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                                STATE OF RHODE ISLAND Application for Extension of Time 
RI-4868                         DIVISION OF TAXATION - ONE CAPITOL HILL - PROVIDENCE, RI 02908-5807       2023

                                                                                   23101499990101

      APPLICATION FOR AUTOMATIC EXTENSION OF TIME TO FILE RHODE ISLAND INDIVIDUAL INCOME TAX RETURN
 1. Name(s)                                                                               Enter tentative tax computation
                                                                                                          
                                                                                       A. Tentative Rhode Island  
 Address                                                                                   income tax 
                                                                                        
 City                           State                 ZIP Code                         B. Total tax withheld, payments  
                                                                                           & credits 
                                                               RI-4868                  
 2. Your social security number                                                        C. Balance Due (line A less line B)
                                                                        3.  ENTER  
 Spouse’s social security number, if joint payment                      AMOUNT 
                                                                        ENCLOSED          $                                  0 0

                                         DETACH EXTENSION AT PERFORATION TO MAIL IN 

                       Rhode Island Application for Automatic Extension of Time To 
 RI-4868                              File a Rhode Island Individual Income Tax Return                                    2023

PURPOSE OF FORM RI-4868                                               ADDITIONAL INFORMATION 
Use Form RI-4868 to obtain an automatic 6 month extension             The tax due on the return must be paid on or before  
of timefileto  a Rhode Island Individual Income Tax Return.           April 15, 2024.   
Form RI-4868 can be used to extend the             filing of Form RI-  
1040, Rhode Island Resident Individual  Tax Return, or RI-
1040NR,  Nonresident Income Tax Return.                               HOW TO PREPARE YOUR PAYMENT? 
                                                                      Make your check or money order payable to the "R.I. Division of 
The filing or granting of an extension of time to file does           Taxation."  Do not send cash.  Make sure your name and address 
not extend the time for payment of tax due on the return.             appear on your check or money order.  Write "Form RI-4868", 
                                                                      your daytime phone number and your social security number on 
 
                                                                      your check or money order.   
Filing Form RI-4868 DOES NOT extend the time to                        
file Form RI-1040H or Form RI-6238.  These forms 
                                                                      HOW TO SEND IN YOUR RI-4868 
must be filed on or before April 15, 2024 even if you 
                                                                      Detach and return the top portion with your payment.  DO NOT staple 
file an extension for Form RI-1040 or RI-1040NR. 
                                                                      or otherwise attach your payment and Form RI-4868 to each other.  
                                                                      Instead, just put them loose in the envelope.  Mail your payment and 
EXTENSION OF TIME                                                     Form RI-4868 to the Rhode Island Division of Taxation, One Capitol 
The Rhode Island extension form need not be filed if you are          Hill, Providence, RI 02908-5807. 
not required to make payment with Rhode Island extension               
form.                                                                 PAYMENT BY CREDIT CARD 
                                                                      For information regarding the payment of taxes by credit card, 
If you must file a Rhode Island request for extension, you            please visit the Credit Card Payments page of the Division of 
should:                                                               Taxation’s website. 
                                                                       
   1. Prepare the Rhode Island Extension Form RI-4868. 
                                                                      https://tax.ri.gov/online-services/make-payment-online/credit-card-payments 
   2. On line A, clearly show the full amount properly estimat-
      ed as Rhode Island income tax for the year 2023.  If a           
      proper estimate is not made, the extension request will         Enter on page 1 of Form RI-1040 or RI-1040NR, in the upper left 
      not be considered valid. See Reg 280-RICR-20-55-2.              corner, the confirmation number you were given at the end of the 
   3. File the extension with the Rhode Island Division of            transaction and the amount of your tax payment (not including the 
      Taxation on or before April 15, 2024.                           convenience fee). 
   4. Pay the amount of Rhode Island tax due as calculated on 
      Form RI-4868 on or before April 15, 2024.                        FREE INTERNET FILING/PAYMENT AVAILABLE 
   5. Be sure to attach a copy of Form RI-4868 to your Rhode            
      Island return when it is filed.                                  You may file and pay this extension electronically using the 
   6. Detach and return the top portion with your payment.             RI Division of Taxation’s Portal. 
         Date Paid     Check Number                 Amount              
                                                                       FOR MORE INFORMATION VISIT: https://taxportal.ri.gov 
                                                   $



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