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4 State of Rhode Island Division of Taxation 4
5 Form BUS-EST 5
6 Business Tax Estimated Payment Form 24111299990101 6
7 7
8 Name Federal employer identification number 8
9 9
10 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999 10
11 Address For the period ending: 11
12 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 12/31/2023 12
13 Address 2 13
14 14
15 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 15
16 City, town or post office State ZIP code E-mail address 16
17 XXXXXXXXXXXXXXXXXXXXXXXXX XX 99999 XXXXXXXXXXXXXXXXXXXXXXXXXXXXX 17
18 Estimates are due by the 15th day of the fourth, sixth, ninth and twelfth months of the taxable year 18
19 19
20 Part 1: Amount due with estimate 20
21 21
22 1 Total tax from prior year........................................................................................................... 1 9999999999 99 22
23 23
24 2 Estimated tax due for the current year..................................................................................... 2 9999999999 99 24
25 3 Estimated tax payment due. Multiply line 2 by the applicable percentage. (25% for first 3 25
26 estimate, 50% for second estimate, 75% for third estimate, 100% for fourth estimate).......... 9999999999 99 26
27 4 Estimated tax payments made. If applicable, add the overpayment carried forward from the 27
28 4 9999999999 99 28
prior year being applied to this payment plus the estimated taxes paid to date for this tax year
29 29
30 5 Amount due with this estimate. Subtract line 4 from line 3..................................................... 5 9999999999 99 30
31 31
32 Part 2: Declaration of estimated tax: Enter the amount from line 5 on the corresponding tax type line(s) for which the estimate is intended 32
33 33
34 1 Form RI-1065/1120 - Rhode Island Corporate Income Tax..................................................... 1 9999999999 99 34
35 35
36 2 RI Schedule PTW - Pass-through Withholding........................................................................ 2 9999999999 99 36
37 37
38 3 RI Schedule PTE - Pass-through Entity Election................................................................... 3 9999999999 99 38
39 39
40 4 Form RI-1120POL - Rhode Island Political Organization Tax.................................................. 4 9999999999 99 40
41 41
42 5 Form T-71 - Rhode Island Gross PremiumDRAFTInsurance Tax...................................................... 5 999999999999 42
43 43
44 6 Form T-71A - Surplus Lines..................................................................................................... 6 9999999999 99 44
45 45
46 7 Form T-72 - Rhode Island Public Service Corporation Gross Earnings Tax................................. 7 9999999999 99 46
47 47
48 8 Form T-74 - Rhode Island Banking Institution Excise Tax....................................................... 8 9999999999 99 48
49 49
50 9 Form T-86 - Rhode Island Bank DepositsTax.......................................................................... 9 9999999999 99 50
51 51
Payments must be made electronically. For more information, visit: https://tax.ri.gov/online-services/tax-portal
52 52
Under penalties of perjury, I declare that I have examined09/28/2023this return and accompanying schedules and statements, and to the best of my knowledge and
53 belief, it is true, accurate and complete. Declaration of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. 53
54 Authorized officer signature Print name Date Telephone number 54
55 55
56 Paid preparer signature Print name Date Telephone number 56
57 57
58 58
59 Paid preparer address City, town or post office State ZIP Code PTIN 59
60 P99999999 60
61 61
62 May the Division of Taxation contact your preparer? YES 62
1111111111222222222233333333334444444444555555555566666666667777777777888Estimate amounts and due dates of installments are as follows:
3456789012345678901234567890123456789012345678901234567890123456789012345678901225% of the taxable year tax by April 15th 75% of the taxable year tax by September 15th Revised
50% of the taxable year tax by June 15th 100% of the taxable year tax by December 15th 09/2023