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4       State of Rhode Island Division of Taxation                                                                                                                                                       4
5       2023 RI Schedule PTW                                                                                                                                                                             5
6       Pass-through Withholding Transmittal Schedule                                                                   23114099990101                                                                   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  Apportioned Rhode Island taxable income from RI-1065, line 6 or RI-1120S, line 6...................................................                               1   9999999999 99               21
22                                                                                                                                                                                                      22
   2  Profit percentage or current year allocation percentage of ALL members/partners that are nonresidents.........................                                    2
23                                                                                                                                                                          0.999999_ . _ _ _ _ _ _     23
24                                                                                                                                                                                                      24
25 3  Rhode Island source income of ALL nonresident members (multiply line 1 by line 2).................................................                                3   9999999999 99               25
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                                      12b 9999999999 9947
48                                                                                                                                                                                                      48
      line 7c; or Form RI-1120S, line 7c................................................................................................................................
49 13 TOTAL Rhode Island pass-through withholding due.  Add lines 12a and 12b.  Enter here and on Form RI-1065,                                                         13  9999999999 99               49
50                                                                                                                                                                                                      50
51                                                                                                                                                                                                      51
52                                                                                                                                                                                                      52
                                                 09/27/2023
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62                                                                                                                                                                                                      62
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                                                                                                                                                                                                     New 
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4       State of Rhode Island Division of Taxation                                                                                                                                             4
5       2023 RI Schedule PTW                                                                                                                                                                   5
6       Pass-through Withholding Transmittal Schedule        23114099990102                                                                                                                    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                         09/27/2023
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 v Total Pass-through withholding (add amounts from lines 14a thru 14u).  Enter here and on Form RI-1065,                                                                            58
59  line 9b; or Form RI-1120S, line 9b................................................................................................................. 99999999999999 99              59
60                                                                                                                                                                                     60
61                                                                                                                                                                                     61
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