State of Rhode Island Division of Taxation 
         2023 Form T-86 
         Bank Deposits Tax                                                                                                      23112199990101

                 Name                                                                                                   Federal employer identification number
    January 15th 
    Report       Address
    June 15th 
    Filing
                 Address 2
    Amended

                 City, town or post office                      State        ZIP code                                   E-mail address

           1  Daily Average Deposits.  Daily Average is calculated on a calendar year basis.........................................                          1
Taxable    2a Daily average book value of investments in obligations of the United 
Deposits      States, its territories and possessions and of any authority, commission 
              or instrumentality of the United States....................................................            2a
            b Daily average book value of assets.........................................................            2b
            c Percent investment.  Divide line 2a by line 2b.   
              Carry out to four decimal places..............................................................         2c _  .  __________
            d Exempt obligations exclusion.  Multiply line 2c by line 1.............................................................................          2d
           3  TAXABLE DEPOSITS.  Subtract line 2d from line 1...................................................................................              3
Tax and    4  TAX.  If line 1 is $150,000,000 or less, multiply line 3 by 0.000625.  If not, multiply line 3 by 0.000695.....                                 4
Payments   5  Rhode Island Credits from Schedule B-CR, Business Entity Credit Schedule, line 19...............................                                5
           6  Tax after credits.  Subtract line 5 from line 4 ............................................................................................... 6
           7  Estimated payments made on Form BUS-EST for 2023.........................                              7
           8  Other payments........................................................................................ 8
           9  Total Payments.  Add lines 7 and 8............................................................................................................. 9
Balance   10  Net tax due.  Subtract line 9 from line 6...................................................................................................... 10
Due       11  Interest due: (a) Late payment interest ___________ (b) Underestimating interest ___________ Total (a) + (b)                                    11
          12  Total Due with Return.  Add lines 10 and 11................................................................................................     12
Refund    13  Overpayment.  Subtract line 6 and line 11 from line 9.................................................................................          13
          14  Amount of overpayment from line 13 to be applied to 2024 estimated tax..................................................                        14
          15  Amount to be Refunded.  Subtract line 14 from line 13...............................................................................            15
                                           GENERAL INSTRUCTIONS
         For the January 15th reporting requirement, only complete lines                                             those investments that are actually owned by this  
         1 through 7.                                                                                                Credit Union; and should when necessary, be easily 
         For the June 15th filing requirement, complete entire form and sub-                                         traceable to the Credit Union’s statement of financial 
         mit with payment due on or before June 15, 2024 to:                                                         condition. 
         RI Division of Taxation - One Capitol Hill - Providence, RI 02908.   
                                                                             Line 2b:  Enter the Credit Union’s simple, daily average book 
         Line 1: Enter the Credit Union’s simple, daily average of                                                   value of its assets. This calculation should reflect such 
                 deposits from the first business day of January 2023                                                normal valuation accounts as are reflected on the 
                 through the last business day of December 2023.                                                     Credit Union’s statement of condition. 
                                                                              
         Line 2a:  Enter the simple, daily average book value of invest-     Line 4:                                 Tax.  If Line 1 is $150,000,000.00 or less, multiply line 
                 ments in exempt obligations.  This calculation should                                               3 by 0.000625.  If line 1 is more than $150,000,000.00, 
                 reflect amortization and accretion; should reflect only                                             multiply line 3 by 0.000695.
Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and 
belief, it is true, accurate and complete.  Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge.
 Authorized officer signature              Print name                                                                              Date                       Telephone number

 Paid preparer signature                   Print name                                                                              Date                       Telephone number

 Paid preparer address                     City, town or post office          State                                             ZIP code                                PTIN

                 May the Division of Taxation contact your preparer?   YES
                              Rhode Island has an Electonic Mandate for filing a return and remitting a payment. 
                 See the Business Forms General Instructions for more information on the requirements and how to file and pay.                                                 Revised 
                                                                                                                                                                               08/2023