Form Ri-1040 - Rhode Island Resident Individual Income Tax Return - 2012
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3RHODE ISLAND
RI-1040
2012
RESIDENT INDIVIDUAL INCOME TAX RETURN
Your first name
Initial
Last name
Your social security number
NAME
AND
ADDRESS
Spouse's first name
Initial
Last name
Spouse’s social security number
Present home address (number and street, including apartment number or rural route)
Daytime telephone number
please print
or type
(
)
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
ELECTORAL
Yes
to this fund, check here. (See instructions. This
specific party, check the box and fill in the name of the political
CONTRIBUTION
will not increase your tax or reduce your refund.)
party. Otherwise, it will be paid to a nonpartisan general account.
FILING
Check only
1
2
3
4
5
STATUS
one box
Single
Married filing jointly
Married filing separately
Head of household
Qualifying widow(er)
INCOME,
1.
Federal AGI (Adjusted Gross Income) from Federal Form 1040, line 37; 1040A, line 21 or 1040EZ, line 4................
1.
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.
Deductions. RI standard deduction (left margin).
4.
If line 3 is over $181,900 see Standard Deduction Worksheet on page i.
Rhode Island
Standard
5.
Subtract line 4 from line 3..............................................................................................................................................
5.
Deduction
6.
Exemptions. Enter federal exemptions in box, multiply by $3,650 and enter result on line 6.
X $3,650 =
6.
Single
......
If line 3 is over $181,900, see Exemption Worksheet on page i (back of front cover) .......................
$7,800
7.
RI TAXABLE INCOME. Subtract line 6 from line 5......................................................................................................
7.
Married filing
jointly or
8.
RI income tax from Rhode Island Tax Table or Tax Computation Worksheet ..............................................................
8.
Qualifying
widow(er)
$15,600
9.
A.
RI percentage of allowable Federal credit from page 2, RI Schedule I, line 22..........
9A.
Married filing
B.
RI credit for income taxes paid to other states from page 2, RI Schedule II, line 29..
9B.
separately
$7,800
C.
Other Rhode Island Credits from RI Schedule CR, line 4 ..........................................
9C.
Head of
household
D.
Total RI credits. Add lines 9A, 9B and 9C ............................................................................................................
9D.
$11,700
10.
A.
Rhode Island income tax after credits. Subtract line 9D from line 8 (not less than zero)....................................
10A.
B.
Recapture of Prior Year Other Rhode Island Credits from RI Schedule CR, line 7...............................................
Attach Forms
10B.
W-2 and
11.
RI checkoff contributions from page 2, RI Checkoff Schedule, line 37
11.
(Contributions reduce your refund or increase your balance due.)
1099 here.
12.
USE/SALES tax due from page I-4, line 6 of the Individual Consumer’s Use/Sales Tax Worksheet ...........................
12.
13.
TOTAL RI TAX AND CHECKOFF CONTRIBUTIONS. Add lines 10A, 10B, 11 and 12 .............................................
13.
14.
A.
R h o d e I s l a n d 2 0 1 2 i n c o m e ta x w i t h h e l d f r o m R I S c h e d u l e W, l i n e 2 1 . . .
14A.
(All Forms W-2 and 1099 with RI withholding, AND Schedule W must be attached)
Check
if
B.
2012 estimated tax payments and amount applied from 2011 return.......................... 14B.
extension is
PAYMENTS
attached.
C.
Property tax relief credit from form RI-1040H, line 16 or 23. Attach Form RI-1040H 14C.
AND
PROPERTY
D.
RI earned income credit from page 2, RI Schedule EIC, line 46................................. 14D.
TAX
RELIEF
E.
RI Residential Lead Paint Credit from Form RI-6238, line 7. Attach Form RI-6238 14E.
CREDIT
F.
Other payments............................................................................................................
14F.
G.
TOTAL PAYMENTS AND CREDITS. Add lines 14A, 14B, 14C, 14D, 14E and 14F ........................................... 14G.
AMOUNT
15.
A.
AMOUNT DUE. If line 13 is LARGER than line 14G, subtract line 14G from 13 .......
15A.
DUE
Check
if RI-2210 or RI-2210A is attached and enter underestimating interest due.
B.
15B.
This amount should be added to line 15A or subtracted from line 16, whichever applies.
C.
TOTAL AMOUNT DUE. Add lines 15A and 15B. Complete RI-1040V and send in with your payment .......
15C.
☺
16.
AMOUNT OVERPAID. If line 14G is LARGER than line 13, subtract line 13 from line 14G...................................
16.
If there is an amount due for underestimating interest on line 15B, subtract line 15B from line 16.
REFUND
17.
17.
Amount of overpayment to be refunded........................................................................................................................
18.
Amount of overpayment to be applied to 2013 estimated tax............................................
18.
RETURN MUST BE SIGNED - SIGNATURE LINE IS LOCATED ON PAGE 2
MAILING ADDRESS: RI Division of Taxation - One Capitol Hill - Providence, RI 02908-5806
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