Form T-69es-Bd - Declaration Of Bank Deposits Estimated Tax - 2013
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1DECLARATION OF BANK DEPOSITS
ESTIMATED TAX VOUCHER INSTRUCTIONS
1. Every financial institution liable for the bank deposits 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.
2. The amounts and due dates of the installments are as follows:
--> 40% by March 15th of the calendar year
--> 60% by June 15th of the calendar 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. 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.
2013
T-69ES-BD
STATE OF RHODE ISLAND
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 9, PROVIDENCE, RI 02908-5811
Calendar Year
DECLARATION OF BANK DEPOSITS ESTIMATED TAX
SECOND ESTIMATE
NAME
1. TOTAL TAX FOR PRIOR
$
0 0
YEAR
ADDRESS
$
0 0
2. ESTIMATED TAX FOR
CURRENT YEAR
T-69ES-BD
CITY, STATE, ZIP CODE
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 JUNE 15TH
Key #10
Title
Date
2013
T-69ES-BD
STATE OF RHODE ISLAND
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 9, PROVIDENCE, RI 02908-5811
Calendar Year
DECLARATION OF BANK DEPOSITS ESTIMATED TAX
FIRST 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-BD
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 MARCH 15TH
Key #10
Title
Date
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