Form Ri-1040x-Nr - Amended Nonresident Individual Income Tax Return - 2014
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1
2State of Rhode Island and Providence Plantations
2014 Form RI-1040X-NR
14103699990101
Amended 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
Are you filing an amended federal income tax return?
Have you been advised your federal income tax return is under examination?
Yes
Yes
Single
Married filing jointly
Married filing separately
Head of household
Qualifying widow(er)
FILING STATUS
On Original Return
On this amended return
A. Originally reported
B. Net amount
C. Correct amount
1
Federal AGI (Adjusted gross income)......................................
1
2
Modifications from RI Schedule M, line 3 ................................
2
3
Modified Federal AGI. Combine lines 1 and 2 ........................
3
4
RI Standard Deduction (see instructions)................................
4
5
Subtract line 4 from line 3........................................................
5
6
Exemptions. Enter federal exemptions in box,
multiply by $3,800
and enter result on line 6. If line 3 is over $189,700, see instructions
6
7
RI TAXABLE INCOME. Subtract line 6 from line 5................
7
8
8
RI income tax from RI Tax Table or Tax Computation Worksheet.........
9
RI percentage of allowable Federal credit: RI-1040NR, pg 2, line 25......
9
10
10
RI tax after allow federal credit - before allocation................................
Nonresident with income from outside
Part-year resident with income from
11
RI allocated income tax
All income is from RI, enter the
(check only one box)
amount from line 10 on this line
RI, complete RI-1040NR, Sch II
outside RI, complete RI-1040NR, Sch III
11
12
12
Other Rhode Island Credits from RI Schedule CR, line 4 ....................
RI income tax after credits. Subtract line 12 from line 11
13
13a
a
(not less than zero)
b
13b
Recapture of Prior Year Other RI Credits from RI Schedule CR, line 7
14
RI checkoff contributions: RI-1040NR, pg 2, RI Checkoff Schedule, line 33
14
15
15
USE/SALES tax due: RI Schedule U, line 4 or line 8, whichever applies
16
16
Total RI tax and checkoff contributions. Add lines 13a, 13b, 14 and 15
17
17a
a
RI 2014 income tax withheld from RI Schedule W, line 16....................
17b
2014 estimated tax payments and 2013 carryforward..........................
c
Nonresident withholding on real estate sales in 2014.............
17c
d
RI earned income credit..........................................................
17d
e
Other payments...........................................................................................................................................................
17e
f
Total. Add lines 17a, 17b, 17c, 17d and 17e............................................................................................................... 17f
g
Overpayment allowed on original return...................................................................................................................... 17g
Total payments after overpayment. Subtract line 17g from line 17f............................................................................ 17h
h
AMOUNT DUE. If line 16 is LARGER than line 17h, subtract line 17h from line 16............................................
18a
18
a
L
b
Interest due on amount on line 18a. See instructions for interest calculation .........................................
18b
c
TOTAL AMOUNT DUE. Add lines 18a and 18b. Complete RI-1040V and send in with your payment............
18c
19
19
AMOUNT OVERPAID. If line 17h is LARGER than line 16, subtract line 16 from line 17h...............................
☺
20
Amount of overpayment to be refunded..........................................................................................................
20
Amount of overpayment to be applied to 2015 estimated tax.........................................................................
21
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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