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Form Ri-2688 - Application For Additional Extension Of Time To File Rhode Island Individual Income Tax Return 2002

RI-2688

2002

APPLICATION FOR ADDITIONAL EXTENSION OF TIME TO FILE

RHODE ISLAND INDIVIDUAL INCOME TAX RETURN

NOTE: Use this form to request more time to file the R.I. Form RI-1040 or RI-1040NR.

Use this form only if you have already filed RI-4868. Explain the reason for the

request for additional time on Line 3.

Use preparer’s return address, if desired.

Taxpayer’s Name(s)

Your Social Security #

Type or

c/o (Preparer)

Spouse’s Social Security #

RETURN

ADDRESS

1. An additional extension of time until

, 2003 is hereby requested

in which to file Form RI-1040(

2. Have you previously requested an extension of time to file for this year on a RI-4868?

Yes

(If no, do not submit this form)

3. Explain reason(s) why you need additional time:

SIGNATURE AND VERIFICATION

If Prepared by Taxpayer - Under penalties of perjury, I declare that to the best of my knowl-

edge and belief, the statements made herein are true and correct.

Signature of Taxpayer

Date

Signature of Spouse

Date

If Prepared by Someone Other Than Taxpayer - Under penalties of perjury, I declare that to

the best of my knowledge and belief, the statements made herein are true and correct, and

that I am authorized by the taxpayer(s) to prepare this application.

Signature of Preparer

other than taxpayer

Date

Fed. ID#

Preparer’s Name

For Preparer’s Address, Use RETURN ADDRESS section above

(Type or Print)

File original and one copy with the Division of Taxation, One Capitol Hill, Providence, RI

02908-5806. DO NOT STAPLE OR CLIP COPY OF FORM 2688 TO ORIGINAL 2688. The

copy will be returned to you whether or not your application is approved. Please attach the

approved copy to your return when you file with this office.

We have approved your application.

We have not approved your application.

We have not approved your application, as the maximum extension of time allowed

by law is six (6) months.

Other

Signature

Form Ri-2688 - Application For Additional Extension Of Time To File Rhode Island Individual Income Tax Return 2002

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