Form Ri-8736 - Application For Automatic 6 Month Extension Of Time To File Rhode Island Fiduciary Income Tax Return - 2012

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Application For Automatic 6 Month Extension of Time To File
RI-8736
2012
Rhode Island Fiduciary Income Tax Return
Federal employer identification number
Name
NAME AND
ADDRESS
Address line 1
Address line 2
City, town or post office
State
ZIP code
CALCULATION OF TAX
1. An additional extension of time until _________________ , 20_____ is hereby requested in which to file.
2. For (check one)
calendar year 2012 or
fiscal year beginning _________________ , 2012 and ending _________________ , 20_____ .
3. Enter the following amounts:
a.
Tentative Rhode Island income tax...................................................................................................................
3a.
b.
Rhode Island income tax withheld....................................................................................................................
3b.
c.
2012 estimated income tax payments made to Rhode Island..........................................................................
3c.
d.
Other Rhode Island credits................................................................................................................................
3d.
e.
Total payments and credits. Add lines 3b, 3c and 3d......................................................................................
3e.
f.
Balance due. Subtract line 3e from line 3a. Pay this amount in full with this form........................................
3f.
SIGNATURE AND VERIFICATION
Under penalties of perjury, I declare that to the best of my knowledge and belief, the statements made herein are true and correct.
Preparer’s signature
Date
Preparer’s name
FEIN / PTIN
(print or type)
May the division contact your
Yes
Title of preparer
preparer about this return?
(print or type)
GENERAL INSTRUCTIONS
Use Form RI-8736 to apply for an automatic six month extension of time to file Form RI-1041.
Prepare this form and file original with:
Rhode Island Division of Taxation
One Capitol Hill
Providence, RI 02908-5806
Pay the amount shown on line 3f of this form.
The filing or granting of an extension of time does not extend the time for payment of tax due on the return.
File this form on or before the regular due date of your return (without regard to any extension of time to file).
The regular due date for filing is usually the 15 th day of the 4 th month following the close of the tax year.
The form must be signed by the fiduciary or the person authorized to represent the taxpayer.
If no payment is required to be made with Form RI-8736 and the fiduciary is filing a Federal Form 7004 for the same period of time, the fiduciary does
not need to submit Form RI-8736. Attach a copy of Federal Form 7004 to Form RI-1041 when the return is submitted.
PAYMENT BY CREDIT CARD
Contact the service provider listed on this page and follow their instructions. Enter on this form in the upper
left hand corner the confirmation number you were given at the end of the transaction and the amount of
your tax payment (not including the convenience fee). See tax return instructions for more details.
Telephone:
1-800-2PAY-TAX
1-800-272-9829
Internet:

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