Form Ri-1120pol-Ext - Automatic Six Month Extension Request

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VOUCHER INSTRUCTIONS
EXTENSION REQUEST VOUCHER:
To be used by a corporation for requesting an automatic six (6) month extension of time for filing a Rhode
Island Political Organization Tax Return, Form RI-1120POL.
TO BE EFFECTIVE:
1. Payment of the full amount of the tax reasonably estimated to be due must be submitted with this request.
2. This form must be completed and filed before the date prescribed for payment of the tax.
3. This form must be signed by a person authorized to represent the corporation in this matter.
NOTE:
The extension of time is limited to:
1. The date requested, or
2. The date on which a certificate of good standing is required to be issued, whichever is earlier.
STATE OF RHODE ISLAND
RI-1120POL-EXT
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 9, PROVIDENCE, RI 02908-5811
AUTOMATIC SIX MONTH EXTENSION REQUEST
YOUR COPY
For Calendar Year
1120
Or Taxable Year Beginning
And Ending
DO NOT FILE THIS COPY WITH THE
ESTIMATED TAX
$
0 0
RHODE ISLAND DIVISION OF TAXATION
POL
CURRENT YEAR
NAME OF ORGANIZATION
AMOUNT PAID AND
$
0 0
CREDITED TO DATE
Extension
FEDERAL EMPLOYER IDENTIFICATION NUMBER
AMOUNT DUE
$
0 0
WITH EXTENSION
I declare, under the penalties of perjury, that this document has been examined by me and,
to the best of my knowledge and belief, is true, and complete.
AMOUNT
$
0 0
ENCLOSED
Key #78
Signature of Officer or Agent.
STATE OF RHODE ISLAND
RI-1120POL-EXT
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 9, PROVIDENCE, RI 02908-5811
AUTOMATIC SIX MONTH EXTENSION REQUEST
For Calendar Year
NAME OF ORGANIZATION
Or Taxable Year Beginning
And Ending
1120
ADDRESS
ESTIMATED TAX
$
0 0
CURRENT YEAR
CITY, STATE, ZIP CODE
POL
AMOUNT PAID AND
$
0 0
CREDITED TO DATE
FEDERAL EMPLOYER IDENTIFICATION NUMBER
AMOUNT DUE
$
0 0
Extension
WITH EXTENSION
I declare, under the penalties of perjury, that this document has been examined by me and,
to the best of my knowledge and belief, is true, and complete.
AMOUNT
$
0 0
ENCLOSED
Key #78
Signature of Officer or Agent.

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