APPLICATION FOR AUTOMATIC 6 MONTH EXTENSION OF TIME 
         TO FILE RHODE ISLAND COMPOSITE INCOME TAX RETURN 
                  RI DIVISION OF TAXATION - ONE CAPITOL HILL 
                   PROVIDENCE, RI 02908-5807                                        15102899990101

 Fiscal year filers, enter fiscal year dates 
 MM/DD/2023  through  MM/DD/2024                                        2023 RI-4868C
 Name                                                                   Enter tentative tax computation

 Address                                                         A. TENTATIVE RI INCOME TAX

 City              State                                ZIP Code B. TOTAL PAYMENTS

               Federal employer identification number            C. BALANCE DUE (LINE A LESS LINE B)

                                                                 D.ENTER AMOUNT ENCLOSED

                   DETACH VOUCHER AT PERFORATION TO MAIL IN WITH YOUR PAYMENT

         State of Rhode Island Division of Taxation 
         2023 Form RI-4868C 
         Composite Income Tax Return Extension Payment

You can use Form RI-4868C to obtain an automatic 6 month exten-        ADDITIONAL INFORMATION 
sion of time to file your Rhode Island Composite Tax Return.           The filing or granting of an extension of time to file does not  
                                                                       extend the time for payment of tax due on the return. 
GENERAL INSTRUCTIONS                                                    
Use Form RI-4868C to apply for 6 more months to file Form              How to File Your Return and Submit Payment 
RI-1040C, Rhode Island Composite Tax Return. 
                                                                       The Rhode Island Division of Taxation has an electronic mandate 
EXTENSION OF TIME                                                      that requires Larger Business Registrants use electronic means 
                                                                       to file returns and remit taxes beginning on January 1, 2023. 
The Rhode Island extension form need not be filed if you are not        
required to make payment with Rhode Island extension form.              A "larger business registrant" is defined as any person who: 
                                                                       1) Operates as a business whose combined annual liability for 
If you must file a Rhode Island request for extension, you should:     all taxes administered by the Division of Taxation for the entity is 
 1. Prepare the Rhode Island Extension Form RI-4868C.                  or exceeds $5,000; or 
 2. Clearly show the full amount properly estimated as Rhode           2) Operated as a business whose annual gross income is over 
      Island tax for the year 2023.                                    $100,000 for the entity. 
 3. File the extension with the Rhode Island Division of Taxation       
      on or before the due date for filing the Rhode Island Composite  If you meet either of the above criteria you are required to file  
      Tax Return.                                                      returns and remit taxes electronically. 
      The extension must be filed by the 15th day of the third month    
      following the close of the entity’s taxable year (March 15, 2024 Visit the RI Division of Taxation’s website for additional  
      for a calendar year entity).                                     information. 
 4. Pay the amount of Rhode Island tax due as calculated on Form        
      RI-4868C by the 15th day of the third month following the close  Taxation website: https://tax.ri.gov/online-services/tax-portal 
      of the entity’s taxable year (March 15, 2024 for a calendar year  
      entity).                                                         Taxation’s portal website: https://taxportal.ri.gov/ 
 5. Be sure to attach a copy of Form RI-4868C to your Rhode             
      Island return when it is filed. 
 6. Detach and return the top portion with your payment.               In order to file your return and/or remit your payment through the 
                                                                       portal, you will need a      portal account and a PIN number. If you 
                                                                       do not   have both of those required items already, be sure to 
                                                                       timely create your portal account and/or request a PIN number 
                                                                       so that you are set up and ready to file your return and/or remit 
         Date Paid Payment                              Amount         your payment by the due date. You do not need a portal account 
                   Reference #
                                                                       to request a PIN number. 
                                                      $                 
                                                                       For additional information, refer to the 2023 Instructions  
                                                                       for Form RI-1040C