Form Ri-1096pt-Es - Rhode Island Estimated Payment Coupon - 2013 Page 2

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RI-1096PT-ES
2013
STATE OF RHODE ISLAND DIVISION OF TAXATION
ONE CAPITOL HILL - PROVIDENCE, RI 02908-5807
NAME
SEPTEMBER 15, 2013
Return this coupon with check or money order
payable to the RI Division of Taxation,
calendar year
One Capitol Hill, Providence, RI 02908-5807.
ADDRESS
Fiscal year filers, enter fiscal year dates
Please do not send cash with this coupon.
, 2013 to
, 2014
CITY, STATE & ZIP CODE
RI-1096PT-ES
FEDERAL EMPLOYER IDENTIFICATION NUMBER
1. ENTER
$
0 0
AMOUNT
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
DUE AND PAID
RI-1096PT-ES
2013
STATE OF RHODE ISLAND DIVISION OF TAXATION
ONE CAPITOL HILL - PROVIDENCE, RI 02908-5807
NAME
JUNE 15, 2013
Return this coupon with check or money order
payable to the RI Division of Taxation,
calendar year
One Capitol Hill, Providence, RI 02908-5807.
ADDRESS
Fiscal year filers, enter fiscal year dates
Please do not send cash with this coupon.
, 2013 to
, 2014
CITY, STATE & ZIP CODE
RI-1096PT-ES
FEDERAL EMPLOYER IDENTIFICATION NUMBER
1. ENTER
$
0 0
AMOUNT
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
DUE AND PAID
RI-1096PT-ES
2013
STATE OF RHODE ISLAND DIVISION OF TAXATION
ONE CAPITOL HILL - PROVIDENCE, RI 02908-5807
NAME
APRIL 15, 2013
Return this coupon with check or money order
payable to the RI Division of Taxation,
calendar year
One Capitol Hill, Providence, RI 02908-5807.
ADDRESS
Fiscal year filers, enter fiscal year dates
Please do not send cash with this coupon.
, 2013 to
, 2014
CITY, STATE & ZIP CODE
RI-1096PT-ES
FEDERAL EMPLOYER IDENTIFICATION NUMBER
1. ENTER
$
0 0
AMOUNT
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
DUE AND PAID

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