Ri Schedule W - Attach To Form Ri-1040 Or Ri-1040nr - Rhode Island W2 And 1099 Information - 2012
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1RI SCHEDULE W
2012
RHODE ISLAND W2 AND 1099 INFORMATION
Name(s) shown on Form RI-1040 or RI-1040NR
Your social security number
Complete the Schedule below listing all of your and your spouse’s (if applicable) W2s and 1099s showing Rhode Island Income
Tax withheld. W2s or 1099s showing Rhode Island Income Tax withheld must still be attached to the front of your return. Failure
ATTACH THIS SCHEDULE W TO YOUR RETURN
to do so may delay the processing of your return.
Column A
Column B
Column C
Column E
Column D
Rhode Island Income Tax
Enter “S”
Enter 1099
Employer’s Federal ID # from
Employer’s Name from Box C of your W2 or
Withheld (SEE BELOW
if for
letter code
box b of your W2 or Payer’s
Payer’s Name from your Form 1099
FOR BOX REFERENCES)
Spouse
Federal ID # from Form 1099
from chart
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.
21.
Total RI Income Tax Withheld. Add lines 1 through 20, Column E. Enter total here and on RI-1040, line 14A
or RI-1040NR, line 17A .............................................................................................................................................
22.
Total number of W2s and 1099s showing Rhode Island Income Tax Withheld ........................................................
INSTRUCTIONS FOR COMPLETING SCHEDULE W
Lines 1 - 20:
Line 21: Total Rhode Island Income Tax Withheld. Add the amounts from
Please complete columns A, B, C, D and E for each W2 and 1099 show-
Column E, lines 1 through 20. Enter the total here and on RI-1040, line
ing Rhode Island withholding.
14A or RI-1040NR, line 17A.
Schedule W Reference Chart
Letter Code
Withholding
Column A: For each W2 or 1099 being entered, leave blank if the W2 or
Line 22: Enter the number
Form Type
for Column B
Box
1099 is for you. Enter an “S” if the W2 or 1099 belongs to your spouse.
of W2s and 1099s entered
on lines 1-20 showing
-
W2
17
Column B: For each W2 or 1099 being entered, leave blank if the infor-
Rhode Island income tax
-
W-2G
14
mation being entered is from a W2. For all 1099s being entered, enter
withheld.
the letter code from the chart to the right.
1099-B
B
15
Schedule W plus all W2s
and 1099s with Rhode
1099-DIV
D
14
Column C: For each W2 or 1099 being entered, enter the name of the
Island withholding must
employer or payer.
1099-G
G
11
be attached to your Rhode
1099-INT
I
13
Island return in order to
Column D: For each W2, enter the employer identification number from
receive credit for your Rhode
1099-MISC
M
16
box b of the W2. For each 1099, enter the payer’s federal identification
Island withholding tax amount.
number.
1099-OID
O
10
ATTACH THIS FORM TO
1099-R
R
12
Column E: For each W2 or 1099, enter the amount of Rhode Island with-
YOUR RHODE ISLAND
RI-1099PT
P
9
holding as shown on each form. See chart to the right for box reference.
RETURN.
Page 3
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