Form Ri-1040 - Resident Individual Income Tax Return - 2013

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State of Rhode Island and Providence Plantations
2013 Form RI-1040
Resident Individual Income Tax Return
Your name
Your social security number
Spouse’s name
Spouse’s social security number
Address
Daytime phone number
City, town or post office
State
ZIP code
City or town of legal residence
If you want $5.00 ($10.00 if a joint return) to go
If you wish the 1st $2.00 ($4.00 if a joint return) to be paid to a specific
ELECTORAL
party, check the box and fill in the name of the political party. Otherwise, it
to this fund, check here. (See instructions. This
CONTRIBUTION
Yes
will be paid to a nonpartisan general account.
will not increase your tax or reduce your refund.)
1
Single
3
Married filing separately
5
Qualifying widow(er)
FILING
Check only
one box
STATUS
2
Married filing jointly
4
Head of household
1
1
INCOME,
Federal AGI from Federal Form 1040, line 37; 1040A, line 21 or 1040EZ, line 4........................................
TAX AND
2
Net modifications to Federal AGI from RI Schedule M, line 3. If no modifications, enter zero on this line.
2
CREDITS
3
Modified Federal AGI. Combine lines 1 and 2 (add net increases or subtract net decreases)...................
3
4
4
Deductions. RI Standard Deduction (left margin). If line 3 is over $186,550, see Standard Deduction Worksheet..........
Rhode
Island
5
Subtract line 4 from line 3............................................................................................................................
5
Standard
6
Exemptions. Enter federal exemptions in box, multiply by $3,750 and enter result
Deduction
X $3,750 =
Single
on line 6. If line 3 is over $186,550, see Exemption Worksheet on page i..............
6
$8,000
7
RI TAXABLE INCOME. Subtract line 6 from line 5....................................................................................
7
Married
8
RI income tax from Rhode Island Tax Table or Tax Computation Worksheet..............................................
8
filing jointly
or
9
a
RI percentage of allowable Federal credit from page 2, RI Sch I, line 22
9a
Qualifying
b
RI Credit for income taxes paid to other states from page 2, RI Sch II, line 29
9b
widow(er)
$16,000
c
Other Rhode Island Credits from RI Schedule CR, line 4 .......................
9c
Married
d
Total RI credits. Add lines 9a, 9b and 9c....................................................................................................
9d
filing
a
Rhode Island income tax after credits. Subtract line 9d from line 8 (not less than zero)............................
10a
separately
$8,000
b
Recapture of Prior Year Other Rhode Island Credits from RI Schedule CR, line 7.....................................
10b
Contributions reduce your refund
Head of
11
RI checkoff contributions from page 2, RI Checkoff Schedule, line 37.......
.............. 11
or increase your balance due.
household
12
USE/SALES tax due from page I-4, line 6 of the Individual Consumer’s Use/Sales Tax Worksheet.......... 12
$12,000
13
TOTAL RI TAX AND CHECKOFF CONTRIBUTIONS. Add lines 10a, 10b, 11 and 12.............................
13
14
R I 2 01 3 i nc o me ta x wi th h el d fr om RI S che d u le W, l ine 16....
PAYMENTS
AND
(Attach all Forms W-2 and 1099 with RI withholding, AND Sch W )
14a
Check ü if
PROPERTY
b
2013 estimated tax payments and amount applied from 2012 return.....
14b
TAX RELIEF
extension is
CREDIT
Property tax relief credit from RI-1040H, line 7 or 14. Attach RI-1040H
14c
attached.
d
RI earned income credit from page 2, RI Schedule EIC, line 46............. 14d
Attach
RI Residential Lead Paint Credit from RI-6238, line 7. Attach RI-6238. 14e
Forms W-2
e
and 1099
f
Other payments.......................................................................................
14f
here.
g
TOTAL PAYMENTS AND CREDITS. Add lines 14a, 14b, 14c, 14d, 14e and 14f..................................... 14g
15
a
AMOUNT DUE. If line 13 is LARGER than line 14g, subtract line 14g from line 13 15a
AMOUNT
DUE
Check ü
b
if RI-2210 or RI-2210A is attached and enter underestimating interest due.
This amount
should be added to line 15a or subtracted from line 16, whichever applies.
15b
L
c
TOTAL AMOUNT DUE. Add lines 15a and 15b. Complete RI-1040V and send in with your payment
15c
REFUND
16
AMOUNT OVERPAID. If line 14g is LARGER than line 13, subtract line 13 from line 14g. If there
is an amount due for underestimating interest on line 15b, subtract line 15b from line 16.
16
17
Amount of overpayment to be refunded......................................................................................................
17
18
Amount of overpayment to be applied to 2014 estimated tax.................
18
RETURN MUST BE SIGNED - SIGNATURE IS LOCATED ON PAGE 2
Mailing address: RI Division of Taxation, One Capitol Hill, Providence, RI 02908-5806

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