State of Rhode Island Division of Taxation 
      2023 RI Schedule U 
      Individual Consumer’s Use Tax                       23101699990101

Name(s) shown on Form RI-1040 or RI-1040NR                                                                                                                      Your social security number

Individual Consumer’s Use Tax Worksheet
NOTE: When reporting the amount of use tax obligation on the Rhode Island personal income tax return.  The taxpayer shall list either 
the actual amount of use tax due, or an amount using the Rhode Island Use Tax Lookup Table below.  If you know the actual amount of 
all purchases made that are subject to the use tax, use Option #1.  Otherwise, use Option #2.  Be sure to check the box on page 1 of 
your return attesting to the amount of use tax listed on your return.  For more information, see the 1040 instructions at www.tax.ri.gov.
Option #1 - Actual Use Tax Due

1 Enter the total price of purchases subject to the use tax .............................................................................................       1

2 Use tax due.  Multiply line 1 by 7% (0.07)................................................................................................................... 2

3 Enter the amount of sales taxes paid in other states for the purchases on line 1.......................................................                       3

4 Net use tax due. Subtract line 3 from line 2. Enter here and on RI-1040, pg 1, line 12a or RI-1040NR, pg 1, line 15a.                                         4

Option #2 - Rhode Island Use Tax Lookup Table

5 Enter your 2023 Federal AGI from Form RI-1040 or RI-1040NR, page 1, line 1.........................................................                           5

6 Use tax due.  Multiply line 5 by 0.0008 or enter the amount from the Rhode Island Use Tax Lookup Table below.....                                             6

7 In the space below, list the actual amount of each single purchase greater than or equal to $1,000.00
                                   Column A                          Column B                        Column C                        Column D                              Column E 
                            Product Purchased                Product Cost             Tax Due (Cost x 7%)           Sales Tax Paid           Sales Tax Due (Col C - Col D) 

a Purchase #1                                                                                                                                                   7a

b Purchase #2                                                                                                                                                   7b

c Purchase #3                 DRAFT                                                                                                                             7c

d Purchase #4                                                                                                                                                   7d

e Net use tax due on purchases equal to or greater than $1,000.  Add lines 7a, 7b, 7c and 7d.....................................                               7e

8 Use tax due.  Add lines 6 and 7e.  Enter here and on RI-1040, page 1, line 12a or RI-1040NR, page, 1, line 15a....                                            8

                                           USE TAX TABLE
      Federal AGI from RI-1040/NR, line 1 Use Tax Amount Federal AGI from RI-1040/NR, line 1 Use Tax Amount
                                           09/13/2023
              At least    Less than              At least Less than
                       $0     7,850          $5  $47,350  $55,200                                                                                                 $35
              7,850           15,750         10  55,200   63,100                                                                                                    40
              15,750          23,650         15  63,100   71,000                                                                                                    45
              23,650          31,550         20  71,000   78,900                                                                                                    50
              31,550          39,450         25  78,900   86,800                                                                                                    55
              39,450          47,350         30  86,800   94,700                                                                                                    60
              If your Federal AGI is $94,700 or greater, multiply Form RI-1040/NR, line 1 by 0.08% (0.0008)