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4         State of Rhode Island Division of Taxation                                                                                                                   4
5         2023 RI Schedule III                                                                                                                                         5
6         Part-year Resident Tax Calculation                                                            23100699990101                                                 6
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   Name(s) shown on Form RI-1040NR                                                                             Your social security number
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10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                   999999999                                          10
11                                                                                                                                                                     11
12                       THIS SCHEDULE IS ONLY TO BE COMPLETED BY PART-YEAR RESIDENTS.                                                                                 12
13                                             FULL YEAR NONRESIDENTS COMPLETE RI SCHEDULE II.                                                                         13
14                                                                                                                                                                     14
15 A part-year resident is a person who changed his legal residence by moving into or out of Rhode Island at any time during 15
16 the year 2023. If you are a part-year resident you should complete this schedule. If you did not earn any income outside                                            16
17 the state of Rhode Island while you were living in Rhode Island, complete part 1 below. If any of your income earned while 17
18 you were living in Rhode Island was taxed by another state, complete Part 1 and Part 2 of this Schedule.                                                            18
19                                                                                                                                                                     19
   If at any time during 2023 you were not a legal resident of RI, DO NOT COMPLETE THIS SCHEDULE. Complete RI Schedule II.
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21                                                                                                                                                                     21
22 PART 1: ALLOCATION AND TAX WORKSHEET                                          Instructions for this schedule can be found on page I-8.                              22
23                                                                                                                                                                     23
   Enter the dates you were a RI resident:                        FEDERAL INCOME  RI RESIDENT PERIOD         RI NONRESIDENT PERIOD
24                                                                Column A            Column B               Column C                                Column D          24
25 From ________________06/03/2023MM/DD/YYYY                      Income from    Income from Col A      Income from Col A                            Income from Col C 25
26 to     ________________12/31/2023MM/DD/YYYY .                  Federal Return from RI Resident time  from NonResident time                        from RI sources   26
27   1 Wages, salaries, tips, etc from Federal                                                                                                                         27
28     Form 1040 or 1040-SR, line 1z.................             999999999 99 999999999 99 999999999 99 999999999 99                                                  28
29   2 Interest and dividends from Federal Form                                                                                                                        29
30     1040 or 1040-SR, lines 2b and 3b .........                 999999999 99 999999999 99 999999999 99 999999999 99                                                  30
31   3 Business income from Federal Form                                                                                                                               31
32     1040 or 1040-SR, Schedule 1, line 3 ......                 999999999 99 999999999 99 999999999 99 999999999 99                                                  32
33   4 Sale or exchange of property from Fed Form                                                                                                                      33
34     1040 or 1040-SR,  line 7 and Sch 1, line 4....             999999999 99 999999999 99 999999999 99 999999999 99                                                  34
35   5 Pension and annuities; rents, royalties,                                                                                                                        35
36     etc. from Fed Form 1040 or 1040-SR,                        999999999 99 999999999 99 999999999 99 999999999 99                                                  36
       lines 4b and 5b, and Schedule 1, line 5..
37   6 Farm income from Federal Form 1040                                                                                                                              37
38     or 1040-SR, Schedule 1, line 6 ...............             999999999 99 999999999 99 999999999 99 999999999 99                                                  38
39   7 Miscellaneous income from Federal Form                                                                                                                          39
40     1040 or 1040-SR, line 6b, and Schedule                     999999999 99 999999999 99 999999999 99 999999999 99                                                  40
       1, lines 1, 2a, 7, and 9................................
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42   8 TOTAL.  Add lines 1 through 7 ................             999999999DRAFT99999999999 99999999999 99 999999999 99                                                42
43   9 Adjustments to AGI from Federal Form                                                                                                                            43
44     1040 or 1040-SR, line 10...........................        999999999 99 999999999 99 999999999 99 999999999 99                                                  44
45 10  Adjusted gross income.  Subtract line 9                                                                                                                         45
46     from line 8............................................... 999999999 99 999999999 99 999999999 99 999999999 99                                                  46
47 11  Net modifications to Fed AGI from RI-                                                                                                                           47
48     1040NR, RI Schedule M, line 3...............               999999999 99 999999999 99 999999999 99 999999999 99                                                  48
49 12  Modified Fed AGI. Combine lines 10 and                                                                                                                          49
50     11.  Amount in column A must equal the                     999999999 99 999999999 99 999999999 99 999999999 99                                                  50
       amount on RI-1040NR, page 1, line 3.....
51                                                                                                                                                                     51
52 13  TOTAL RI INCOME.  Add line 12 from column B and line 12 from column D..................................................................... 13 999999999 99      52
                                                                  09/01/2023
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54 14  Allocation.  Divide line 13 by line 12, column A.  If line 13 is greater than line 12, column A, enter 1.0000 .......................      14        0.123454
                                                                                                                                                     _  .  _  _  _  _
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56 15  RI tax after allowable federal credits before allocation from RI-1040NR, page 1, line 10...........................................        15 999999999 99      56
57                                                                                                                                                                     57
   16  RI INCOME TAX. Multiply line 15 by line 14. If you have income earned in another state while you were a resident of RI,                    16
58     complete Part 2.  Otherwise, enter tax here and on RI-1040NR, pg 1, line 11. Check the Part-year resident box................                 999999999 99      58
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4     State of Rhode Island Division of Taxation                                                                                                                                                          4
5     2023 RI Schedule III                                                                                                                                                                                5
6     Part-year Resident Tax Calculation                                                                                  23100699990102                                                                  6
7                                                                                                                                                                                                         7
8                                                                                                                                                                                                         8
   Name(s) shown on Form RI-1040NR                                                                                                                   Your social security number
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10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                    999999999                                      10
11                                                                                                                                                                                                  11
12            THIS SCHEDULE IS ONLY TO BE COMPLETED BY PART-YEAR RESIDENTS.                                                                                                                         12
13        ATTACH A SIGNED COPY OF THE RETURN FILED WITH THE OTHER STATE.                                                                                                                            13
14                                                                                                                                                                                                  14
15 PART 2 - CREDIT FOR INCOME TAXES PAID TO ANOTHER STATE AND TAX WORKSHEET                                                                                                                         15
16                                                                                                                                                                                                  16
17 17 RI income tax from RI-1040NR, RI Schedule III, part 1, line 16 ..................................................................................                          17 999999999 99    17
18                                                                                                                                                                                                  18
19 18 Income taxed by other state while a RI resident included on RI Sch III, line 10, col B ....                      18 9999999999 99                                                             19
20                                                                                                                                                                                                  20
21 19 Total RI income from RI Schedule III, part 1, line 13................................................            19 9999999999 99                                                             21
22                                                                                                                                                                                                  22
   20 Divide line 18 by line 19...............................................................................................................................................   20
23                                                                                                                                                                                  _  .  _  _  _  _0.123423
24                                                                                                                                                                                                  24
25 21 Multiply line 17 by line 20.............................................................................................................................................   21 9999999999 99   25
26                                                                                                                                                                                                  26
27 22 Tax due and paid to other state. Insert abbreviation for name of state paid ________________XX                      ..............................                         22 9999999999 9927
28                                                                                                                                                                                                  28
29 23 Amount from line 18 above ...................................................................................... 23 9999999999 99                                                             29
30                                                                                                                                                                                                  30
31 24 Total adjusted gross income from other state’s income tax return (attach copy of return)                         24 9999999999 99                                                             31
32                                                                                                                                                                                                  32
   25 Divide line 23 by line 24. If the amount on line 23 is greater than line 24, enter 1.0000.............................................                                     25
33                                                                                                                                                                                  _  .  _  _  _  _0.123433
34                                                                                                                                                                                                  34
35 26 Multiply line 22 by line 25.............................................................................................................................................   26 9999999999 99   35
36                                                                                                                                                                                                  36
37 27 MAXIMUM TAX CREDIT.  Line 17, 21 or 26, whichever is the smallest.............................................................................                             27 9999999999 99   37
38 28 RI INCOME TAX.  Subtract line 27 from line 17.  Enter here and on RI-1040NR, page 1, line 11.  Check the Part-                                                                                38
                                                                                                                                                                                 28
39    year resident box.........................................................................................................................................................    9999999999 99   39
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42 IF YOU WORKED IN MORE THANDRAFTONE STATE WHILE A RI RESIDENT, SEE INSTRUCTIONS.                                                                                                                  42
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                                              09/01/2023
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