Form Ri-1040 Draft - Resident Individual Income Tax Return

RI-1040

2012

RI SCHEDULE I - ALLOWABLE FEDERAL CREDIT

19.

RI income tax from page 1, line 8........................................................................................................................................................

19.

20.

Credit for child and dependent care expenses from Federal Form 1040, line 48 or 1040A, line 29........

20.

21.

Tentative allowable federal credit. Multiply line 20 by 25% (0.2500) .................................................................................................

21.

22.

MAXIMUM CREDIT. Line 19 or 21, whichever is SMALLER. Enter here and on page 1, line 9A...................................................

22.

RI SCHEDULE II

CREDIT FOR INCOME TAXES PAID TO ANOTHER STATE

NOTE: You must attach a signed copy of the state tax return(s) for which you are claiming credit.

23.

RI income tax from RI-1040, page 1, line 8 less allowable federal credit from RI-1040, page 2, line 22........................................... 23.

24.

Income derived from other state. If more than one state, see instructions........................................................................................

24.

25.

Modified federal AGI from page 1, line 3............................................................................................................................................. 25.

_ . _ _ _ _

26.

Divide line 24 by line 25....................................................................................................................................................................... 26.

27.

Tentative credit. Multiply line 23 by line 26......................................................................................................................................... 27.

28.

Tax due and paid to other state (see specific instructions)

Insert name of state paid ___________________ ...............................

28.

29.

MAXIMUM TAX CREDIT. Line 23, 27 or 28, whichever is the SMALLEST. Enter here and on page 1, line 9B............................ 29.

NOTE: Contributions reduce your

RI CHECKOFF

CONTRIBUTIONS SCHEDULE

refund or increase your balance due.

$1.00 $5.00 $10.00 Other

30.

Drug program account RIGL §44-30-2.4 ..........................................

30.

$ _____________

31.

Olympic Contribution RIGL §44-30-2.1

$1.00 Contribution ($2.00 if a joint return)

............................

31.

Yes

32.

RI Organ Transplant Fund RIGL §44-30-2.5 ....................................

32.

$ _____________

33.

RI Council on the Arts RIGL §42-75.1-1 ..........................................

33.

$ _____________

34.

RI Nongame Wildlife Fund RIGL §44-30-2.2 ...................................

34.

$ _____________

35.

Childhood Disease Victims’ Fund RIGL §44-30-2.3 .........................

35.

$ _____________

36.

RI Military Family Relief Fund RIGL §44-30-2.9 ..............................

36.

$ _____________

37.

TOTAL CONTRIBUTIONS. Add lines 30, 31, 32, 33, 34, 35 and 36. Enter here and on RI-1040, page 1, line 11 ........................ 37.

RI SCHEDULE EIC

RHODE ISLAND EARNED INCOME CREDIT

38.

Rhode Island income tax from RI-1040, page 1, line 10A....................................................................................................................

38.

39.

Federal earned income credit from Federal Form 1040, line 64a; 1040A, line 38a or 1040EZ, line 8a..............................................

39.

40.

Rhode Island percentage......................................................................................................................................................................

40.

25%

41.

Multiply line 39 by line 40.....................................................................................................................................................................

41.

42.

Enter the SMALLER of line 38 or line 41.............................................................................................................................................

42.

43.

Subtract line 42 from line 41 (If zero or less, enter the amount from line 42 on line 46. Otherwise, continue to line 44).........

43.

44.

Refundable percentage.........................................................................................................................................................................

44.

15%

45.

Rhode Island refundable earned income credit. Multiply line 43 by line 44........................................................................................

45.

46.

TOTAL RI EARNED INCOME CREDIT. Add line 42 and line 45. Enter here and on RI-1040, line 14D...........................................

46.

Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct and complete.

Your

Spouse’s

Signature

Date

May the division contact your preparer about this return? Yes

Preparer’s name (please print):

Paid preparer’s signature and address