Form T-74ext - Banking Institution Excise Tax - Automatic Six Month Extension Request
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1VOUCHER INSTRUCTIONS
EXTENSION REQUEST VOUCHER:
To be used by a banking institution for requesting an automatic six (6) month extension of time for filing a
Rhode Island Banking Institution Excise Tax Return - Form T-74.
TO BE EFFECTIVE:
1. Payment of the full amount of the tax reasonably estimated to be due must be submitted with this request.
2. This form must be completed and filed before the date prescribed for payment of the tax.
3. This form must be signed by a person authorized to represent the corporation in this matter.
NOTE:
The extension of time is limited to:
1. The date requested, or
2. The date on which a certificate of good standing is required to be issued, whichever is earlier.
ONLINE PAYMENT
Your extenstion payment can be made online. For more information, visit:
https://
If you make your payment online, you do not need to send in this extension request form.
STATE OF RHODE ISLAND
T-74EXT
BANKING INSTITUTION EXCISE TAX - AUTOMATIC SIX MONTH EXTENSION REQUEST
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 9, PROVIDENCE, RI 02908-5811
YOUR COPY
For Calendar Year
Or Taxable Year Beginning
And Ending
DO NOT FILE THIS COPY
T-74
ESTIMATED TAX
$
0 0
WITH R.I. DIV. OF TAXATION
CURRENT YEAR
NAME
AMOUNT PAID AND
$
0 0
EXT
CREDITED TO DATE
FEDERAL EMPLOYER IDENTIFICATION NUMBER
AMOUNT DUE
$
0 0
WITH EXTENSION
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.
AMOUNT
$
0 0
ENCLOSED
Signature of officer or agent.
STATE OF RHODE ISLAND
T-74EXT
BANKING INSTITUTION EXCISE TAX - AUTOMATIC SIX MONTH EXTENSION REQUEST
DIVISION OF TAXATION * ONE CAPITOL HILL SUITE 9, PROVIDENCE, RI 02908-5811
For Calendar Year
NAME
Or Taxable Year Beginning
And Ending
T-74
ADDRESS
ESTIMATED TAX
$
0 0
CURRENT YEAR
CITY, STATE, ZIP CODE
AMOUNT PAID AND
$
0 0
EXT
CREDITED TO DATE
FEDERAL EMPLOYER IDENTIFICATION NUMBER
AMOUNT DUE
$
0 0
WITH EXTENSION
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.
AMOUNT
$
0 0
ENCLOSED
Key #11
Signature of officer or agent.
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