Form 4868 Fillable Application for Automatic Extension
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

Internet: www officialpayments com Telephone: 1 800 2PAY TAX (1 800 272 9829) & credits (not including the convenience fee) 1 Name(s) 1 Prepare the Rhode Island Extension Form RI 4868 15 2014 2 On line A clearly show the full amount properly estimated 2 Your social security number 3 File the extension with the Rhode Island Division of 4 Pay the amount of Rhode Island tax due as calculated on 5 Be sure to attach a copy of the Form RI 4868 to the front 6 Retain the top portion of this form for your records 9703 Providence RI 02940 9703 A Tentative Rhode Island ADDITIONAL INFORMATION Address AMOUNT appear on your check or money order Write "Form RI 4868" APPLICATION FOR AUTOMATIC EXTENSION OF TIME TO FILE RHODE ISLAND INDIVIDUAL INCOME TAX RETURN as Rhode Island income tax for the year 2013 If a attach your payment and Form RI 4868 to each other Instead just B Total tax withheld payments C Balance Due (line A less line B) City State ZIP Code Contact the service provider listed on this page and follow their Date Paid Check Number Amount Detach and return the lower portion with your payment DETACH EXTENSION AT PERFORATION TO MAIL IN DIVISION OF TAXATION DEPT#87 PO BOX 9703 PROVIDENCE RI 02940 9703 ENCLOSED ENTER Enter tentative tax computation EXTENSION OF TIME File a Rhode Island Individual Income Tax Return file an extension for Form RI 1040 file Form RI 1040H or Form RI 6238 These forms Filing Form RI 4868 DOES NOT extend the time to Form RI 4868 can be used to extend the filing of Form RI1040 Form RI 4868 on or before April 15 2014 HOW TO PREPARE YOUR PAYMENT? HOW TO SEND IN YOUR RI 4868 If you must file a Rhode Island request for extension you income tax instructions Enter on page 1 of Form RI 1040 or RI 1040NR in Make your check or money order payable to the "R I Division of must be filed on or before April 15 2014 even if you Nonresident Income Tax Return not be considered valid not extend the time for payment of tax due on the return not required to make payment with Rhode Island extension of the Rhode Island return when it is filed of time to file a Rhode Island Individual Income Tax Return on your check or money order PAYMENT BY CREDIT CARD proper estimate is not made the extension request will PURPOSE OF FORM RI 4868 put them loose in the envelope Mail your payment and Form RI4868 Retain the top portion of this form for your records Detach and return Rhode Island Application for Automatic Extension of Time To Rhode Island Resident Individual Tax Return or RI1040NR RI 4868 RI 4868 should: Spouse s social security number if joint payment STATE OF RHODE ISLAND Application for Extension of Time Taxation " Do not send cash Make sure your name and address Taxation on or before April 15 2014 the end of the transaction and the amount of your tax payment The filing or granting of an extension of time to file does the lower portion with your payment DO NOT staple or otherwise The Rhode Island extension form need not be filed if you are The tax due on the return must be paid on or before April the upper left corner the confirmation number you were given at to the Rhode Island Division of Taxation Dept#87 PO Box Use Form RI 4868 to obtain an automatic 6 month extension your daytime phone number and the your social security number