Form Ri-1040v - State Of Rhode Island Payment Voucher - 2012
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RI-1040V
Rhode Island Return Payment Voucher
WHAT IS FORM RI 1040V AND DO YOU NEED TO USE IT?
HOW TO PREPARE YOUR PAYMENT
Make your check or money order payable to the "R.I. Division
It is a statement you send with your payment of any
of Taxation." Do not send cash. Make sure the name and
balance due on line 15C of your Form RI-1040 or line 18C of your
address appears on the check or money order. Write "Form RI-
Form RI-1040NR. Using Form RI-1040V allows us to process
1040V," daytime phone number and social security number on
your payment more accurately and efficiently.
We strongly
your check or money order.
encourage you to use Form RI-1040V, but there is no penalty if
you do not do so.
HOW TO FILL IN FORM RI-1040V
HOW TO SEND IN YOUR RETURN, PAYMENT, AND RI-1040V
RI-1040V
STATE OF RHODE ISLAND Payment Voucher
2012
DIVISION OF TAXATION - DEPT#85 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
Retain the top portion of this form for your records. Detach and
return the lower portion with your payment. DO NOT staple or
DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT
otherwise attach your payment or Form RI-1040V to your return
NAME
3
1
or to each other. Instead, just put them loose in the envelope.
ADDRESS
Mail your tax return to the Rhode Island Division of Taxation,
RI-1040V
CITY, STATE & ZIP CODE
3
2
One Capitol Hill, Providence, RI 02908-5806. Mail your pay-
SOCIAL SECURITY NUMBER
0 0
4. ENTER
$
ment and Form RI-1040V to the Rhode Island Division of
AMOUNT
SPOUSE'S SOCIAL SECURITY NUMBER
ENCLOSED
Taxation, Dept#85, PO Box 9703, Providence, RI 02940-9703.
Box 1. Enter your name(s) and address as shown on your
return.
PAYMENT BY CREDIT CARD
Box 2. Enter your social security number and your spouse’s
social security number (if making a joint payment) in the
boxes provided.
Box 3. Enter the amount of the payment you are making.
Also, enter below for your records.
Date Paid
Check Number
Amount
Contact the service provider listed on this page and follow their
Form RI-1040 or RI-1040NR
instructions. Enter on page 1 of
, in
the upper left corner, the confirmation number you were given at
the end of the transaction and the amount of your tax payment
(not including the convenience fee).
Telephone: 1-800-2PAY-TAX (1-800-272-9829)
Internet:
DETACH VOUCHER AT PERFORATION TO MAIL IN WITH YOUR PAYMENT
STATE OF RHODE ISLAND Payment Voucher
RI-1040V
2012
DIVISION OF TAXATION - DEPT#85 - PO BOX 9703 - PROVIDENCE, RI 02940-9703
DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT OR YOUR RETURN
1. Name(s)
Address
RI-1040V
City
State
ZIP Code
2. Your social security number
3. ENTER
$
Spouse’s social security number, if joint payment
0 0
AMOUNT
ENCLOSED
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