Form Ri-1120pol-V - Political Organization Payment Voucher - 2012

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2012
RI-1120POL-V
Rhode Island Political Organization Tax Payment Voucher
How To Prepare Your Payment
What Is Form RI-1120POL-V and Do You Need To Use It?
Make your check or money order payable to the "R.I. Division
Form RI-1120POL-V is a statement you send with your pay-
of Taxation." Do not send cash. Make sure the corporation’s
ment of any balance due on line 11 from Form RI-1120POL.
name and address appear on the check or money order. Write
Using Form RI-1120POL-V allows us to more accurately and
"Form RI-1120POL-V", daytime phone number and Federal
efficiently process your payment. We strongly encourage you
Identification Number on the check or money order.
to use Form RI-1120POL-V, but there is no penalty for not
doing so.
How To Send In Your Return, Payment, and RI-1120POL-V
How To Fill In Form RI-1120POL-V
Retain the top portion of this form for your records. Detach
- Enter the name and addresses as shown on your return.
and return the lower portion with your payment.
DO NOT
staple or otherwise attach your payment of Form RI-
- Enter the federal employer identification number in the
1120POL-V to your return or to each other. Instead, just put
box provided.
them loose in the envelope. Mail your tax return, payment
- Enter the calendar year or the fiscal year beginning and
and Form RI-1120POL-V to the Rhode Island Division of
ending dates.
Taxation, One Capitol Hill, Providence, RI 02908-5811.
- Enter the amount of the payment being made.
- Have authorized officer or agent sign form.
Also enter below for your records:
Date Paid
Check Number
Amount
STATE OF RHODE ISLAND
RI-1120POL-V
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 9, PROVIDENCE, RI 02908-5811
POLITICAL ORGANIZATION PAYMENT VOUCHER
NAME
For Calendar Year
Or Taxable Year Beginning
And Ending
ADDRESS
RI-1120POL-V
CITY, STATE, ZIP CODE
FEDERAL EMPLOYER IDENTIFICATION NUMBER
I declare, under the penalties of perjury, that this document has been examined by me and,
to the best of my knowledge and belief, is true, and complete.
AMOUNT
$
0 0
ENCLOSED
Signature of Officer or Agent
Key #78

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