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                                                                                                                                                                                                                                                                                                        2023      RI1065    "0" for blank "1" for checked "0" for blank "1" for checked "0" for blank "1" for checked "0" for blank "1" for checked "0" for blank "1" for checked "0" for blank "1" for checked "0" for blank "1" for checked "0" for blank "1" for checked "0" for blank "1" for checked "0" for blank "1" for checked    "0" for blank "1" for checked MMDDYYYY     MMDDYYYY      REQUIRED          REQUIRED   Number, Street, RR, or PO BOX Number, Street, RR, or PO BOX                    left justify                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents                    No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents        No commas, no decimal point, must include cents      No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents       No commas, no decimal point, must include cents                     No commas, no decimal point, must include cents                       No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents                                                No commas, no decimal point, must include cents

                                                                                                                                                                                                                             Edit and Instruction                Value =T1            assigned by NACTP N         AN        N                             N                             N                             N                             N                             N                             N                             N                             N                             N                                N                             N            N             AN                AN                                       AN                            AN                 AN                                 N                     N                                               N                                               N                                               N                  N                                               N                                               N                                               N                                               N                                                      N                                                    N                                               N                                               N                                               N                                               N                                               N                                               N                                               N                                                     N                                                                   N                                                                     N                                               N                                               N                                               N                                                                                              N
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                                                                                                                                                                                                                             Field Name           Header Section                      NACTP ID          Tax Year  Form Type Pro Forma                     Initial Ret Box               Short Year Box                Final Return Box              Address Chg Box               Amended                       Reporting Category "LLC"      Reporting Category "LLP"      Reporting Category "LP"       Reporting Category "Partnership" Reporting Category "SMLLC"    Period Start Period Ending Partnership Name1 Address1                                 Address2                      City or Town State Zip + 4                            Fed ID Number         Gross Receipts                                  Depreciable Assets                              Total Assets                                    RI S O S Id Number Federal Taxable Income                          RI Annual Fee                                   Job Growth Tax                                  Pass-through withholding from Sch PTW           Payments on previous year Declaration of Estimated Tax RI Pass-through Withholding Paid on Behalf of Entity Nonresident Real Estate Withholding             Other payments                                  Total due with return                           Overpayment                                     Credited to next year Estimated Tax             Refund                                          Exempt interest                                 Bonus Depreciation and Section 179 expense adjustment Modification for Tax Incentives for Employers under RIGL ยง44-55-4.1 Cash Basis Only - Deductions for PTE Claimed Prior Year               Interest                                        Bonus depreciation                              Intangible Addback                              PTE                                                                                            Taxable portion of Paycheck Protection Program loan amount

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                                                                                                                                                                                                                             RI Form Line Ref                                         Developer Code
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Barcode size and layout requirements The barcode should be Normal PDF417 style with no more then 13 columns ( 2 for header, 2 for footer and 9 for data). Tax Year 2023  Rhode Island Form RI-1065 2D Barcode Layout         Field ID



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No commas, no decimal point, must include cents       No commas, no decimal point, must include cents                "0" for blank "1" for checked                          left justify, no hyphens  "0" for blank "1" for checked       No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents                 "0" for blank "1" for checked    "0" for blank "1" for checked                            "0" for blank "1" for checked   "0" for blank "1" for checked     "0" for blank "1" for checked            "0" for blank "1" for checked      No commas, no decimal point, must include cents #.######             No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents No commas, no decimal point, must include cents                                                No commas, no decimal point, must include cents

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Elective Deductions for New Research and Developments Qualifying Investment in Certified Venture Capital Partnership Division Contact Preparer   Yes                        Preparer SSN, PTIN or EIN Utilizing an alternative allocation Inventory column A                              Inventory column B                              Depreciable Assets column A                     Depreciable Assets column B                     Land column A                                   Land column B                                   Rent column A                                   Rent column B                                   Gross Receipts column A                         Gross Receipts column B                         Gross Receipts Sales under 44-11-14 column A    Dividends column A                              Dividends column B                              Interest column A                               Interest column B                               Rents column A                                  Rents column B                                  Royalties column A                              Royalties column B                              Net Capital gain column A                       Net Capital gain column B                       Ordinary income column A                        Ordinary income column B                        Other income column A                           Other income column B                           Income Exempt from Federal column A             Income Exempt from Federal column B             Salaries and Wages column A                     Salaries and Wages column B                                     Annualization of Income Checkbox Cannot distribute due to Fed/State restrictions checkbox Income exempt from tax checkbox Members less than $1,000 checkbox NR income reported on Composite checkbox NR income reported on PTE checkbox Apportioned RI taxable income                   NR profit percentage NR RI source income total                       NR RI source income A                           NR RI source income B                           NR income Fed/State restricted A                NR income Fed/State restricted B                NR income exempt from tax A                     NR income exempt from tax B                     NR income less than $1,000 A                    NR income less than $1,000 B                    NR income reported on Composite A               NR income reported on Composite B               NR income reported on PTE A                     NR income reported on PTE B                     Rhode Island pass-through withholding A                                                        Rhode Island pass-through withholding B

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                                                                                                                     signature area                                         signature area

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No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents                       xxxxxxxxx  NO DASHES  No commas, no decimal point, must include cents No commas, no decimal point, must include cents             Value =*EOD*

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Total Pass-through withholding due                                    PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                                              PTW FEIN              PTW paid                                        Total PTW paid

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