Form Ri-1040v - Rhode Island Payment Voucher 2002
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RI-1040V
Rhode Island Payment Voucher
What Is Form RI-1040V and Do You Need To Use It?
How To Prepare Your Payment?
It is a statement you send with your payment of any balance
Make your check or money order payable to the "R.I. Division of
due on line 19 of your Form RI-1040 or Form RI-1040NR.
Taxation." Do not send cash. Make sure your name and address
Using Form RI-1040V allows us to process your payment more
appears on your check or money order. Write "Form RI-1040V,"
accurately and efficiently. We strongly encourage you to use
your daytime phone number and social security number on your
Form RI-1040V, but there is no penalty if you do not do so.
check or money order. If you are filing a joint return, enter the
social security number shown first on your return.
How To Fill In Form RI-1040V?
How To Send In Your Return, Payment and
Form RI-1040V
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STATE OF RHODE ISLAND
DIVISION OF TAXATION * ONE CAPITOL HILL, PROVIDENCE, RI 02908-5806
2002
RI-1040V?
DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT
Œ Œ
Ž Ž
1. NAME
3. ENTER THE FIRST FOUR
Retain the top portion of this form for your records. Detach and
LETTERS OF YOUR LAST
NAME
ADDRESS
CITY, STATE & ZIP
return the lower portion with your payment. DO NOT staple or
RI-1040V
2. YOUR SOCIAL SECURITY NUMBER
• •
otherwise attach your payment of Form RI-1040V to your return or
SPOUSE'S SOCIAL SECURITY NUMBER, IF JOINT PAYMENT
4. ENTER AMOUNT
0 0
$
ENCLOSED
to each other. Instead, just put them loose in the envelope. If an
• •
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envelope came with your tax package, please use it to mail your
Box 1.
Enter your name(s) and addresses as shown on your
tax return, payment, and Form RI-1040V. If you do not have that
return.
envelope or you used a paid preparer, mail your tax return,
payment and Form RI-1040V to the Rhode Island Division of
Box 2.
Enter your social security number and your spouse's
Taxation, One Capitol Hill Suite 34, Providence, RI 02908-5806.
social security number in the boxes provided.
Box 3.
Enter the first four letters of your last name. See
Payment By Credit Card
examples below.
Name………………………………………..
Enter
John Brown……………………………………….
BROW
Juan DeJesus………………………………………
DEJE
Joan A. Lee………………………………………
LEE
Nancy McCarthy………………………………
MCCA
Helen O'Neill…………………………………….
ONEI
Contact the service provider listed on this page and follow their
instructions. Enter on page 1 of Form RI-1040 or RI-1040NR in
Pedro Torres-Lopez…………………………
TORR
the upper left corner the confirmation number you were given at
Box 4.
Enter the amount of the payment you are making.
the end of the transaction and the amount of your tax payment
Also enter below for your records.
(not including the convenience fee). See tax return instructions for
more details.
Date paid
Check number
Amount
telephone:1-800-2PAY-TAX (1-800-272-9829)
$
internet:
DETACH HERE AND MAIL WITH YOUR PAYMENT
Form RI-1040V
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STATE OF RHODE ISLAND
DIVISION OF TAXATION * ONE CAPITOL HILL, PROVIDENCE, RI 02908-5806
2002
DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT
1. NAME
3. ENTER THE FIRST FOUR
LETTERS OF YOUR LAST
NAME
ADDRESS
CITY, STATE & ZIP
RI-1040V
2. YOUR SOCIAL SECURITY NUMBER
SPOUSE'S SOCIAL SECURITY NUMBER, IF JOINT PAYMENT
4. ENTER
0 0
$
AMOUNT
ENCLOSED
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