State of Rhode Island and Providence Plantations
2014 Form RI-4868C
Composite Income Tax Return Extension Payment
ADDITIONAL INFORMATION
You can use Form RI-4868C to obtain an automatic 6 month exten-
sion of time to file your Rhode Island Composite Tax Return.
The filing or granting of an extension of time to file does not ex-
tend the time for payment of tax due on the return.
GENERAL INSTRUCTIONS
HOW TO PREPARE YOUR PAYMENT?
Use Form RI-4868C to apply for 6 more months to file Form
RI-1040C, Rhode Island Composite Tax Return.
Make your check or money order payable to the "R.I. Division of
Taxation." Do not send cash. Make sure the entity’s name and
EXTENSION OF TIME
address appear on your check or money order. Write "Form RI-
4868C", your daytime phone number and the entity’s federal
The Rhode Island extension form need not be filed if you are not re-
identification number on your check or money order. Mail your
quired to make payment with Rhode Island extension form.
payment and Form RI-4868C to the Rhode Island Division of
Taxation, One Capitol Hill, Providence, RI 02908-5807.
If you must file a Rhode Island request for extension, you should:
1. Prepare the Rhode Island Extension Form RI-4868C.
2. Clearly show the full amount properly estimated as Rhode Is-
land tax for the year 2014.
3. File the extension with the Rhode Island Division of Taxation on
or before the due date for filing the Rhode Island Composite Tax
Return.
The extension must be filed by the 15th day of the fourth month
following the close of the entity’s taxable year (April 15, 2015
for a calendar year entity).
4. Pay the amount of Rhode Island tax due as calculated on Form
RI-4868C by the 15th day of the fourth month following the close
of the entity’s taxable year (April 15, 2015 for a calendar year
entity).
5. Be sure to attach a copy of Form RI-4868C to the front of the
Rhode Island return when it is filed.
6. Retain the top portion of this form for your records. Detach and
return the lower portion with your payment.
Date Paid
Check Number
Amount
$
DETACH VOUCHER AT PERFORATION TO MAIL IN WITH YOUR PAYMENT
APPLICATION FOR AUTOMATIC 6 MONTH EXTENSION OF TIME
TO FILE RHODE ISLAND COMPOSITE INCOME TAX RETURN
14102899990101
RI DIVISION OF TAXATION - ONE CAPITOL HILL
PROVIDENCE, RI 02908-5807
2014 RI-4868C
Fiscal year filers, enter fiscal year dates
MM/DD/2014 through MM/DD/2015
Enter tentative tax computation
Name
A. TENTATIVE RI INCOME TAX
Address
B. TOTAL PAYMENTS
City
State
ZIP Code
C. BALANCE DUE
(LINE A LESS LINE B)
Federal employer identification number
D.ENTER AMOUNT ENCLOSED