Form Ri-1040es - State Of Rhode Island Estimated Payment Coupon - 2014 Page 3
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32014
RI-1040ES
STATE OF RHODE ISLAND ESTIMATED PAYMENT COUPON
DIVISION OF TAXATION - DEPT#83 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
YOUR SOCIAL SECURITY NUMBER
Return this coupon with check or money order
DUE DATE
payable to: Rhode Island Division of Taxation,
SEPTEMBER 15,
SPOUSE’S SOCIAL SECURITY NUMBER ,
IF JOINT PAYMENT
Dept #83, PO Box 9703
2014
Providence, RI 02940-9703.
NAME
ITE
ADDRESS
CITY, STATE & ZIP CODE
1. ENTER
AMOUNT
$
0 0
DUE AND
PAID
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
DETACH HERE AND MAIL WITH YOUR PAYMENT
2014
RI-1040ES
STATE OF RHODE ISLAND ESTIMATED PAYMENT COUPON
DIVISION OF TAXATION - DEPT#83 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
YOUR SOCIAL SECURITY NUMBER
Return this coupon with check or money order
DUE DATE
payable to: Rhode Island Division of Taxation,
SPOUSE’S SOCIAL SECURITY NUMBER ,
IF JOINT PAYMENT
Dept #83, PO Box 9703
JUNE 15, 2014
Providence, RI 02940-9703.
NAME
ITE
ADDRESS
CITY, STATE & ZIP CODE
1. ENTER
$
AMOUNT
0 0
DUE AND
PAID
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
DETACH HERE AND MAIL WITH YOUR PAYMENT
2014
RI-1040ES
STATE OF RHODE ISLAND ESTIMATED PAYMENT COUPON
DIVISION OF TAXATION - DEPT#83 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
Return this coupon with check or money order
YOUR SOCIAL SECURITY NUMBER
payable to: Rhode Island Division of Taxation,
DUE DATE
Dept #83, PO Box 9703
SPOUSE’S SOCIAL SECURITY NUMBER,
IF JOINT PAYMENT
APRIL 15, 2014
Providence, RI 02940-9703.
Please do not send cash with this coupon.
NAME
NAME
ITE
ADDRESS
ADDRESS
CITY, STATE & ZIP CODE
CITY, STATE & ZIP CODE
1. ENTER
AMOUNT
$
0 0
DUE AND
PAID
FILE ONLY IF YOU ARE MAKING A PAYMENT OF ESTIMATED TAX
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