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4 State of Rhode Island Division of Taxation 4
5 Form RI-STR 5
6 Sales and Use Tax Return 23128099990101 6
7 7
8 8
Name Account identification number
9 9
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999999999 10
11 Address For the period ending: 11
Amended
12 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 12/31/2022 Return 12
13 Address 2 NAICS code 13
14 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 9999999999 14
15 City, town or post office State ZIP code E-mail address 15
16 XXXXXXXXXXXXXXXXXXXXXXXXX XX 99999 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 16
17 17
18 Computation of Tax 18
19 19
20 1 Gross Sales for the Period................................................................................................................................. 1 9999999999 99 20
21 21
22 2 a Resale............................................................................................................ 2a 9999999999 99 22
23 23
24 b Interstate Sales.............................................................................................. 2b 9999999999 99 24
25 25
26 c Non-Taxable Sales and Services................................................................... 2c 9999999999 99 26
27 27
28 d Exempt Organizations.................................................................................... 2d 9999999999 99 28
29 29
______________________________________________
30 GROSS SALES & EXEMPTIONS e Other (Specify): 999999999999999999999999999 2e 9999999999 99 30
31 31
32 3 Total Deductions (Add lines 2a through 2e)....................................................................................................... 3 9999999999 99 32
33 33
34 4 Taxable Sales (Line 1 less line 3)....................................................................................................................... 4 9999999999 99 34
35 35
36 5 Total Trust Fund Sales Tax Due and Required to be Remitted (“Sales Tax”) (Multiply line 4 by 7%)................. 5 9999999999 99 36
37 37
38 6 Total Use Tax Due (From Use Tax Worksheet in Instructions)........................................................................... 6 9999999999 99 38
39 39
40 7 Total Sales Tax and Use Tax Due (Add lines 5 and 6)....................................................................................... 7 9999999999 99 40
41 41
42 8 a Prepaid Sales Tax (Licensed Cigarette Dealers Only)................................... 8a 9999999999 99 42
43 43
b Other (Specify): 8b
44 CREDITS & TAX DUE 999999999999999999999999999______________________________________________ 9999999999 99 44
45 45
46 9 Total Credits (Add lines 8a and 8b).................................................................................................................... 9 9999999999 99 46
47 47
48 10 Amount Due (Line 7 less line 9)......................................................................................................................... 10 9999999999 99 48
49 49
50 50
51 51
52 52
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
53 belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. 53
54 Authorized officer signature Print name Date Telephone number 54
55 55
56 Paid preparer signature Print name Date Telephone number 56
57 57
58 58
59 Paid preparer address City, town or post office State ZIP Code PTIN 59
60 P99999999 60
61 61
62 May the Division of Taxation contact your preparer? YES 62
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10/2022