Form Ri-1040nr - Nonresident Individual Income Tax Return - 2013 Page 2
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1
2
3State of Rhode Island and Providence Plantations
2013 Form RI-1040NR
Nonresident Individual Income Tax Return
Name
Your social security number
RI SCHEDULE I - ALLOWABLE FEDERAL CREDIT
RI income tax from page 1, line 8 ................................................................................................................................
22
22
23
Credit for child and dependent care expenses from Federal Form 1040, line 48
or Form 1040A, line 29............................................................................................
23
24
Tentative allowable federal credit. Multiply line 23 by 25% (0.2500)..........................................................................
24
25
MAXIMUM CREDIT. Line 22 or 24, whichever is SMALLER. Enter here and on RI-1040NR, page 1, line 9 .........
25
RI SCHEDULE II AND III - ALLOCATION AND MODIFICATION FOR NONRESIDENTS
Schedule II should be completed by NONRESIDENTS with income from outside Rhode Island.
RI Schedule II is located on page 7.
Schedule III should be completed by PART-YEAR RESIDENTS with income from outside Rhode Island.
RI Schedule III is located on page 9.
NONRESIDENTS and PART-YEAR RESIDENTS with all income from Rhode Island sources do not need to complete
either schedule II or III.
RI CHECKOFF CONTRIBUTIONS SCHEDULE
Note: Contributions reduce your refund or increase your balance due.
$1.00
$5.00
$10.00 Other
Drug program account RIGL §44-30-2.4 .........................
26
26
27
Olympic Contribution RIGL §44-30-2.1 ....... Yes
$1.00 contribution ($2.00 if filing a joint return) ....
27
28
28
RI Organ Transplant Fund RIGL §44-30-2.5 ...................
29
RI Council on the Arts RIGL §42-75.1-1 ..........................
29
30
RI Nongame Wildlife Fund RIGL §44-30-2.2 ...................
30
31
Childhood Disease Victim’s Fund RIGL §44-30-2.3 ........
31
32
RI Military Family Relief Fund RIGL §44-30-2.9 ................
32
33
TOTAL CONTRIBUTIONS. Add lines 26, 27, 28, 29, 30, 31 and 32. Enter here and on RI-1040NR, pg 1, line 14.
33
RI SCHEDULE EIC - RHODE ISLAND EARNED INCOME CREDIT
34
Rhode Island income tax from RI-1040NR, page 1, line 13a.......................................................................................
34
35
Federal earned income credit from Federal Form 1040, line 64a; 1040A, line 38a, or 1040EZ, line 8a .....................
35
36
Rhode Island percentage.............................................................................................................................................
36
25%
Multiply line 35 by line 36.....................................................................................................................................................
37
38
Enter the SMALLER of line 34 or line 37...........................................................................................................................
38
39
Subtract line 38 from line 37
(If zero or less, enter the amount from line 38 on line 42. Otherwise, continue to line 40.)
39
40
a
Refundable percentage...............................................................................................................................................
40
15%
b
Multiply line 39 by line 40a...........................................................................................................................................
40b
c
Rhode Island allocation from RI-1040NR, page 7, Schedule II, line 13 or RI-1040NR, page 9, Schedule III, line 14.
_ . _ _ _ _
If all income is from RI, enter 1.0000........................................................................................................................
40c
41
RI refundable earned income credit. Multiply line 40b by line 40c.............................................................................
41
42
TOTAL RI EARNED INCOME CREDIT. Add lines 38 and 41. Enter here and on RI-1040NR, page 1, line 17d......
42
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Your signature
Spouse’s signature
Date
Telephone number
Paid preparer signature
Print name
Date
Telephone number
Paid preparer address
City, town or post office
State
ZIP code
PTIN
May the Division of Taxation contact your preparer? YES
Revised 10/2013
Page 2
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