Form Ri 1099-Pt - Draft - Pass-Through Withholding - 2009 Page 2

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3.
2. Payer’s Entity Type
2009
Rhode Island
Check if corrected
Sub S Corporation
RI 1099-PT
Pass-Through
LLC
1. Payer’s Federal Identification Number
Partnership
Fiscal year payers, enter fiscal dates
Withholding
, 2009 to
, 2010
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 RI Withholding
Copy D - RECIPIENT copy (retain for your records)
INSTRUCTIONS
For more information on pass-through entity withholding or to obtain forms, refer to 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 Identification Number of the pass-
Island pass-through entity withholding for nonresident part-
through entity generating the Rhode Island source income for
ners, members, beneficiaries and shareholders.
the recipient and submitting the withholding tax payments on
behalf of the recipient.
FOR THE RECIPIENT: The amount in box 8 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.
FOR THE ENTITY: The pass-through entity must supply
Box 6 – Enter the recipient’s Identification Number.
each nonresident member with a copy of Form RI 1099-PT,
showing the amount of Rhode Island withholding for that
Box 7 – Check-off the recipient type if known. Otherwise
member. For a Sub S Corporation, Form RI 1099-PT must
leave blank.
be issued to the nonresident member(s) no later than the fif-
teenth day of the third month following the close of the enti-
Box 8 – Enter the recipient’s percentage of ownership in this
ty’s tax year. For an LLC, partnership or trust, Form RI
pass-through entity.
1099-PT must be issued to the nonresident member(s) no
later than the fifteenth day of the fourth month following the
Box 9 – Enter the amount of Rhode Island taxes withheld on
close of the entity’s tax year. The member must attach this
behalf of the recipient by this pass-through entity.
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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