State of Rhode Island and Providence Plantations
2014 RI Schedule III
14100699990101
Part-year Resident Tax Calculation
Name(s) shown on Form RI-1040NR
Your social security number
THIS SCHEDULE IS ONLY TO BE COMPLETED BY PART-YEAR RESIDENTS.
FULL YEAR NONRESIDENTS COMPLETE PAGE 7, SCHEDULE II.
A part-year resident is a person who changed his legal residence by moving into or out of Rhode Island at any time during
the year 2014. If you are a part-year resident you should complete this schedule. If you did not earn any income outside
the state of Rhode Island while you were living in Rhode Island, complete part 1 below. If any of your income earned while
you were living in Rhode Island was taxed by another state, complete part 1 below and part 2 on page 10.
If at any time during 2014 you were not a legal resident of RI, DO NOT COMPLETE THIS SCHEDULE. Complete page 7, Schedule II.
PART 1: ALLOCATION AND TAX WORKSHEET
Instructions for this schedule can be found on page I-7.
FEDERAL INCOME
RI RESIDENT PERIOD
RI NONRESIDENT PERIOD
Enter the dates you were a RI resident:
Column A
Column B
MM/DD/YYYY
Column C
Column D
________________
From
Income from
Income from Col A
Income from Col A
Income from Col C
MM/DD/YYYY
________________ .
to
Federal Return
from RI Resident time
from NonResident time
from RI sources
Wages, salaries, tips, etc from Fed Form
1
1040 or 1040A, line 7, or 1040EZ, line 1
2
Interest and dividends from Fed Form 1040
or 1040A, lines 8a and 9a, or 1040EZ, line 2
Business income from Federal Form
3
1040, line 12............................................
4
Sale or exchange of property from Federal
Form 1040, lines 13 or 14, or 1040A, line 10
Pension and annuities; rents, royalties,
5
etc. from Federal Form 1040, lines 15b,
16b and 17, or 1040A, lines 11b and 12b
6
Farm income from Federal Form 1040,
line 18......................................................
Miscellaneous income from Fed Form
7
1040, lines 10, 11, 19, 20b and 21; 1040A,
lines 13 and 14b; or 1040EZ, line 3............
TOTAL. Add lines 1 through 7 ................
8
9
Adjustments to AGI from Federal Form
1040, line 36, or 1040A, line 20 ..............
10
Adjusted gross income. Subtract line 9
from line 8...............................................
11
Net modifications to Fed AGI from RI-
1040NR, page 5, RI Schedule M, line 3 ..
Modified Fed AGI. Combine lines 10 and
12
11. Amount in column A must equal the
amount on RI-1040NR, page 1, line 3.....
13
TOTAL RI INCOME. Add line 12 from column B and line 12 from column D..................................................................... 13
_ . _ _ _ _
14
Allocation. Divide line 13 by line 12, column A. If line 13 is greater than line 12, column A, enter 1.0000 ....................... 14
15
RI tax after allowable federal credits before allocation from RI-1040NR, page 1, line 10...........................................
15
RI INCOME TAX. Multiply line 15 by line 14. If you have income earned in another state while you were a resident of RI,
16
16
complete part 2 on pg 10. Otherwise, enter tax here and on RI-1040NR, pg 1, line11. Check the Part-year resident box.
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