PDF document
- 1 -

Enlarge image
                                                 STATE OF RHODE ISLAND Payment Voucher 
RI-1040V                                   DIVISION OF TAXATION - ONE CAPITOL HILL - PROVIDENCE, RI 02908-5807               2023

                                                                                                         23101399990101

                                           DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT OR YOUR RETURN
 1. Name(s)

 Address

 City                                      State            ZIP Code
                                                                                       RI-1040V
 2. Your social security number
                                                                                              3.  ENTER  
 Spouse’s social security number, if joint payment                                            AMOUNT 
                                                                                              ENCLOSED                $                  0 0

RI-1040V                                   Rhode Island Return Payment Voucher                                                           2023

WHAT IS FORM RI 1040V AND DO YOU NEED TO USE IT?                                             HOW TO PREPARE           YOUR PAYMENT
 
It is a statement you send with your payment of any                                          Make your check or money order payable to the "R.I. Division  
balance due on line 15c of your Form RI-1040 or line 18c of your                             of  Taxation."  Do not send cash.  Make sure the name and 
Form RI-1040NR.  Using Form RI-1040V allows us to process                                    address appears on the check or money order.  Write "Form RI-
your payment more accurately and efficiently.  We strongly                                   1040V," daytime phone number and social security number on 
encourage you to use Form RI-1040V, but there is no penalty if                               your check or money order.   
you do not do so. 
                                                                                              
HOW TO FILL IN FORM RI-1040V 
                                                                                             HOW TO SEND IN YOUR RETURN, PAYMENT, AND RI-1040V 
                  STATE OF RHODE ISLAND Payment Voucher 
        RI-1040V DIVISION OF TAXATION - ONE CAPITOL HILL - PROVIDENCE, RI 02908        2023
                                                                                             Detach and return the top portion with your payment.   DO NOT 
                                  DO NOT STAPLE OR ATTACH THIS VOUCHER TO YOUR PAYMENT       staple or otherwise attach your payment or Form RI-1040V to 
   1 3     NAME                                                                              your return or to each other.  Instead, just put them loose in the 
           ADDRESS
           CITY, STATE & ZIP CODE                                                            envelope.  Mail your tax return, payment and RI-1040V to the 
 2         SOCIAL SECURITY NUMBER          RI-1040V                                        3 Rhode Island Division of Taxation, One Capitol Hill, Providence, 
           SPOUSE'S SOCIAL SECURITY NUMBER       4. ENTER  AMOUNT ENCLOSED $           0 0   RI  02908-5807.   
            
Box 1.   Enter your name(s) and address as shown on your                                     PAYMENT BY CREDIT CARD 
        return.                                                                               
                                                                                             For information regarding the payment of taxes by credit 
Box 2.   Enter your social security number and your spouse’s 
                                                                                             card, please visit the Credit Card Payments page of the 
        social security number (if making a joint payment) in the 
        boxes provided. 
 
Box 3.   Enter the amount of the payment you are making.                                     Division of Taxation’s website. 
             Also, enter below for your records.                                              
                                                                                             https://tax.ri.gov/online-services/make-payment-online/credit-card-payments 
                 Date Paid        Check Number           Amount                               
                                                                                             Enter on page 1 of Form RI-1040 or RI-1040NR, in the upper left 
                                                                                             corner, the confirmation number you were given at the end of the 
                                                                                             transaction and the amount of your tax payment (not including 
                                                                                             the convenience fee).  
                                                                                                                                          
                                                                           FREE INTERNET FILING/PAYMENT AVAILABLE 
                                                 You may pay your balance due using the RI Division of Taxation’s Portal
                                                                                                                         
                                                                  FOR MORE INFORMATION VISIT: https://taxportal.ri.gov



- 2 -

Enlarge image
No text to extract.






PDF file checksum: 1725674856

(Plugin #1/9.12/13.0)