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4           State of Rhode Island Division of Taxation                                                                                                         4
5           2023 Form RI-6238                                                                                                                                  5
6           Residential Lead Abatement Income Tax Credit                                          23104099990101                                               6
7                                                                                                                                                              7
8                                                                                                                                                              8
9   Your name                                                                                     Deceased?            Your social security number             9
10 XXXXXXXXXXXXXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXXXX                                                        Yes          999999999                              10
11  Spouse’s name                                                                                 Deceased?            Spouse’s social security number         11
12 XXXXXXXXXXXXXXXXXXXXXXX X XXXXXXXXXXXXXXXXXXXXXX                                                        Yes          999999999                              12
13  Address                                                                                       New address?         Daytime phone number                    13
14 XXXXXXXXXXXXXXXXXXXXXXXX                                   XXXXXXXXXXXXXXXXXXXXXX                       Yes          (401) 999-9999                         14
15  City, town or post office                                                               State ZIP code             City or town of legal residence         15
16 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX                                             XX    99999                 XXXXXXXXXXXXXXXX 16
17                                                                                                                                                             17
18 Pursuant to R.I.G.L. 44-30.3-3, a claimant must have been domiciled in the state of Rhode Island for the entire calendar year for which he/she files a      18
19 claim for relief under this chapter.  DO NOT COMPLETE THIS FORM if you were not a resident of the state of Rhode Island for all of 2023.                    19
20                                                                                                                                                             20
21  PART 1         DWELLING UNIT INFORMATION                                 (CREDIT MAY BE TAKEN FOR UP TO THREE (3) DWELLING UNITS)                          21
22                                               Unit #1                         Unit #2                                     Unit #3                           22
23                                                                                                                                                             23
24  1 Property Address:                        (Number, Street, Apt. Number) (Number, Street, Apt. Number)            (Number, Street, Apt. Number)            24
25                                                                                                                                                             25
26                                             (City or Town)                (City or Town)                           (City or Town)                           26
27  2    For each unit:                          Owner Occupant                  Owner Occupant                         Owner Occupant                         27
         Check one that applies and 
28       complete the corresponding              Renter                          Renter                                 Renter                                 28
29                                                                                                                                                             29
30       section in Part 2.                      Landlord                        Landlord                               Landlord                               30
31                                                                                                                                                             31
32  3 For each unit:                             Removal                         Removal                                Removal                                32
33       Check the type of lead                                                                                                                                33
34       work performed.                         Reduction                       Reduction                              Reduction                              34
35                                                                                                                                                             35
    4 Costs incurred:                          $                               $                                      $
36                                                                                                                                                             36
37  5 Maximum Credit:                          $                               $                                      $                                        37
38 If removal/abatement, enter $5,000.00 You must have a Department of Health Lead Safe Certificate for removal/abatement.                                     38
39 If reduction/mitigation, enter $1,500.00.  You must have a Rhode Island Housing Resources Commission Lead Hazard Mitigation Certificate of                  39
40 Conformance.                                                                                                                                                40
41  6 Maximum Credit:                          $                               $                                      $                                        41
42       Enter the smaller of line 4 or line 5   DRAFT                                                                                                         42
43                                                                                                                                                             43
44  7 Total Credit (Add all credit amounts from line 6):                       $ 999999999999                                                                  44
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48                                                                                                                                                             48
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51  Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements, and to the best of my knowledge and      51
52  belief, it is true, accurate and complete.  Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. 52
    Your signature                                             09/01/2023Spouse’s signature                      Date          Telephone number
53                                                                                                                                                             53
54                                                                                                04/21/23              (401) 999-9999                         54
55  Paid preparer signature                                       Print name                                     Date          Telephone number                55
56                                               XXXXXXXXXXXXXXXXXXXXXX                           04/21/23              (491) 999-9999                         56
    Paid preparer address                            City, town or post office              State   ZIP code                           PTIN
57                                                                                                                                                             57
58 XXXXXXXXXXXXXXXXXXXXXX                        XXXXXXXXXXXXXXXXX               XX               99999                 P99999999                              58
59                                                                                                                                                             59
60                                                                                                                                                             60
61                 May the Division of Taxation contact your preparer?   YES                                 Revised 08/2023                                   61
62                                                                                                                                                             62
         1111111111222222222233333333334444444444555555555566666666667777777777888Mailing address: RI Division of Taxation, One Capitol Hill, Providence, RI 02908-5806
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4       State of Rhode Island Division of Taxation                                                                                                                                      4
5       2023 Form RI-6238                                                                                                                                                               5
6       Residential Lead Abatement Income Tax Credit                                                                 IMAGEONLY                                                          6
7                                                                                                                                                                                       7
8                                                                                                                                                                                       8
   Name                                                                                                              Your social security number
9                                                                                                                                                                                       9
10                                                                                                                                                                                      10
11                                                                                                                                                                                      11
12                                                                                                                                                                                      12
13 PART 2          CLAIMANT INFORMATION                                                                                                                                                 13
14                                                                                                                                                                                      14
15 8  OWNER OCCUPIED PROPERTY:                                                                                                                                                   YES NO 15
16    Were you a legal resident of Rhode Island for all of 2023? ---------------------------------------------------------------------------                                            16
17    Is your household income equal to or less than $55,400 (use the worksheet in Part 3) ? ------------------------------------                                                       17
18    Did you incur the full cost of the lead removal/reduction? -----------------------------------------------------------------------------                                          18
19    Are you the sole owner of  the property? --------------------------------------------------------------------------------------------------                                       19
20    If no, what is your ownership percentage? _________%                                                                                                                              20
21    Who is the other owner(s)? ________________________________________________________________________                                                                               21
                               Name                        Address
22 9  RENTER/LESSEE:                                                                                                                                                                    22
23    Were you a legal resident of Rhode Island for all of 2023? ---------------------------------------------------------------------------                                            23
24    Is your household income equal to or less than $55,400 (use the worksheet in Part 3) ?-------------------------------------                                                       24
25    Did you incur any of the cost of the lead removal/reduction? -------------------------------------------------------------------------                                            25
26    Who is your landlord? ____________________________________________________________________________                                                                                26
27                             Name                        Address                                                                                                                      27
   10 LANDLORD:
28                                                                                                                                                                                      28
      Have you rented out property in 2023? ----------------------------------------------------------------------------------------------------
29                                                                                                                                                                                      29
      Is your household income equal to or less than $55,400 (use the worksheet in Part 3) ? ------------------------------------
30                                                                                                                                                                                      30
      If applicable, is the household income of the tenant(s) in Unit 1 equal to or less than $55,400? ---------------------------
31                                                                                                                                                                                      31
      If applicable, is the household income of the tenant(s) in Unit 2 equal to or less than $55,400? ---------------------------
32                                                                                                                                                                                      32
      If applicable, is the household income of the tenant(s) in Unit 3 equal to or less than $55,400? ---------------------------
33                                                                                                                                                                                      33
34                                                                                                                                                                                      34
35 PART 3      WORKSHEET FOR COMPUTING TOTAL HOUSEHOLD INCOME                                                                                                                           35
36                                                                                                                                                                                      36
    USE THE FOLLOWING WORKSHEET TO COMPUTE YOUR TOTAL HOUSEHOLD INCOME
37                                                                                                                                                                                      37
38 11 Social Security (including Medicare premiums) and Railroad Retirement benefits.....................................................                             11                38
39 12 Unemployment benefits, worker’s compensation........................................................................................................            12                39
40 13 Wages, salaries, tips, etc............................................................................................................................................. 13        40
41 14 Dividends and interest (taxable and nontaxable)........................................................................................................         14                41
42 15 Business and Farm income (net of expenses)...........................................................................................................DRAFT      15                42
43                                                                                                                                                                                      43
44 16 Pension and annuity income (taxable and nontaxable)............................................................................................                 16                44
45 17 Rental income (net of expenses).............................................................................................................................    17                45
46 18 Partnership, estate and trust income.........................................................................................................................   18                46
47 19 Total gain on sale or exchange of property.................................................................................................................. 19                   47
48 20 Loss on sale or exchange of property (capital losses are limited to $3,000.00).......................................................... 20                                       48
49                                                                                                                                                                                      49
   21 Cash public assistance (welfare, etc.)......................................................................................................................... 21
50                                                                                                                                                                                      50
51 22 Alimony and child support received............................................................................................................................  22                51
52 23 Nontaxable military compensation and cash benefits.................................................................................................. 23                           52
                                                09/01/2023
53 24 Other taxable income, please specify: _____________________ ............................................................................. 24                                      53
54 25 TOTAL 2023 HOUSEHOLD INCOME.  Add lines 11 through 24.  Enter here and use to answer questions in Part 2 above                                                  25                54
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4            State of Rhode Island Division of Taxation                                                                                                                  4
5            2023 Form RI-6238                                                                                                                                           5
6            Residential Lead Abatement Income Tax Credit                                                                                                                6
7                                                                                                                                                                        7
8                                                              GENERAL INSTRUCTIONS                                                                                      8
9                                                                                                                                                                        9
10 WHEN AND WHERE TO FILE                                                            IMPORTANT DEFINITIONS                                                               10
11 Form RI-6238 must be filed by April 15, 2024.                                     "Claimant " means a property owner or lessee, who has filed a claim under           11
12 Even if you are requesting an extension of time to file your Rhode Island in-      this chapter and was domiciled in this state for the entire calendar year          12
      come tax return - Form RI-1040 by filing Form RI-4868 or a federal exten-       for which he or she files a claim for relief under this chapter.  In the case 
13    sion, you must   still file Form RI-6238 by April 15, 2023.  An extension of    of a claim for rented or leased residential premises, the claimant shall           13
14    time to file FormNOTRI-1040, does  extend the time to file Form RI-             have rented property during the preceding year for which he or she files14
15    6238.                                                                           for relief under this chapter.  Claimant does not mean or include any per- 15
16 If filing with Form RI-1040, your  Residential Lead Abatement Income Tax           son claimed as a dependent by any taxpayer under the Internal Revenue              16
      Credit will decrease any income tax due or increase any income tax re-          Code. 
17    fund.                                                                          Residential premise” means a single-family home, an individual condo- 17
18 If you are not required to file a Rhode Island income tax return, Form RI-         minium, and individual units in either apartment buildings or multi-family         18
19    6238 may be filed by itself without attaching it to a Rhode Island income       homes.                                                                             19
20    tax return.  However,mustForm RI-6238           be filed by April 15, 2024.    "Household" means one or more persons occupying a dwelling unit and liv-20
   Your Residential Lead Abatement Income Tax Credit should be filed as soon          ing as a single nonprofit housekeeping unit.  Household does not mean 
21    as possible after December 31, 2023    .  No claim for the year 2023 will       bona fide lessees, tenants or roomers and borders on contract.                     21
22    be allowed unless such claim is filed by April 15,.   2024                     "Household income" means all income taxable and nontaxable received by22
    
23   For additional filing instructions, see R.I.Gen.Laws  44-30.3. §   Mail your     all persons of a household in a calendar year while members of the                 23
24    Residential Lead Abatement Income Tax Credit to the Rhode Island Di-            household.                                                                         24
      vision of Taxation - One Capitol Hill - Providence, RI 02908-5806.              
25                                                                                   LIMITATIONS ON CREDIT                                                               25
26 NOTE: Documentation of work performed, costs incurred and certification           Under the provisions of Section 44-30.3, for calendar year 2023 the maxi- 26
27 of lead-safe status must be attached to Form  RI-6238 in order to qualify         mum amount of credit allowable per dwelling unit (up to three (3) units) for        27
   for the Residential Lead Abatement Income Tax Credit.  Failure to attach          reduction/mitigation is $1,500.00.  The maximum amount of credit allowable 
28 the necessary documentation will delay the processing of your credit.             per dwelling unit (up to three (3) units) for removal/abatement is $5,000.00.  28
    
29                                                                                                                                                                       29
30 WHO MAY QUALIFY                                                                   In the event two (2) individuals of a household are able to meet the qualifi- 30
   To qualify for the Residential Lead Abatement Income Tax Credit you must          cations for a claimant, they may determine between themselves as to who 
31 A) Have been a legal resident of Rhode Island for the entire 2023 calendar        the claimant is.  If  they are unable to agree, the matter is referred to the tax   31
32 year.                                                                             administrator and his or her decision is final.  If a property is owned by two      32
33 B) Be either a property owner or renter/lessee of a residential premise that      (2) or more individuals, and more than one individual is able to qualify as a       33
34    had lead reduction or lead removal.                                            claimant, and some or all of the qualified individuals are not related, the in- 34
   C) Have incurred expenses for the lead reduction or removal on the resi-          dividuals may determine among themselves as to who the claimant is.  If 
35    dential premise.                                                               they are unable to agree, the matter is referred to the tax administrator and       35
36 D) Have proof of payment for all costs incurred.                                  his or her decision is final.                                                       36
     Complete documentation for all costs incurred must be provided.  Re-             
37    ceipts must clearly show lead related items, costs and dates pur-              Only one abatement claim may be filed for any dwelling unit.  If a mitigation       37
38    chased.  Only receipts for required lead work can be used for this             claim has previously been filed for a dwelling unit, an abatement claim will        38
39    credit.  Provide a list of all required lead work that was done and in-        be reduced by the amount of the mitigation credit already claimed.  This            39
40    dicate which receipt(s) and costs are associated with that required            holds true even if the dwelling unit has been transferred to another owner          40
      lead work.                                                                     or lessee. 
41    Attach all of your documentation to this form.                                                                                                                     41
42 E) Have certification in the form of a Housing Resources Commission reg-DRAFT This credit program has a maximum of $250,000 per year in available                     42
43    ulated Certificate of Conformance for Mitigation (reduction)  ora Depart-      funds for all claims filed.                                                         43
      ment of Health regulated Lead Safe Certificate for Abatement (removal).         
44    Attach your certification to this form.                                        DENIAL OF CLAIM                                                                     44
45                                                                                   If a claim has been determined to be excessive and filed with fraudulent in- 45
46 WHO MAY CLAIM CREDIT                                                              tent, the claim will be disallowed in full.  If the claim has been paid or credited 46
47 If youallmeet      of the qualifications outlined above, you should complete      against a claimant’s tax liability, the credit will be cancelled and assessed       47
    
48 Form RI-6238 to determine if you are entitled to a credit.                        with interest from the date of payment or credit until paid.  Any claimant and      48
   Pursuant to R.I.Gen. Laws 44-30.3:                                                preparer involved with filing with fraudulent intent will be guilty of a misde-
49 A claimant whose household income for 2023 was equal to or less than              meanor.                                                                             49
50 $55,400 will receive the full amount of the credit he/she is entitled to receive. If a claim has been determined to be excessive and negligently prepared,            50
51 A claimant who rents or leases a dwelling unit to individuals whose house-        ten percent of the corrected claim will be disallowed.  If the claim has been       51
52 hold income was equal to or less than $55,400 will receive their credit after     paid or credited against a claimant’s tax liability, the credit will be reduced     52
   the claimants whose own income was equal to or less than $55,400. 09/01/2023or cancelled, and the proper amount will be assessed with interest from the 
53 All other claimants, without regard to income or property ownership, will be      date of payment or credit until paid.                                               53
54 paid after the previously mentioned claimants.  However, if insufficient funds                                                                                        54
55 exist to pay this third group of claimants the full amount of the credit, the                                                                                         55
56 Tax Administrator will make payments to each claimant proportionately                                                                                                 56
57 based on the amount of remaining funds.                                                                                                                               57
   The right to file a claim does not survive a person's death; therefore a claim 
58 filed on behalf of a deceased person cannot be allowed.  If the claimant dies                                                                                         58
59 after having filed a timely claim, the amount thereof will be disbursed to an-                                                                                        59
60 other member of the household as determined by the Tax Administrator.                                                                                                 60
    
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