Form Ri-100 - Estate Tax Return
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1
2State of Rhode Island and Providence Plantations
Form RI-100
16160199990101
Estate Tax Return - Date of death on or after 1/1/2002
FILING FEE: $50.00 - DEATH CERTIFICATE REQUIRED
Pro Forma Return
Amended Return
Suffix
Decedent's social security number
Decedent's first name
MI
Last name
Decedent's address
State
ZIP code
City, town or post office
Date of death
Probate case number
Location of court
Executor/personal rep/administrator's first name
MI
Last name
Suffix
Executor/personal rep/admin's SSN
Executor/personal rep/administrator's address
City, town or post office
State
ZIP code
Relationship: Personal representative is
Capacity
Person in
Sibling
Spouse
Child
Parent
Executor
Administrator
Possession
Other____________
Other____________
of Property
Preparer's first name
MI
Last name
Preparer's telephone number
Suffix
Preparer's firm name, if applicable
Preparer's address
City, town or post office
State
ZIP code
Part 1:
A Federal return is not required to be filed, but a Certificate of No Tax Due is requested.
A Federal return is attached, but no Rhode Island tax is due. A Certificate of No Tax Due is requested.
An extension of time to file the Federal return has been approved.
Extension Date:
(A true copy is attached.)
An extension of time to pay the Federal Tax has been approved.
Extension Date
(A true copy is attached.)
Part 2:
Marital status of the decedent at time of death
Name
SSN
Date
Married - Enter spouse's name and SSN:
Widow/widower - Enter spouse information:
Single
Legally separated
Divorced - Enter date divorce decree became final:
Mail to RI Division of Taxation - One Capitol Hill - Providence, RI 02908
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