Rhode Island Amended Rhode Island Nonresident Income Tax Return (Discontinued)

Amended Rhode Island Nonresident Income Tax Return (Discontinued)
Microsoft Word - Incentive and Credit Overview for DLT
State of Rhode Island and Providence Plantations

2019 Form RI-1040NR
19100499990101

Nonresident Individual Income Tax Return
Spouse’s social security number

Your social security number
Your first name

MI

Last name

Suffix

Spouse’s name

MI

Last name

Suffix

Address
City, town or post office

State

ZIP code

City or town of legal residence

Check each box
Primary
that applies. Otherwise, leave blank. deceased?
If you want $5.00 ($10.00 if a joint return) to go
ELECTORAL
to this fund, check here. (See instructions. This
Yes
CONTRIBUTION
will not increase your tax or reduce your refund.)

FILING
STATUS

Single

Check one
INCOME,
TAX AND
CREDITS
Rhode
Island
Standard
Deduction
Single
$8,750
Married
filing jointly
or
Qualifying
widow(er)
$17,500
Married
filing
separately
$8,750
Head of
household
$13,100

ð

Married filing
jointly

ð

Spouse
deceased?

If you wish the 1st $2.00 ($4.00 if a joint return) be paid to a specific party, check the
box and fill in the name of the political party. Otherwise, it will be paid to a nonpartisan general account.

Married filing
separately

ð

Head of
household

Qualifying
widow(er)

ð

1

Federal AGI from Federal Form 1040 or 1040-SR, line 8b ..........................................................

1

2

Net modifications to Federal AGI from RI Sch M, line 3. If no modifications, enter 0 on this line.

2

3

Modified Federal AGI. Combine lines 1 and 2 (add net increases or subtract net decreases).....

3

4

RI Standard Deduction from left. If line 3 is over $203,850, see Standard Deduction Worksheet......

4

5

Subtract line 4 from line 3. If zero or less, enter 0........................................................................

5

6

Enter # of exemptions from RI Sch E, line 5 in box, multiply by $4,100 and
enter result on line 6. If line 3 is over $203,850, see Exemption Worksheet

6

7

RI TAXABLE INCOME. Subtract line 6 from line 5. If zero or less, enter 0...................................

7

8

RI income tax from Rhode Island Tax Table or Tax Computation Worksheet...............................

8

9

RI percentage of allowable Federal credit from page 3, RI Sch I, line 25.....................................

9

X $4,100=

10

Rhode Island tax after allowable Federal credit - before allocation. Subtract line 9 from line 8 ... 10

11

RI allocated
income tax.
Check only
one box.

All income is
from RI, enter
amount from line
10 on this line.

Amended
Return? *

New
address?

Nonresident with income from outside RI,
complete Sch II and
enter result on this line.

Part-year resident with
income from outside RI,
complete Sch III and
enter result on this line.

Using a
paper
clip,
12 Other Rhode Island Credits from RI Schedule CR, line 8 .............................................................
please
attach
Forms 13 a Rhode Island income tax after credits. Subtract line 12 from line 11 (not less than zero) ...........
W-2 and
1099
b Recapture of Prior Year Other Rhode Island Credits from RI Schedule CR, line 11....................
here.

11
12
13a
13b

Contributions reduce

14

RI checkoff contributions from page 3, RI Checkoff Schedule, line 33. your refund or increase

14

your balance due

15

USE/SALES tax due from RI Schedule U, line 4 or line 8, whichever applies .............................. 15

16 a TOTAL RI TAX AND CHECKOFF CONTRIBUTIONS. Add lines 13a, 13b, 14 and 15................. 16a

Check ü to certify use tax amount on line 15 is accurate.

RETURN MUST BE SIGNED - SIGNATURE IS LOCATED ON PAGE 2
Mailing address: RI Division of Taxation, One Capitol Hill, Providence, RI 02908-5806

* If filing an amended return, attach the Explanation of Changes supplemental page

ð

State of Rhode Island and Providence Plantations

2019 Form RI-1040NR
19100499990102

Nonresident Individual Income Tax Return - page 2

Your social security number

Name(s) shown on Form RI-1040 or RI-1040NR

16 b TOTAL RI TAX AND CHECKOFF CONTRIBUTIONS from line 16a............................................................... 16b
17 a RI 2019 income tax withheld from RI Schedule W, line 16. You must
17a
attach Sch W AND all W-2 and 1099 forms with RI withholding. ...........
b 2019 estimated tax payments and amount applied from 2018 return .... 17b
c Nonresident withholding on real estate sales in 2019............................ 17c
d RI earned income credit from page 3, RI Schedule EIC, line 38............ 17d
e Other payments...................................................................................... 17e
f TOTAL PAYMENTS AND CREDITS. Add lines 17a, 17b, 17c, 17d and 17e................................................ 17f

g Previously issued overpayments (if filing an amended return)...................................................................... 17g
h NET PAYMENTS. Subtract line 17g from line 17f........................................................................................ 17h
18 a AMOUNT DUE. If line 16b is LARGER than line 17h, subtract line 17h from line 16b................................. 18a
b Enter the amount of underestimating interest due from Form RI-2210 or RI-2210A. (attach form)
18b
This amount should be added to line 18a or subtracted from line 19, whichever applies.............................
c TOTAL AMOUNT DUE. Add lines 18a and 18b. Complete RI-1040V and send in with your payment

L
J

18c

19

AMOUNT OVERPAID. If line 17h is LARGER than line 16b, subtract line 16b from line 17h. If there
is an amount due for underestimating interest on line 18b, subtract line 18b from line 19..................

20

Amount of overpayment to be refunded........................................................................................................ 20

21

Amount of overpayment to be applied to 2020 estimated tax................ 21

19

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
Your signature
Your driver’s license number and state
Date
Telephone number
Spouse’s signature
Paid preparer signature
Paid preparer address

Spouse’s driver’s license number and state
Print name
City, town or post office

State

Date

Telephone number

Date

Telephone number

ZIP code

PTIN

May the Division of Taxation contact your preparer? YES

Revised
09/2019

State of Rhode Island and Providence Plantations

2019 Form RI-1040NR
19100499990103

Nonresident Individual Income Tax Return - page 3

Your social security number

Name(s) shown on Form RI-1040 or RI-1040NR

RI SCHEDULE I - ALLOWABLE FEDERAL CREDIT
22

RI income tax from page 1, line 8 ................................................................................................................... 22

23

Credit for child and dependent care expenses from Federal Form 1040 or 1040-SR, Schedule 3, line 2.....

24

Tentative allowable federal credit. Multiply line 23 by 25% (0.2500).............................................................. 24

25

MAXIMUM CREDIT. Line 22 or 24, whichever is SMALLER. Enter here and on page 1, line 9......................... 25

23

RI SCHEDULE II AND III - ALLOCATION AND MODIFICATION FOR NONRESIDENTS
Schedule II should be completed by NONRESIDENTS with income from outside Rhode Island.
RI Schedule II is located on page 11.
Schedule III should be completed by PART-YEAR RESIDENTS with income from outside Rhode Island.
RI Schedule III is located on page 13.
NONRESIDENTS and PART-YEAR RESIDENTS with all income from Rhode Island sources do not need
to complete either schedule II or III.

RI CHECKOFF CONTRIBUTIONS SCHEDULE
$1.00

$5.00

$10.00 Other

26

Drug program account RIGL §44-30-2.4 ............

27

Olympic Contribution RIGL §44-30-2.1 ....... Yes

28

RI Organ Transplant Fund RIGL §44-30-2.5 ......

28

29

RI Council on the Arts RIGL §42-75.1-1 .............

29

30

26
$1.00 contribution ($2.00 if a joint return)

RI Nongame Wildlife Fund RIGL §44-30-2.2 .....

27

30

31

Childhood Disease Victim’s Fund RIGL §44-30-2.3
and Substance Use and Mental Health Leadership
Council of RI RIGL §44-30-2.11 ...............................

31

32

RI Military Family Relief Fund RIGL §44-30-2.9 ....

32

33

TOTAL CONTRIBUTIONS. Add lines 26 through 32. Enter here and on RI-1040NR, page 1, line 14............... 33

RI SCHEDULE EIC - RHODE ISLAND EARNED INCOME CREDIT
34

Federal earned income credit from Federal Form 1040 or 1040-SR, line 18a................................................ 34

35

Rhode Island percentage ................................................................................................................................ 35

36

RI EARNED INCOME CREDIT. Multiply line 34 by line 35 ............................................................................ 36

37

Rhode Island allocation from RI-1040NR, page 11, Schedule II, line 13 or RI-1040NR, page 13, Schedule
37
III, line 14. If all income is from RI, enter 1.0000.............................................................................................

38

TOTAL RI EARNED INCOME CREDIT. Multiply line 36 by line 37. Enter here and on RI-1040NR, pg 2,
line 17d...........................................................................................................................................................

38

15%

State of Rhode Island and Providence Plantations

2019 RI Schedule W

19101099990101

Rhode Island W-2 and 1099 Information - Page 4

Your social security number

Name(s) shown on Form RI-1040 or RI-1040NR

Complete this Schedule listing all of your and, if applicable, your spouse’s W-2s and 1099s showing Rhode Island Income Tax
withheld. W-2s or 1099s showing Rhode Island Income Tax withheld must still be attached to the front of your return.
Failure to do so may delay the processing of your return.
ATTACH THIS SCHEDULE W TO YOUR RETURN
Column A

Column B

Enter “S”
if Spouse’s
W-2 or 1099

Enter 1099
letter code
from chart

Column C

Column D

Column E

Rhode Island Income Tax
Employer’s Name from Box C of your W- Employer’s state ID # from
box 15 of your W-2 or Payer’s Withheld (SEE BELOW
2 or Payer’s Name from your Form 1099 Federal ID # from Form 1099
FOR BOX REFERENCES)

1
2
3
4
5
6
7

8
9
10
11
12
13
14
15
16

Total RI Income Tax Withheld. Add lines 1 through 15, Col. E. Enter total here and on RI-1040, line 14a or
RI-1040NR, line 17a.................................................................................................................................................

17 Total number of W-2s and 1099s showing Rhode Island Income Tax Withheld ......................................................

Schedule W Reference Chart
Form Type

Letter Code Withholding
for Column B
Box

Form Type

Letter Code Withholding
for Column B
Box

Form Type

Letter Code Withholding
for Column B
Box

W-2

17

1099-DIV

D

15

1099-MISC

M

16

W-2G

15

1099-G

G

11

1099-OID

O

14

1042-S

S

17a

1099-INT

I

17

1099-R

R

12

1099-B

B

16

1099-K

K

8

RI-1099PT

P

9

RI-1099E

E

9

State of Rhode Island and Providence Plantations

2019 RI Schedule E
Exemption Schedule for RI-1040 and RI-1040NR
Name(s) shown on Form RI-1040 or RI-1040NR

19105999990101

Your social security number

EXEMPTIONS
Complete this Schedule listing all individuals you can claim as a dependent.
ATTACH THIS EXEMPTION SCHEDULE TO YOUR RETURN
Failure to do so may delay the processing of your return.
1a

Yourself

b

Spouse
(A) Name of Dependent

(B) Social Security Number

(C) Date of Birth

(D) Relationship

2a
b
c
d
e
f
g
h
i
j
k
l
m

Exemption Number Summary
3

Enter the number of boxes checked on lines 1a and 1b ........................................................

4a

Enter the number of children from lines 2a through 2m who lived with you ........................... 4a

b

Enter the number of children from lines 2a through 2m who did not live with you due to
4b
divorce or separation ................................... ..........................................................................

c

Enter the number of other dependents from lines 2a through 2m not included on lines 4a or 4b.

4c

Add the numbers from lines 3 through 4c. Enter here and in the box on RI-1040/NR, pg 1, line 6 .

5

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