DECLARATION OF BANKING INSTITUTION EXCISE
ESTIMATED TAX VOUCHER INSTRUCTIONS
1. Every financial institution liable for the bank excise tax shall file a declaration of its estimated tax for the calendar year if its estimated
tax for such taxable year can reasonably be expected to exceed $500.00. The entire amount of such estimated tax shall constitute
the amount of advance required to be paid.
2. The amounts and due dates of the installments are as follows: --> 40% by 15th day of the 3rd month of the taxable year
--> 60% by 15th day of the 6th month of the taxable year
3. Every financial institution is subject to an assessment of 18% per annum for underpayments and penalties for the willful neglect or
failure to file a declaration or pay any installment due thereunder.
4. When there is not an increase in the tax rate from one year to the next, no interest or penalty will occur for underestimated tax
payment if prepayments are made equal to the prior year’s tax.
5. Mail voucher and payment to:
RI Division of Taxation
One Capitol Hill - Suite 9
Providence, RI 02908-5811
Payments can be made online. For more information, visit: https://
If your estimate is zero or you make your payment online, you do not need to send in this estimated tax form.
T-69ES-BE
STATE OF RHODE ISLAND
2013
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 9, PROVIDENCE, RI 02908-5811
DECLARATION OF BANKING INSTITUTION EXCISE ESTIMATED TAX
SECOND ESTIMATE
NAME
1. TOTAL TAX FOR PRIOR
$
0 0
YEAR
ADDRESS
$
2. ESTIMATED TAX FOR
0 0
CURRENT YEAR
CITY, STATE, ZIP CODE
T-69ES-BE
0 0
$
3. 60% OF LINE 2
FEDERAL EMPLOYER IDENTIFICATION NUMBER
4. LESS AMOUNT FROM
0 0
$
PRIOR YEAR CREDITED
TO THIS PAYMENT
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.
5. PAYMENT DUE WITH THIS
$
0 0
VOUCHER
Signature of officer or agent
AMOUNT ON LINE 5 IS DUE AND PAYABLE ON OR BEFORE THE
Key #11
FIFTEENTH DAY OF THE SIXTH MONTH OF THE TAXABLE YEAR
Title
Date
T-69ES-BE
STATE OF RHODE ISLAND
2013
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 9, PROVIDENCE, RI 02908-5811
DECLARATION OF BANKING INSTITUTION EXCISE ESTIMATED TAX
FIRST ESTIMATE
NAME
1. TOTAL TAX FOR PRIOR
$
0 0
YEAR
ADDRESS
$
0 0
2. ESTIMATED TAX FOR
CURRENT YEAR
T-69ES-BE
CITY, STATE, ZIP CODE
0 0
$
3. 40% OF LINE 2
FEDERAL EMPLOYER IDENTIFICATION NUMBER
4. LESS AMOUNT FROM
0 0
$
PRIOR YEAR CREDITED
TO THIS PAYMENT
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.
5. PAYMENT DUE WITH THIS
$
0 0
VOUCHER
Signature of officer or agent
AMOUNT ON LINE 5 IS DUE AND PAYABLE ON OR BEFORE THE
Key #11
FIFTEENTH DAY OF THE THIRD MONTH OF THE TAXABLE YEAR
Title
Date