Form Ri-1040x - Amended Rhode Island Individual Income Tax Return - 2003
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2RI-1040X
2003
Amended Rhode Island Individual Income Tax Return
(To be used by resident, nonresident and part-year resident taxpayers)
Name and
First Name
Initial
Last Name
Your Social Security Number
Address
Initial
Last Name
Spouse’s Social Security Number
Spouse’s First Name
Present home address (number and street, including apartment no. or rural route)
Daytime Telephone Number
Please
(
)
print or type
City or Town of Legal Residence
City, town or post office
State
Zip Code
A.
Enter name and address used on original return (if same as above write “SAME”)
Additional
Information
B.
Are you filing an amended federal income tax return? ...................................................................................
Yes
No
C.
Have you been advised your federal return is under examination? ...............................................................
Yes
No
Filing
D.
On original return
Status
1. Single
2. Married filing jointly
3. Married filing separately
4. Head of Household
5. Qualifying widow(er)
E.
On this return
1. Single
2. Married filing jointly
3. Married filing separately
4. Head of Household
5. Qualifying widow(er)
Income
A. Originally reported
B. Net change
C. Correct amount
1.
Federal AGI (Adjusted Gross Income) ...........................................
1.
2.
Modifications from RI-1040(NR), page 2, Schedule I, Line 25 ......
2.
3.
Modified Federal AGI - Combine lines 1 and 2 .............................
3.
4.
Deductions
(see
instructions).........................................................
4.
5.
Subtract line 4 from line 3 ..............................................................
5.
6A.
Number of Federal exemptions......................................................
6A.
6B.
Multiply line 6A by $3,050
(see
instructions)..................................
6B.
7.
7.
RI Taxable Income - subtract line 6B from line 5 ...........................
8A.
8A.
RI income tax .................................................................................
Tax
Check method used on line 8A, column C
RI Tax Table or
RI Schedule CGW
RI Schedule D
RI Schedule J
RI-8615
Rate Schedule
8B.
Other RI Taxes from RI-1040(NR), page 3, line 15 .......................
8B.
9.
RI Alternative Minimum Tax from RI-1040(NR), page 6, line 14 ...
9.
10.
Total RI income tax - add lines 8A, 8B and 9 ................................
10.
Nonresidents - Complete page 2, part 3 and enter the
Form Type
Residents - Complete page 2, part 2 and enter the
amount from line 10 on page 2, part 2, line 10.
amount from line 10 on page 2, part 3, line 10.
Payments
17.
Total RI Tax and checkoff contributions .........................................
17.
18. A. RI 2003 income tax withheld ..................................................
18A.
B.
2003 estimated tax payments and 2002 carryforward ...........
18B.
Property tax relief credit from RI-1040H (residents only) or
C.
18C.
Nonresident real estate withholding (nonresidents only) .......
D.
RI Earned Income Credit from RI-1040(NR), page 3, line 9...
18D.
E.
Other Payments .............................................................................................................................................
18E.
F.
Total - Add lines 18A, 18B, 18C, 18D and 18E .............................................................................................
18F.
G.
Overpayment allowed on original return ........................................................................................................
18G.
H.
Total payments after overpayment - subtract line 18G from 18F ..................................................................
18H.
19. A. If line 17 is larger than 18H, subtract line 18H from 17. This is the amount you owe.......................
19A.
Amount Due
B.
Interest due on amount on line 19A ....................................................................................................
19B.
C.
Total balance due - add lines 19A and 19B ........................................................................................
19C.
Refund
20. If line 18H is larger than line 17, subtract line 17 from 18H. This is the amount you overpaid.................
20.
☺
21.
Amount of overpayment to be refunded .....................................................................................................
21.
22.
Amount of overpayment to be applied to 2004 estimated tax ..................................
22.
RETURN MUST BE SIGNED - SIGNATURE LINE IS LOCATED ON PAGE 2
Mail returns to - RI Division of Taxation One Capitol Hill Providence, RI 02908-5806
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