Form Ri-1040x - Amended Rhode Island Individual Income Tax Return

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Amended Rhode Island Individual Income Tax Return
† †
This return is for
RI-1040X
(To be used by resident, nonresident and part-year resident taxpayers)
calendar year
First Name
Initial
Last Name
Your Social Security Number
Name and
Address
Spouse's First Name
Initial
Last Name
Spouse's Social Security Number
Present Home Address (Number and Street, Including Apartment No. or Rural Route)
please
Daytime Telephone Number
print or type
(
)
City, Town or Post Office
State
Zip Code
City or Town of Legal Residence
Enter name and address used on original return (if same as above write "SAME")
Original
Address
Yes
No
Additional
Are you filing an amended federal return ? ………………………………………………………………………………………………………….
Info
Yes
No
Have you been advised your federal return is under examination ? …………………………………………………………………………………..
Yes
No
Have you been advised your Rhode Island return is under examination ? ………………………………………………………………………………..
ü ü
Filing
On original return
1. Single
2.
3.
4.
5.
Married filing joint
Married filing separate
Head of Household
Qualifying widow(er)
ü ü
Status
On this return
1. Single
2.
Married filing joint
3.
Married filing separate
4.
Head of Household
5.
Qualifying widow(er)
Exemptions
On original return
Number of federal exemptions claimed:
On this return
A. Originally reported
B. Net change
C. Correct amount
1. Federal AGI………………………………………………………………………………………………….
1.
Income
2. Modifications - RI-1040 or RI-1040NR, page 2, schedule I, line 25…………………………………………………………………………………………….
2.
3. Modified federal AGI - combine lines 1 and 2
3.
(add net increases subtract net decreases)…………………………………………….
4. Federal deductions……………………………………………………………………………………..
4.
5. Subtract line 4 from line 3…………………………………………………………………………………
5.
6. Federal exemption amount…………………………………………………………………………………..
6.
7. RI taxable income - subtract line 6 from line 5……………………………………………………………..
7.
8. RI income tax - check method used in column C
8.
Tax
RI Schedule D
RI Schedule J
Tax Table or Tax Rate Schedule
9. RI alternative minimum tax - from RI-6251, line 10……………………………………….
9.
10. Total RI income tax - Add lines 8 and 9…………………………………………………………..
10.
Residents - Complete page 2, part 2
Nonresidents - Complete page 2, part 3
Form Type
Enter amount from line 10 on page 2, part 2, line 10
Enter amount from line 10 on page 2, part 3, line 10
Tax
17.
17. Total RI tax and checkoff contributions - from page 2, part 2, line 17 or page 2, part 3, line 17, whichever applies…………………………………
18. A. RI income tax withheld (Please attach forms - W-2, 1099, etc.)………………………….
18A.
Payments
and
B. Payments on form RI-1040ES and credits carried forward………………………………
18B.
Property
C. Property tax relief credit (residents only) or
18C.
Tax
Nonresident Real estate withholding (nonresidents only)…………………………………..
18D.
D. Other payments - Amount paid with original return, plus any additional payments made after it was filed…………………………………………………………
18E.
E. Total payments and property tax relief credit - add lines 18A, 18B, 18C, and 18D………………………………………………………………………………………………
18F.
F. Overpayment allowed on original return……………………………………………………………………………………………………..
G. Total payments and property tax relief credit after overpayment - subtract line 18F from 18E……………………………………………………………………
18G.
19A.
19. A. If line 17 is larger than Line 18G, SUBTRACT line 18G from line 17. This is the amount you owe………………………………………….
Amount
Due
19B.
B. Interest due on amount on line 19B………………………………………………………………………………………………………………………………………………
L L
C. Total Balance due - add lines 19A and 19B……………………………………………………………………………………………………….
19C.
J J
20.
20. If line 18G is larger than line 17, subtract line 17 from 18G. This is the amount you overpaid…………………………………………………
Refund
RETURN MUST BE SIGNED - SIGNATURE LINE IS LOCATED ON PAGE 2

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