)
STATUS
E.
On this return
1. Single
3. Married filing separately
4. Head of Household
5. Qualifying widow(er)
2. Married filing jointly
INCOME AND TAX
A. Originally reported
B. Net change
C. Correct amount
1.
Federal AGI (Adjusted Gross Income) ...........................................
1.
Single
$5,700
2.
Modifications from RI-1040(NR), Schedule I, Line 25 ...................
2.
Married filing jointly
3.
3.
Modified Federal AGI - Combine lines 1 and 2 .............................
or Qualifying
widow(er)
4.
Deductions
(see
instructions).........................................................
4.
$9,550
5.
Subtract line 4 from line 3 ..............................................................
5.
Married filing
separately
6.
Exemptions - Enter the number of federal exemptions
$4,750
claimed on this return in the box then multiply by
6.
Head of
$3,650 and enter the result on line 6, column C.
household
7.
RI Taxable Income - subtract line 6 from line 5..............................
7.
$8,400
However,
8A.
RI income tax .................................................................................
8A.
people over 65, blind
or can be claimed as
RI Tax Table or Tax Computation Worksheet
RI Schedule J
RI-8615
a dependent, see
Check method used on line 8A, column C:
the RI Deduction
Schedules, check
8B.
Other RI Taxes from RI-1040(NR), page 3, line 14........................
8B.
this box and attach
the schedule.
9.
RI Alternative Minimum Tax from RI-6251, line 6 ..........................
9.
10.
10.
Total RI income tax - add lines 8A, 8B and 9 ................................
Nonresidents - Enter the amount from page 1, line 10
Residents - Enter the amount from page 1, line 10 on
FORM TYPE
page 2, part 2, line 10 and complete page 2, part 2.
on page 2, part 3, line 10 and complete page 2, part 3.
17.
Total RI Tax and checkoff contributions .........................................
17.
PAYMENTS
18. A. RI 2010 income tax withheld from Schedule W, line 21.........
18A.
B.
2010 estimated tax payments and 2009 carryforward ...........
18B.
18C.
C.
Property tax relief credit from RI-1040H (residents only)......
18D.
D.
Residential lead paint credit from RI-6238 (residents only)..
18E.
E.
Nonresident real estate withholding (nonresidents only)......
18F. .
F.
RI Earned Income Credit.........................................................
G.
Other Payments .............................................................................................................................................
18G.
H.
Total - Add lines 18A, 18B, 18C, 18D, 18E, 18F and 18G.....................................................................
18H.
I.
Overpayment allowed on original return ........................................................................................................
18I.
J.
Total payments after overpayment - subtract line 18I from 18H.....................................................................
18J..
19. A. If line 17 is larger than 18J, subtract line 18J from 17. This is the amount you owe.........................
19A.
AMOUNT
B.
Interest due on amount on line 19A ....................................................................................................
19B.
DUE
C.
Total balance due - add lines 19A and 19B ........................................................................................
19C.
☺
20. If line 18J is larger than line 17, subtract line 17 from 18J. This is the amount you overpaid...................
20.
REFUND
21.
Amount of overpayment to be refunded .....................................................................................................
21.
22.
22.
Amount of overpayment to be applied to 2011 estimated tax ..................................
RETURN MUST BE SIGNED - SIGNATURE LINE IS LOCATED ON PAGE 2
Mail returns to: Refunds: RI Division of Taxation - One Capitol Hill - Providence, RI 02908-5806
Payments: RI Division of Taxation - One Capitol Hill - Providence, RI 02908-5807
page 1
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