Form Wtd - Withholding Tax Return
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1WITHHOLDING TAX RETURN
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
DAILY
DIVISION OF TAXATION - DEPT#200 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
TEMPORARY
Use in lieu of preprinted coupon booklet
WTD
NAME
ADDRESS
FEDERAL
IDENTIFICATION
NUMBER
CITY, STATE, ZIP CODE
DATE PAYROLL
WAS PAID
TAX AMOUNT
I HEREBY CERTIFY THAT THIS RETURN TO THE BEST OF MY KNOWLEDGE AND
,
,
.
DUE AND PAID
BELIEF IS A TRUE, CORRECT AND COMPLETE RETURN.
SIGNATURE OF OWNER, PARTNER OR AUTHORIZED AGENT
TITLE
DATE
WITHHOLDING TAX RETURN
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
DAILY
DIVISION OF TAXATION - DEPT#200 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
TEMPORARY
Use in lieu of preprinted coupon booklet
WTD
NAME
ADDRESS
FEDERAL
IDENTIFICATION
NUMBER
CITY, STATE, ZIP CODE
DATE PAYROLL
WAS PAID
TAX AMOUNT
I HEREBY CERTIFY THAT THIS RETURN TO THE BEST OF MY KNOWLEDGE AND
,
,
.
DUE AND PAID
BELIEF IS A TRUE, CORRECT AND COMPLETE RETURN.
TITLE
SIGNATURE OF OWNER, PARTNER OR AUTHORIZED AGENT
DATE
STATE OF RHODE ISLAND AND PROVIDENCE PLANTATIONS
DEPARTMENT OF REVENUE
DIVISION OF TAXATION
INSTRUCTIONS FOR PREPARING DAILY RETURN
DUE ON THE NEXT BANKING DAY AFTER THE PAYROLL IS PAID
GENERAL INSTRUCTIONS
WHO MUST USE THIS FORM
a. Enter the employer’s name and address in the appropriate sections above.
This form must be used by employers who withhold $24,000.00 or more from employ-
ees’ wages for any calendar month.
b. Enter the employer’s Federal Identification Number in the section marked “FEDERAL
IDENTIFICATION NUMBER”.
Consecutive returns for each payroll paid accounting for all taxes withheld during the
year must be filed by an employer required to report daily. If no tax was withheld during
c. Enter the date payroll was paid in the section marked “DATE PAYROLL WAS PAID”.
a particular quarter, a return is still required to be filed for such quarter. In this case,
Returns and remittances should be for all income taxes withheld from wages paid.
enter $0 in the “TAX AMOUNT DUE AND PAID” box.
d. Enter the amount withheld and remitted in the section marked “TAX AMOUNT DUE
An annual reconciliation of tax withheld must be filed by the employer with the Division
AND PAID”.
of Taxation on or before February 28th.
e. The return must be signed. The person signing must also identify themselves as
Change from a daily return basis will be permitted only at the beginning of a calendar
“owner”, “partner”, or in the case of a corporation, “treasurer” etc.
year and must be requested in writing before November 1st.
Electronic Funds Transfer (EFT) is mandated for some taxpayers. Both ACH credit and ACH debit methods are available. For information or authorization
on Electronic Funds Transfer, please call (401) 574-8732 or (401) 574-8901 . You can also visit for more information.
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