RI-4868PT
Rhode Island Application for Automatic Extension of Time To
2012
File a Rhode Island Pass-through Withholding Return
You can use Form RI-4868 PT to obtain an automatic 6 month
ADDITIONAL INFORMATION
extension 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
employer 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 form.
Mail the extension form and payment to the Rhode Island Division
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
Island tax for the year 2012.
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, 2013
for a calendar year entity).
4. Pay the amount of Rhode Island tax due as calculated on Form
RI-4868PT by April 15, 2013.
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 HERE AND MAIL WITH YOUR PAYMENT
RHODE ISLAND APPLICATION FOR AUTOMATIC 6 MONTH EXTENSION OF
2012
RI-4868PT
TIME TO FILE RHODE ISLAND PASS-THROUGH WITHHOLDING RETURN
RI DIVISION OF TAXATION - ONE CAPITOL HILL, PROVIDENCE, RI 02908-5807
NAME
Enter tentative tax computation
A.
Tentative RI income tax
ADDRESS
Total payments
B.
RI-4868PT
CITY, STATE & ZIP CODE
C.
BALANCE DUE
(line A less line B)
FEDERAL EMPLOYER IDENTIFICATION NUMBER
ENTER
$
0 0
AMOUNT
ENCLOSED