Form Ri-1040nr - Nonresident Individual Income Tax Return - 2014
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1
2State of Rhode Island and Providence Plantations
2014 Form RI-1040NR
14100499990101
Nonresident Individual Income Tax Return
Your name
Deceased?
Your social security number
Yes
Spouse’s name
Deceased?
Spouse’s social security number
Yes
Address
New address?
Daytime phone number
Yes
City, town or post office
State
ZIP code
City or town of legal residence
ELECTORAL
If you want $5.00 ($10.00 if a joint return) to go
If you wish the 1st $2.00 ($4.00 if a joint return) to be paid to a specific
CONTRIBUTION
party, check the box and fill in the name of the political party. Otherwise, it
to this fund, check here. (See instructions. This
Yes
will be paid to a nonpartisan general account.
will not increase your tax or reduce your refund.)
1
Single
3
Married filing separately
5
Qualifying widow(er)
FILING
Check only
one box
STATUS
2
4
Married filing jointly
Head of household
1
1
INCOME,
Federal AGI from Federal Form 1040, line 37; 1040A, line 21 or 1040EZ, line 4........................................
TAX AND
2
Net modifications to Federal AGI from RI Schedule M, line 3. If no modifications, enter zero on this line.
2
CREDITS
3
Modified Federal AGI. Combine lines 1 and 2 (add net increases or subtract net decreases)...................
3
4
4
Rhode
Deductions. RI Standard Deduction (left margin). If line 3 is over $189,700, see Standard Deduction Worksheet..........
Island
5
Subtract line 4 from line 3............................................................................................................................
5
Standard
6
Exemptions. Enter federal exemptions in box, multiply by $3,800 and enter result
Deduction
Single
on line 6. If line 3 is over $189,700, see Exemption Worksheet on page i..............
X $3,800 =
6
$8,100
RI TAXABLE INCOME. Subtract line 6 from line 5....................................................................................
7
7
Married
8
RI income tax from Rhode Island Tax Table or Tax Computation Worksheet..............................................
8
filing jointly
or
9
RI percentage of allowable Federal credit from page 2, RI Sch I, line 25...................................................
9
Qualifying
10
Rhode Island tax after allowable Federal credit - before allocation. Subtract line 9 from line 8 (not less than zero)
10
widow(er)
A
N
P
$16,250
RI allocated
ll income is
onresident with income
art-year resident with
income tax.
Married
from RI, enter
from outside RI, complete
income from outside RI,
Check only
amount from line
page 7, Sch II and enter
complete page 9, Sch III
filing
one box.
10 on this line.
result on this line.
and enter result on this line.
11
separately
$8,100
12
Other Rhode Island Credits from RI Schedule CR, line 4 ..........................................................................
12
Head of
13
a
Rhode Island income tax after credits. Subtract line 12 from line 11 (not less than zero)..........................
13a
household
b
Recapture of Prior Year Other Rhode Island Credits from RI Schedule CR, line 7.....................................
13b
$12,200
Contributions reduce your refund
14
RI checkoff contributions from page 2, RI Checkoff Schedule, line 33.......
..............
14
or increase your balance due.
15
USE/SALES tax due from page 12, RI Schedule U, line 4 or line 8, whichever applies.............................
TOTAL RI TAX AND CHECKOFF CONTRIBUTIONS. Add lines 13a, 13b, 14 and 15.............................
16
17
a
R I 2 01 4 i nc o me ta x wi th h el d fr om RI S che d u le W, l ine 16....
PAYMENTS
Check ü to certify
(Attach all Forms W-2 and 1099 with RI withholding, AND Sch W )
17a
use tax amount on
b
2014 estimated tax payments and amount applied from 2013 return.....
17b
Attach
line 15 is accurate.
Forms W-2
c
Nonresident withholding on real estate sales in 2014............................. 17c
and 1099
Check ü if
d
RI earned income credit from page 2, RI Schedule EIC, line 42............. 17d
here.
extension is
e
Other payments.......................................................................................
17e
attached.
TOTAL PAYMENTS AND CREDITS. Add lines 17a, 17b, 17c, 17d and 17e............................................. 17f
f
AMOUNT
AMOUNT DUE. If line 16 is LARGER than line 17f, subtract line 17f from line 16 18a
18
a
DUE
Check ü
if RI-2210 or RI-2210A is attached and enter underestimating interest due.
b
This amount
18b
should be added to line 18a or subtracted from line 19, whichever applies.
L
18c
c
TOTAL AMOUNT DUE. Add lines 18a and 18b. Complete RI-1040V and send in with your payment
19
REFUND
AMOUNT OVERPAID. If line 17f is LARGER than line 16, subtract line 16 from line 17f. If there is
☺
an amount due for underestimating interest on line 18b, subtract line 18b from line 16.
19
20
Amount of overpayment to be refunded......................................................................................................
20
21
Amount of overpayment to be applied to 2015 estimated tax.................
21
RETURN MUST BE SIGNED - SIGNATURE IS LOCATED ON PAGE 2
Mailing address: RI Division of Taxation, One Capitol Hill, Providence, RI 02908-5806
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