Form T-74 - Banking Institution Excise Tax Return - 2012
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3State of Rhode Island and Providence Plantations
Form T-74
BANKING INSTITUTION EXCISE TAX RETURN
BANK EXCISE
for Calendar Year Ending December 31, 2012 or
2012
Fiscal Year Beginning ________________ - Ending ________________
Due on or before the 15 th day of the 3 rd month after close of the taxable year
NAME
ADDRESS
CITY
STATE
ZIP CODE
FEDERAL EMPLOYER IDENTIFICATION NUMBER
E-MAIL ADDRESS
CHECK IF AMENDED
*
MUST ATTACH COPY OF FEDERAL FORM 1120 OR PRO-FORMA
Schedule A - Computation of Tax
1.
1.
Federal Taxable Income from Federal Form 1120, line 28....................................................
2.
2.
Total Deductions from page 2, Schedule B, line 7.................................................................
3.
3.
Total Additions from page 2, Schedule C, line 6....................................................................
Rhode Island
4.
Adjusted taxable income. Subtract line 2 from line 1 then add line 3...................................
4.
Taxable Income
5.
Capital investment deduction ................................................................................................
5.
6.
6.
Rhode Island adjusted taxable income. Subtract line 5 from line 4............................................
7.
7.
Rhode Island Apportionment Ratio from Schedule G, line 5..................................................
8.
8.
Apportioned Rhode Island taxable income. Multiply line 6 by line 7....................................
Tax and Credits
9.
9.
Rhode Island income tax. Rate: 9%. Multiply line 8 by the tax rate of 9% (0.09)...............
10.
10.
Rhode Island Credits from page 2, Schedule D, line 7.................................................................
11.
11.
Tax. Subtract line 10 from line 9, but not less than Franchise Tax from Schedule H, line 7. Minimum tax $100
12.
12.
Payments made on 2012 declaration of estimated tax......................
13.
13.
Other payments..................................................................................
14.
14.
TOTAL PAYMENTS. Add lines 12 and 13 ...................................................................................
Balance Due
15.
15.
Net tax due. Subtract line 14 from line 11....................................................................................
16.
16.
(a) Interest
(b) Penalty
(c) Form 2220 Interest
17.
17.
Total due with return. Add lines 15 and 16............................................................................
Refund
18.
18.
Overpayment. Subtract lines 11 and 16 from line 14............................................................
19.
19.
Amount of overpayment to be credited to 2013 ....................................................................
20.
20.
Amount to be refunded. Subtract line 19 from line 18..........................................................
CERTIFICATION: This certification must be executed or the return must be sworn before some person authorized to administer oaths.
Under penalties of perjury, I hereby certify that I have personal knowledge of the statements and other information constituting this return, that the same are true, correct
and complete to the best of my knowledge and belief.
Date
Signature of authorized officer
Title
Date
Signature of preparer
Address of preparer
MAY THE DIVISION CONTACT YOUR PREPARER ABOUT THIS RETURN? YES
NO
Phone number
MAILING ADDRESS: RI DIVISION OF TAXATION, ONE CAPITOL HILL, PROVIDENCE, RI 02908-5811
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