State of Rhode Island Division of Taxation 
     2024 RI Schedule PTW 
     Pass-through Withholding Transmittal Schedule                                                                  24114099990101

Name                                                                                                                         Federal employer identification number

   Cannot distribute due to Federal or                Income is exempt from tax                                              Members with less than $1,000 in RI 
   State restrictions (see instructions)                                                                                     source income (see instructions)
   All nonresident income reported on Form RI-1040C - A PTE election was made for all individual members and RI Schedule 
   Composite Income Tax Return                        PTE is being included with entity’s filing for the taxable year.

Part A - Nonresident Rhode Island Source Income Calculation

1  Apportioned Rhode Island taxable income from RI-1065, line 6 or RI-1120S, line 6...................................................                               1

2  Profit percentage or current year allocation percentage of ALL members/partners that are nonresidents.........................                                    2
                                                                                                                                                                         _ . _ _ _ _ _ _  
3  Rhode Island source income of ALL nonresident members (multiply line 1 by line 2).................................................                                3

                                                                                                                    Column A                                             Column B
Part B - Pass-through Withholding Calculation                                                                                                                          Sub S Corps, Individuals,  
                                                                                                                    C Corporations only                              LLCs, Partnerships & Trusts
4  Rhode Island source income of nonresident members by entity type .....................                       4a                                                   4b
5  Rhode Island source income of nonresident members that cannot be distributed                                 5a                                                   5b
   to Federal or State restrictions ............................................................................
6  Rhode Island source income of nonresident members exempt from tax.................                           6a                                                   6b

7  Rhode Island source income of those nonresident members with income of less                                  7a                                                   7b
   than $1,000 net of modifications (attach schedule).................................................
8  Rhode Island source income of nonresident reported on Form RI-1040C ..............                           8a                                                   8b

9  Rhode Island source income of nonresident members reported on RI Sch. PTE ...                                9a                                                   9b
10                                       DRAFT10a                                                                                                                    10b
   Rhode Island source income of nonresident members subject to PT withholding 
   (For Column A, subtract 5a - 9a from 4a; For Column B, subtract 5b - 9b from 4b)
11 Rhode Island nonresident pass-through withholding rate........................................               11a 7.0%                                             11b 5.99%

12 Rhode Island pass-through withholding. For each col. multiply line 10 by line 11 ...                         12a                                                  12b

13 TOTAL Rhode Island pass-through withholding due.  Add lines 12a and 12b.  Enter here and on Form RI-1065,                                                         13
   line 7c; or Form RI-1120S, line 7c................................................................................................................................

                                         10/15/2024

                                                                                                                                                                                 Revised 
                                                                                                                                                                                 09/2024

     State of Rhode Island Division of Taxation 
     2024 RI Schedule PTW 
     Pass-through Withholding Transmittal Schedule 24114099990102

Name                                                                                                                                                   Federal employer identification number

Part C - Pass-through Withholding Paid on Entity’s Behalf by Another Pass-through Entity
     Name                                       Federal Employer Identification Number                                                                 Pass-through Withholding Amount

14 a

b

c

d

e

f

g

h

i

j

k

l

m
          DRAFT 
n

o

p

q

r

s                         10/15/2024

t

u
v Total Pass-through withholding (add amounts from lines 14a thru 14u).  Enter here and on Form RI-1065, 
    line 9b; or Form RI-1120S, line 9b.................................................................................................................