Form Ri 1099-Pt - Rhode Island Pass-Through Withholding - 2011 Page 2

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3.
2. Payer’s entity type
2011
Rhode Island
Check if amended
Sub S corporation
RI 1099-PT
Pass-Through
LLC
1. Payer’s federal employer identification number
Partnership
Fiscal year payers, enter fiscal dates
Withholding
, 2011 to
, 2012
Trust
6. Recipient’s identification number
4. Payer’s name and address
5. Recipient’s name and address
7. Recipient
Individual
Type
Pass-through
Other ____________
8. Recipient’s percent of ownership
9. Recipient’s Rhode Island withholding
Copy D - RECIPIENT copy (retain for your records)
INSTRUCTIONS
For more information on pass-through entity withholding or to obtain forms, refer to the
Rhode Island Division of Taxation’s website : or call (401) 574-8970.
GENERAL INSTRUCTIONS
SPECIFIC INSTRUCTIONS
PURPOSE: Form RI 1099-PT is used to report Rhode
Box 1 – Enter the Federal employer identification number of
Island pass-through entity withholding for nonresident part-
the pass-through entity generating the Rhode Island source
ners, members, beneficiaries and shareholders.
income for the recipient and submitting the withholding tax
payments on behalf of the recipient.
FOR THE RECIPIENT: The amount in box 9 represents the
amount of Rhode Island taxes withheld by the pass-through
Box 2 – Check-off the pass-through entity type.
entity on your behalf. Please note that your total pass-
through entity income is not reported on this form. The total
Box 3 – If the pass-through entity operates on a fiscal year
income will be reported to you on Federal Schedule K-1 by
rather than a calender year, enter the fiscal year dates.
the pass-through entity of which you are an owner or benefi-
ciary. A copy of this form RI 1099-PT must be attached to
Box 4 – Enter the pass-through entity’s name and address.
your Rhode Island Income Tax return in order to receive
credit for any withholding made on your behalf.
Box 5 – Enter the recipient’s name and address.
NOTE: The information from your RI 1099-PT must also
Box 6 – Enter the recipient’s identification number.
be entered on Schedule W of your 2011 Rhode Island
Income tax return.
Box 7 – Check-off the recipient type if known. Otherwise
leave blank.
FOR THE ENTITY: The pass-through entity must supply
each nonresident member with a copy of Form RI 1099-PT,
Box 8 – Enter the recipient’s percentage of ownership in this
showing the amount of Rhode Island withholding for that
pass-through entity.
member. For a Sub S corporation, Form RI 1099-PT must
be issued to the nonresident member(s) no later than the fif-
Box 9 – Enter the amount of Rhode Island taxes withheld on
teenth day of the third month following the close of the enti-
behalf of the recipient by this pass-through entity.
ty’s tax year. For an LLC, partnership or trust, Form RI
1099-PT must be issued to the nonresident member(s) no
later than the fifteenth day of the fourth month following the
close of the entity’s tax year. The member must attach this
form to their Rhode Island income tax return in order to sub-
stantiate the amount withheld.
The pass-through entity is required to submit a copy of this
form to the Rhode Island Division of Taxation with its filing of
Form RI 1096-PT.

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