Fillable Form Ri-1065v - Partnership Payment Voucher

2012

RI-1065V

Rhode Island Corporation Tax Payment Voucher

HOW TO PREPARE YOUR PAYMENT

WHAT IS FORM RI-1065V AND DO YOU NEED TO USE IT?

Make your check or money order payable to the "R.I. Division

Form RI-1065V is a statement you send with your payment of

of Taxation." Do not send cash. Make sure the entity’s name

any balance due on line 14 from Form RI-1065. Using Form

and address appear on the check or money order. Write "Form

RI-1065V allows us to more accurately and efficiently process

RI-1065V", daytime phone number and federal employer iden-

your payment. We strongly encourage you to use Form RI-

tification number on the check or money order.

1065V, but there is no penalty for not doing so.

HOW TO FILL IN FORM RI-1065V

HOW TO SEND IN YOUR RETURN, PAYMENT, AND RI-1065V

- Enter the name and addresses as shown on your return.

Retain the top portion of this form for your records. Detach

and return the lower portion with your payment.

DO NOT

- Enter the federal employer identification number in the

staple or otherwise attach your payment of Form RI-1065V to

box provided.

your return or to each other. Instead, just put them loose in

- Enter the calendar year or the fiscal year beginning and

the envelope.

Mail your tax return, payment and Form

ending dates.

RI-1065V to the Rhode Island Division of Taxation - One

Capitol Hill - Providence, RI 02908-5811.

- Enter the amount of the payment being made.

If you are only sending in your payment and Form RI-1065V,

- Have authorized officer or agent sign form.

mail to the Rhode Island Division of Taxation - Dept #89 -

PO Box 9702 - Providence, RI 02940-9702.

Also enter below for your records:

Date Paid

Check Number

Amount

PAYMENT BY CREDIT CARD

ONLINE PAYMENT

Contact the service provider listed on this page and follow

Your voucher payment can be made online.

their instructions. Enter on page 1 of Form RI-1065, in the

For more information, visit:

upper left corner, the confirmation number you were given at

the end of the transaction and the amount of your tax pay-

https://

ment (not including the convenience fee).

If you make your payment online, you do not need to send

Telephone:

1-800-2PAY-TAX (1-800-272-9829)

in this payment voucher form.

Internet:

STATE OF RHODE ISLAND Partnership Payment Voucher

RI-1065V

DIVISION OF TAXATION - DEPT #89 - PO BOX 9702 - PROVIDENCE, RI 02940-9702

For Calendar Year

NAME

Or Taxable Year Beginning

And Ending

ADDRESS

RI-1065V

CITY, STATE, ZIP CODE

FEDERAL EMPLOYER IDENTIFICATION NUMBER

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

Signature of officer or agent

Key #5

Form Ri-1065v - Partnership Payment Voucher - 2012

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