Form Bus-Est - Rhode Island Business Tax Estimated Payment Form

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State of Rhode Island and Providence Plantations
Form BUS-EST
Business Tax Estimated Payment Form
Name
Federal employer identification number
Address
For the period ending:
Address 2
City, town or post office
State
ZIP code
E-mail address
1st estimate is due by the 15th day of the third month of the taxable year; 2nd estimate is due by the 15th day of the sixth month of the taxable year
Part 1: Declaration of estimated tax
Check the box next to the form for which you are making an estimated payment. Check only one box.
Form T-71 - Rhode Island Gross Premium Insurance - Key #13
Form T-72 - Rhode Island Public Service Corporation Gross Earnings - Key #22
Form T-74 - Rhode Island Banking Institution Excise - Key #11
Form T-86 - Rhode Island Bank Deposits - Key #10
Mail voucher and payment to:
RI Division of Taxation
One Capitol Hill - Suite 9
Providence, RI 02908-5811
Part 2: Amount due with estimate
Total tax from prior year...........................................................................................................
1
1
Estimated tax due for the current year.....................................................................................
2
2
Estimated tax payment due (40% for first estimate, 60% for second estimate)......................
3
3
Overpayment carried forward from prior year being applied to this payment..........................
4
4
Amount due with this estimate. Subtract line 4 from line 3.....................................................
5
5
Payments can be made online. For more information, visit: https://
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Authorized officer signature
Print name
Date
Telephone number
Paid preparer signature
Print name
Date
Telephone number
Paid preparer address
City, town or post office
State
ZIP Code
PTIN
May the Division of Taxation contact your preparer? YES
Revised 10/2013

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