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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 Cannot distribute due to Federal or Income is exempt from tax Members with less than $1,000 in RI 11
12 State restrictions (see instructions) source income (see instructions) 12
13 All nonresident income reported on Form RI-104C - 13
14 Composite Income Tax Return A PTE election was made and Form RI-PTE was filed for the taxable year. 14
15 15
16 Part A - Nonresident Rhode Island Source Income Calculation 16
17 17
18 1 Income distribution deduction from Federal Form 1041, line 18.................................................................................. 1 9999999999 99 18
19 19
2 Rhode Island source income included in the amount on line 1........................................................................................... 2
20 9999999999 99 20
21 21
22 3 Nonresident portion of Rhode Island source income included in the amount on line 2............................................... 3 9999999999 99 22
23 Column A Column B 23
Part B - Pass-through Withholding Calculation Sub S Corps, Individuals,
24 C Corporations only LLCs, Partnerships & Trusts 24
25 25
26 4 Rhode Island source income of nonresident members by entity type ..................... 4a 9999999999 99 4b 9999999999 99 26
27 5 Rhode Island source income of nonresident members that cannot be distributed 5a 5b 27
28 to Federal or State restrictions ............................................................................ 9999999999 99 9999999999 99 28
29 29
30 6 Rhode Island source income of nonresident members exempt from tax................. 6a 9999999999 99 6b 9999999999 99 30
31 31
than $1,000 net of modifications (attach schedule).................................................
32 7 Rhode Island source income of those nonresident members with income of less 7a 9999999999 99 7b 9999999999 99 32
33 33
34 8 Rhode Island source income of nonresident reported on Form RI-1040C .............. 8a 9999999999 99 8b 9999999999 99 34
35 35
36 9 Rhode Island source income of nonresident members reported on Form RI-PTE .. 9a 9999999999 99 9b 9999999999 99 36
37 10 10a 10b 37
Rhode Island source income of nonresident members subject to PT withholding
38 (For Column A, subtract 5a - 9a from 4a; For Column B, subtract 5b - 9b from 4b) 9999999999 99 9999999999 99 38
39 39
40 11 Rhode Island nonresident pass-through withholding rate........................................ 11a 7.0% 11b 5.99% 40
41 41
DRAFT
42 12 Rhode Island pass-through withholding. For each col. multiply line 10 by line 11 ... 12a 9999999999 99 12b 9999999999 9942
43 43
44 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 44
45 45
46 Part C - Pass-through Withholding Paid on Entity’s Behalf by Another Pass-through Entity 46
47 47
Name Federal Employer Identification Number Pass-through Withholding Amount
48 48
49 49
50 1 a XXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999999999 99999999999999 99 50
51 51
b
52 52
XXXXXXXXXXXXXXXXXXXXXXXXXXXXX09/13/2023999999999 99999999999999 99
53 53
c
54 XXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999999999 99999999999999 99 54
55 55
d
56 XXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999999999 99999999999999 99 56
57 57
e
58 XXXXXXXXXXXXXXXXXXXXXXXXXXXXX 999999999 99999999999999 99 58
59 59
f Total Pass-through withholding (add amounts from lines 1a thru 1e). Enter here and on Form RI-1041, line 15d
60 99999999999999 99 60
61 61
62 62
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New
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