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4          State of Rhode Island Division of Taxation                                                                                                                                 4
5          2023 Form T-74                                                                                                                                                             5
6          Banking Institution Excise Tax Return                                                                              23112099990101                                          6
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8                     Name                                                                                        Federal employer identification number                              8
9      Amended                                                                                                                                                                        9
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                      XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXAddress                                                   999999999For the period ending:
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12                    XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                          12/31/2023                                                          12
13                    Address 2                                                                                                                                                       13
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                      XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXCity, town or post office State ZIP code E-mail address
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17                    XXXXXXXXXXXXXXXXXXXX                           XX                               99999       XXXXXXXXXXXXXXXXXXXXXXXXX                                           17
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19             *MUST ATTACH COPY OF FEDERAL FORM 1120 OR PRO-FORMA                                                                                                                    19
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21                                                                                                                                                                                    21
22             Schedule A - Computation of Tax                                                                                                                                        22
23         1   Federal Taxable Income from Federal Form 1120, line 28........................................................                              1  9999999999 99           23
24         2   Total Deductions from page 2, Schedule B, line 6.....................................................................                       2  9999999999 99           24
25         3   Total Additions from page 2, Schedule C, line 7........................................................................                     3  9999999999 99           25
26 Rhode   4   Adjusted taxable income.  Subtract line 2 from line 1 then add line 3.......................................                                4  9999999999 99           26
   Island  5   Capital investment deduction ...................................................................................................            5
27 Taxable 6   Rhode Island adjusted taxable income.  Subtract line 5 from line 4................................................                          6  9999999999 99           27
28 Income                                                                                                                                                     9999999999 99           28
29         7   Rhode Island Apportionment Ratio from page 3, Schedule F, line 5. Carry to six (6) decimal places                                           7  _  .  __________0.12345629
30         8   Apportioned Rhode Island taxable income.  Multiply line 6 by line 7........................................                                 8  9999999999 99           30
31 Tax and 9   Rhode Island income tax.  Multiply line 8 by the tax rate of 9% (0.09)......................................                                9  9999999999 99           31
   Credits 10  Rhode Island Credits from Schedule B-CR, Business Entity Credit Schedule, line 19..................                                         10
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           11  Tax.  Subtract line 10 from line 9, but not less than the minimum tax of $100.............................................................. 11 9999999999 99
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           12  Payments made on 2023 BUS-EST, Business Tax Estimated Payment                                   12                                             9999999999 99
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           13  Other payments...........................................................................       13 9999999999 99
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           14  TOTAL PAYMENTS.  Add lines 12 and 13 ......................................................................................9999999999 99 14
36                                                                                                                                                            9999999999 99           36
37 Balance 15  Net tax due.  Subtract line 14 from line 11.......................................................................................          15 9999999999 99           37
   Due     16  (a) Interest                              (b) Penalty                                    (c) Form 2220 Interest                             16
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           17  Total due with return.  Add lines 15 and 16...............................................................................                  17 9999999999 99
39                                                                                                                                                            9999999999 99           39
40 Refund  18  Overpayment.  Subtract lines 11 and 16 from line 14...............................................................                          18 9999999999 99           40
           19  Amount of overpayment to be applied to 2024 estimated tax...................................................                                19
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           20  Amount to be refunded.  Subtract line 19 from line 18..............................................................                         20 9999999999 99
42                                                     DRAFT                                                                                                  9999999999 99           42
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                                                       IMPORTANT INFORMATION
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               Return is due on or before the 15th day of the 4th month after the close of the taxable year except for 
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               filers with a fiscal year end of June 30.  The due date for those filers is September 15.
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               Rhode Island has an Electonic Mandate for filing a return and remitting a payment. 
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51             See the 2023 T-74 Instructions for more information on the requirements and how to file and pay                                                                        51
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   Under penalties of perjury, I declare that I have examined09/07/2023this return and accompanying schedules and statements, and to the best of knowledge and 
53 belief, it is true, accurate and complete.  Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge                          53
54  Authorized officer signature                                     Print name                                             Date                           Telephone number           54
55                                                     XXXXXXXXXXXXXXXXXXXXX                                   06/03/2017                               (999) 999-9999                55
56  Paid preparer signature                                          Print name                                             Date                           Telephone number           56
57                                                                                                                                                                                    57
58                                                     XXXXXXXXXXXXXXXXXXXXX                                   06/10/2017                               (999) 999-9999                58
59  Paid preparer address                              City, town or post office                      State              ZIP code                                       PTIN          59
60 XXXXXXXXXXXXXXXXXXX                                 XXXXXXXXXXXXXXX                                XX       99999                                    P99999999                     60
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62                    May the Division of Taxation contact your preparer?   YES                                                                                                       62
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                                                                                                                                                                             08/2023

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4       State of Rhode Island Division of Taxation                                                                                                                                 4
5       2023 Form T-74                                                                                                                                                             5
6       Banking Institution Excise Tax Return                                                                                                  23112099990102                      6
7                                                                                                                                                                                  7
8  Name                                                                                                                     Federal employer identification number                 8
9                                                                                                                                                                                  9
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                       999999999                                              10
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12                                                                                                                                                                                 12
13 Schedule B - Deductions                                                                                                                                                         13
14      1 Exempt Interest and Dividends (attach a schedule) ...................................................................................                     1 9999999999 9914
15      2 Bonus Depreciation /Section 179 Expense Adjustment .............................................................................                          2 9999999999 9915
16      3 Non-security Gains (attach a schedule) .....................................................................................................              3 9999999999 9916
17      4 Modification for Tax Incentives for Employers under RIGL § 44-55.  Attach Form RI-107.....                                           .................... 4 9999999999 9917
18      5 Other Deductions (attach a schedule) ........................................................................................................             5 9999999999 9918
19      6 TOTAL DEDUCTIONS.  Add lines 1 through 5.  Enter here and on page 1, Schedule A, line 2.................                                                  6 9999999999 9919
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22 Schedule C - Additions                                                                                                                                                          22
23      1 Interest or Dividends on Federal, State and Municipal obligations, etc. not included in Schedule A, line 1...............                                 1 9999999999 9923
24      2 Rhode Island Bank Excise Tax ...................................................................................................................          2 9999999999 9924
25      3 Bonus Depreciation Adjustment .................................................................................................................           3 9999999999 9925
26      4 Non-security Losses (attach a schedule) ....................................................................................................              4 9999999999 9926
27      5 Taxable portion of Paycheck Protection Program Loan amount under RIGL § 44-14-11..........................                                                5 9999999999 9927
28      6 Other income not included in Federal Taxable Income (attach a schedule) ...............................................                                   6 9999999999 9928
29      7 TOTAL ADDITIONS.  Add lines 1 through 6.  Enter here and on page 1, Schedule A, line 3......................                                              7 9999999999 9929
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32 Schedule D - Final Determination of Net Income by Federal Government                                                                                                            32
        Has the Federal Government changed your taxable income for any prior year which has not yet been reported to the Tax Administrator?                           No Yes
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35      If yes, complete an amended Form T-74 immediately and submit to the Tax Administrator with any remittance that may be due.                                                 35
36      Check the box on page 1 of Form T-74 indicating the return is an amended T-74.                                                                                             36
        NOTE: Changes made by the Federal Government in the income of any prior year must be reported to the Tax Administrator within 
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        30 days after a final determination. 
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41 Schedule E - General Information                                                                                                                                                41
        Location of principal place of business in Rhode Island 
42                                           DRAFT XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                              42
        Location of corporation’s books and records 
43                                                  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                        43
        List states to which you are liable for income or excise taxes for the taxable year 
44                                                                                          XXXXXXXXXXXXXXXXXXXXXXX                                                                44
45      XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                45
46      US Business Code Number                                                                                         9999999999999999999999                                     46
        State and date of incorporation                                                                                     
47                         XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                            47
        President
48               XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                            48
        Treasurer
49               XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                            49
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4       State of Rhode Island Division of Taxation                                                                                                                      4
5       2023 Form T-74                                                                                                                                                  5
6       Banking Institution Excise Tax Return                                                               23112099990103                                              6
7                                                                                                                                                                       7
8  Name                                                                                            Federal employer identification number                               8
9                                                                                                                                                                       9
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                              999999999                                                            10
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12                                                                                                                                                                      12
13 Schedule F - Apportionment                                                                                                                                           13
14                                                                                                 Column A  Column B                                                   14
15                                                                                           Rhode Island   Everywhere                                                  15
16      Average Value of Property                                                                                                                                       16
17      1a Land........................................................................   1a 999999999 99 999999999 99                                                  17
18      b Depreciable Assets before Depreciation is                                                                                                                     18
19        Deducted.................................................................       1b 999999999 99 999999999 99                                                  19
20      c Loans.......................................................................... 1c 999999999 99 999999999 99                                                  20
21      d Credit Card Receivables.........................................                1d 999999999 99 999999999 99                                                  21
22      e Rent (8 times annual rental rate).............................                  1e 999999999 99 999999999 99                                                  22
23      f Totals.  For columns A and B, add lines 1a - 1e......                           1f 999999999 99 999999999 99                                                  23
24      g Ratio in Rhode Island. Divide line 1f, column A by line 1f, column B. Carry to six (6) decimal places..................               1g _  .  _______0.12345624
25                                                                                                                                                                      25
26      Receipts                                                                                                                                                        26
27      2a Lease/Rental of Real Property.................................                 2a 999999999 99 999999999 99                                                  27
28      b Lease/Rental of Transportation Property.................                        2b 999999999 99 999999999 99                                                  28
29      c Interest from Loans Secured by Real Property........                            2c 999999999 99 999999999 99                                                  29
30      d Receipts from Credit Card Receivables.....................                      2d 999999999 99 999999999 99                                                  30
31      e Other Interest Not Secured by Real Property.............                        2e 999999999 99 999999999 99                                                  31
32      f Receipts from Services...........................................               2f 999999999 99 999999999 99                                                  32
33      g Interest and Dividends.............................................             2g 999999999 99 999999999 99                                                  33
34      h Interest Not Taxed by the Federal Government.......                             2h 999999999 99 999999999 99                                                  34
35      i Capital Gains...........................................................        2i 999999999 99 999999999 99                                                  35
36      j Other Income...........................................................         2j 999999999 99 999999999 99                                                  36
        k Totals.  For columns A and B, add lines 2a - 2j.......                          2k
37                                                                                           999999999 99 999999999 99                                                  37
38      l Ratio In Rhode Island. Divide line 2k, column A by line 2k, column B. Carry to six (6) decimal places....................             2l _  .  _______0.12345638
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        Payroll
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        3a Salaries and Wages Paid or Incurred......................                      3a
41                                                                                           999999999 99 999999999 99                                                  41
42      bRatio In Rhode Island. Divide lineDRAFT3a, column A by line 3a, column B. Carry to six (6) decimal places................              3b _  . 0.123456_______ 42
43                                                                                                                                                                      43
        Ratio Calculation
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45      4 Total of Rhode Island Ratios used from lines 1g, 2l and 3b.  Carry to six (6) decimal places...............................           4  _  .  _______0.12345645
        5 RI Apportionment Ratio. Divide line 4 by 3 if all ratios used or if not, by the number of ratios used.  Enter 
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47        here and on page 1, Schedule A, line 7.   Carry to six (6) decimal places............................................................ 5  _  .  _______0.12345647
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