Form Ri-4868pt - Pass-Through Withholding Extension Payment - 2014
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1State of Rhode Island and Providence Plantations
2014 Form RI-4868PT
Pass-through Withholding Extension Payment
ADDITIONAL INFORMATION
You can use Form RI-4868 PT to obtain an automatic 6 month ex-
tension of time to file your Rhode Island Pass-through Withholding
The filing or granting of an extension of time to file does not extend
Tax Return.
the time for payment of tax due on the return.
GENERAL INSTRUCTIONS
HOW TO PREPARE YOUR PAYMENT?
Use Form RI-4868PT to apply for 6 more months to file Form
Make your check or money order payable to the "R.I. Division of
RI-1096PT, Rhode Island Pass-through Withholding Tax Return.
Taxation." Do not send cash. Make sure the entity’s name and
address appear on your check or money order. Write "Form RI-
EXTENSION OF TIME
4868PT", your daytime phone number and the entity’s federal em-
ployer identification number on your check or money order.
The Rhode Island extension form does not need to be filed if you
are not required to make payment with Rhode Island extension
Mail the extension form and payment to the Rhode Island Division
form.
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-4868PT.
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 Pass-
through Withholding 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-4868PT by April 15, 2015.
5. Be sure to attach a copy of Form RI-4868PT 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 RI PASS-THROUGH WITHHOLDING RETURN
14103499990101
RI DIVISION OF TAXATION - ONE CAPITOL HILL
PROVIDENCE, RI 02908-5807
2014 RI-4868PT
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
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