1111111111222222222233333333334444444444555555555566666666667777777777888
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4       State of Rhode Island Division of Taxation                                                                                                                                        4
5       2023 RI Schedule PTW - 1041                                                                                                                                                       5
6       Pass-through Withholding Transmittal Schedule                                                                   23106399990101                                                    6
7                                                                                                                                                                                         7
8                                                                                                                                                                                         8
9  Name                                                                                                                          Federal employer identification number                   9
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                             999999999                                                10
11                                                                                                                                                                                        11
12    Cannot distribute due to Federal or                           Income is exempt from tax                                    Members with less than $1,000 in RI                      12
13    State restrictions (see instructions)                                                                                      source income (see instructions)                         13
14    All nonresident income reported on Form RI-1040C -            A PTE election was made for all individual members                                                                    14
15    Composite Income Tax Return                                   and Form RI-PTE was filed for the taxable year.                                                                       15
16                                                                                                                                                                                        16
17                                                                                                                                                                                        17
18                                                                                                                                                                                        18
19 Part A - Nonresident Rhode Island Source Income Calculation                                                                                                                            19
20                                                                                                                                                                                        20
21 1  Income distribution deduction from Federal Form 1041, line 18..................................................................................        1   9999999999 9921
22                                                                                                                                                                                        22
   2  Rhode Island source income included in the amount on line 1........................................................................................... 2
23                                                                                                                                                               9999999999 9923
24                                                                                                                                                                                        24
25 3  Nonresident portion of Rhode Island source income included in the amount on line 2...............................................                      3   9999999999 9925
26                                                                                                                                                                                        26
27                                                                                                                                                                                        27
28                                                                                                                      Column A                                 Column B                 28
   Part B - Pass-through Withholding Calculation                                                                                                               Sub S Corps, Individuals,  
29                                                                                                                      C Corporations only                  LLCs, Partnerships & Trusts  29
30                                                                                                                                                                                        30
31 4  Rhode Island source income of nonresident members by entity type .....................                        4a  9999999999 99 4b                         9999999999 99            31
32 5  Rhode Island source income of nonresident members that cannot be distributed                                  5a                                       5b                           32
33    to Federal or State restrictions ............................................................................     9999999999 99                            9999999999 99            33
34                                                                                                                                                                                        34
35 6  Rhode Island source income of nonresident members exempt from tax.................                            6a  9999999999 99 6b                         9999999999 99            35
36                                                                                                                                                                                        36
      than $1,000 net of modifications (attach schedule).................................................
37 7  Rhode Island source income of those nonresident members with income of less                                   7a  9999999999 99 7b                         9999999999 99            37
38                                                                                                                                                                                        38
39 8  Rhode Island source income of nonresident reported on Form RI-1040C ..............                            8a  9999999999 99 8b                         9999999999 99            39
40                                                                                                                                                                                        40
41 9  Rhode Island source income of nonresident members reported on Form RI-PTE ..                                  9a  9999999999 99 9b                         9999999999 99            41
42 10                                        DRAFT10a                                                                                                        10b                          42
      Rhode Island source income of nonresident members subject to PT withholding 
43    (For Column A, subtract 5a - 9a from 4a; For Column B, subtract 5b - 9b from 4b)                                  9999999999 99                            9999999999 99            43
44                                                                                                                                                                                        44
45 11 Rhode Island nonresident pass-through withholding rate........................................                11a 7.0%                                 11b 5.99%                    45
46                                                                                                                                                                                        46
47 12 Rhode Island pass-through withholding. For each col. multiply line 10 by line 11 ... 12a                          9999999999          99               12b 9999999999 9947
48                                                                                                                                                                                        48
49 13 TOTAL Rhode Island pass-through withholding due.  Add lines 12a and 12b.  Enter here and on Form RI-1041, line 14d                                     13  9999999999 99            49
50                                                                                                                                                                                        50
51                                                                                                                                                                                        51
52                                                                                                                                                                                        52
                                                 09/26/2023
53                                                                                                                                                                                        53
54                                                                                                                                                                                        54
55                                                                                                                                                                                        55
56                                                                                                                                                                                        56
57                                                                                                                                                                                        57
58                                                                                                                                                                                        58
59                                                                                                                                                                                        59
60                                                                                                                                                                                        60
61                                                                                                                                                                                        61
62                                                                                                                                                                                        62
      1111111111222222222233333333334444444444555555555566666666667777777777888
                                                                                                                                                                          New 
3456789012345678901234567890123456789012345678901234567890123456789012345678901208/2023

        1111111111222222222233333333334444444444555555555566666666667777777777888
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4       State of Rhode Island Division of Taxation                                                                                                         4
5       2023 RI Schedule PTW - 1041                                                                                                                        5
6       Pass-through Withholding Transmittal Schedule        23106399990102                                                                                6
7                                                                                                                                                          7
8                                                                                                                                                          8
9  Name                                                                                                             Federal employer identification number 9
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                999999999                      10
11                                                                                                                                                 11
12                                                                                                                                                 12
13 Part C - Pass-through Withholding Paid on Entity’s Behalf by Another Pass-through Entity                                                        13
14                                                                                                                                                 14
        Name                                       Federal Employer Identification Number                           Pass-through Withholding Amount
15                                                                                                                                                 15
16                                                                                                                                                 16
17 14 a XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              17
18                                                                                                                                                 18
19 b    XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              19
20                                                                                                                                                 20
   c
21      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              21
22                                                                                                                                                 22
   d
23      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              23
24                                                                                                                                                 24
   e
25      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              25
26                                                                                                                                                 26
   f
27      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              27
28                                                                                                                                                 28
   g
29      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              29
30                                                                                                                                                 30
   h
31      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              31
32                                                                                                                                                 32
   i
33      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              33
34                                                                                                                                                 34
   j
35      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              35
36                                                                                                                                                 36
   k
37      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              37
38                                                                                                                                                 38
   l
39      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              39
40                                                                                                                                                 40
   m
41      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              41
42           DRAFT                                                                                                                                 42
   n
43      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              43
44                                                                                                                                                 44
   o
45      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              45
46                                                                                                                                                 46
   p
47      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              47
48                                                                                                                                                 48
   q
49      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              49
50                                                                                                                                                 50
   r
51      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              51
52                                                                                                                                                 52
   s         09/26/2023
53      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              53
54                                                                                                                                                 54
   t
55      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              55
56                                                                                                                                                 56
   u
57      XXXXXXXXXXXXXXXXXXXXXXXXXXXXX              999999999                                                        99999999999999 99              57
58                                                                                                                                                 58
   v Total Pass-through withholding (add amounts from lines 14a thru 14u). Enter here and on Form RI-1041, line 15d.
59                                                                                                                  99999999999999 99              59
60                                                                                                                                                 60
61                                                                                                                                                 61
62                                                                                                                                                 62
        1111111111222222222233333333334444444444555555555566666666667777777777888
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