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34567890123456789012345678901234567890123456789012345678901234567890123456789012RHODE ISLAND COMPOSITE INCOME TAX RETURN 
4                   RI DIVISION OF TAXATION - ONE CAPITOL HILL                                                                                               4
5                        PROVIDENCE, RI 02908-5807                                                                                                           5
6                                                                                                       15102799990101                                       6
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8   Fiscal year filers, enter fiscal year dates                                                                                                              8
9   07/01/2023MM/DD/2023  through  MM/DD/202406/30/2024                                      2023 RI-1040C-V                                                 9
10  Name                                                                                                                                                    10
11  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                         11
12  Address                                                                                                                                                 12
13  XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                                                                                                         13
14  City                  State                            ZIP Code                                                                                         14
15  XXXXXXXXXXXXXX XX                           99999                                                                                                       15
16                  Federal employer identification number                              ENTER AMOUNT ENCLOSED    9999999999999 99                           16
17                  999999999                                                                                                                               17
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24          State of Rhode Island Division of Taxation                                                                                                      24
25          2023 Form RI-1040C-V                                                                                                                            25
26                                                                                                                                                          26
27          Composite Income Tax Return Payment                                                                                                             27
28                                                                                                                                                          28
29                                                                                                                                                          29
30 What Is Form RI-1040C-V and Do You Need To Use It?                                    How to File Your Return and Submit Payment                         30
31                                                                                                                                                          31
   It is a statement you send with your payment of any balance                           The Rhode Island Division of Taxation has an electronic mandate 
32 due on line 19 of your Form RI-1040C.  Using Form RI-1040C-V                          that requires Larger Business Registrants use electronic means to 32
33 allows us to process your payment more accurately and efficiently.                    file returns and remit taxes beginning on January 1, 2023.         33
34 We strongly encourage you to use Form RI-1040C-V, but there is                                                                                           34
35 no penalty if you do not do so.                                                        A "larger business registrant" is defined as any person who:      35
36                                                                                       1) Operates as a business whose combined annual liability for all 36
37 How to Fill In Form RI-1040C-V                                                        taxes administered by the Division of Taxation for the entity is or 37
38                                                                                       exceeds $5,000; or                                                 38
                                                                                         2) Operated as a business whose annual gross income is over 
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                                                                                         $100,000 for the entity. 
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                                                2023                                     If you meet either of the above criteria you are required to file  
42  1                                                DRAFT returns and remit taxes electronically.                                                          42
43                                                                                                                                                          43
44                                                                                       Visit the RI Division of Taxation’s website for additional         44
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45                                                                                       information.                                                       45
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                                                                                         Taxation website: https://tax.ri.gov/online-services/tax-portal 
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48 Box 1.   Enter the name and address as shown on your return.                                                                                             48
                                                                                         Taxation’s portal website: https://taxportal.ri.gov/ 
49              If the return is for a fiscal year, enter the fiscal years                                                                                  49
50          date in the space provided.                                                                                                                     50
                                                                                         In order to file your return and/or remit your payment through the 
51 Box 2.   Enter the Federal employer identification number in the                      portal, you will need a portal account and a PIN number. If you do 51
52                                                                                                                                                          52
            box provided.                                                        09/08/2023not have both of those required items already, be sure to timely 
53                                                                                       create your portal account and/or request a PIN number so that 53
54 Box 3.   Enter the amount of the payment you are making.                              you are set up and ready to file your return and/or remit your pay-54
55              Also,  enter  the  payment  information  below  for  your                ment by the due date. You do not need a portal account to request 55
56          records.                                                                     a PIN number.                                                      56
57                                                                                                                                                          57
                    Date Paid                                            Payment Amount  For additional information, refer to the 2023 Instructions  
58                        Reference #                                                    for Form RI-1040C                                                  58
59                                                                                                                                                          59
60                                                                                       DO NOT USE THIS VOUCHER TO MAKE A PAYMENT ON YOUR                  60
61                                                                                       PERSONAL INCOME TAX RETURN.  THIS VOUCHER IS TO BE                 61
62                                                                                       USED BY AN ENTITY FILING A COMPOSITE TAX RETURN.                   62
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