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4     State of Rhode Island Division of Taxation                                                                                                             4
5     2023 RI Schedule W for RI-1041                                                                                                                         5
6     Rhode Island Withholding Information                                          23102099990101                                                           6
7                                                                                                                                                            7
8                                                                                                                                                            8
   Name of estate or trust shown on Form RI-1041                                                   Federal employer identification number
9                                                                                                                                                            9
10 XXXXXXXXXXXXXXXXXXXXXXXXX                     XXXXXXXXXXXXXXXXXXXXXXXXXX                   999999999                                                      10
11                                                                                                                                                           11
     Complete this Schedule listing all of the estate or trust’s W-2s, 1099s, etc. showing Rhode Island Income Tax withheld.   
12    W-2s, 1099s, etc. showing Rhode Island Income Tax withheld must still be attached to the front of your return.                                         12
13    Failure to do so may delay the processing of your return.        ATTACH THIS SCHEDULE W TO YOUR RETURN                                                 13
14    Column A                           Column B                                   Column C                                           Column D              14
15    Enter letter                                                      Employer’s state ID # from                                   Rhode Island Income Tax 15
                     Employer’s Name from Box C of your W-2 or 
16    code from                                                         box 15 of your W-2 or Payer’s                                Withheld (SEE BELOW     16
                             Payer’s Name from your other forms
17    chart below                                                       Federal ID # from other forms FOR BOX REFERENCES)                                    17
18                                                                                                                                                           18
19 1  X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           19
20                                                                                                                                                           20
21 2  X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           21
22                                                                                                                                                           22
23 3  X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           23
24                                                                                                                                                           24
25 4  X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           25
26                                                                                                                                                           26
27 5  X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           27
28                                                                                                                                                           28
29 6  X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           29
30                                                                                                                                                           30
31 7  X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           31
32                                                                                                                                                           32
33 8  X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           33
34                                                                                                                                                           34
35 9  X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           35
36                                                                                                                                                           36
37 10 X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           37
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39 11 X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           39
40                                                                                                                                                           40
41 12 X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           41
42                                       DRAFT                                                                                                               42
43 13 X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           43
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45 14 X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           45
46                                                                                                                                                           46
47 15 X            XXXXXXXXXXXXXXXXXXXXXXXX                             999999999                                                    9999999999 99           47
48                                                                                                                                                           48
49 16 Total RI Income Tax Withheld.  Add lines 1 through 15, Column D.  Enter total here and on RI-1041, line 15a......              9999999999 99           49
50                                                                                                                                                           50
51 17 Total number of W-2s and 1099s showing Rhode Island Income Tax Withheld ......................................................   9999999               51
52                                                                                                                                                           52
                                                 12/05/2023
53                                                                                                                                                           53
                                                 Schedule W Reference Chart
54                                                                                                                                                           54
55    Form Type Letter Code  Withholding         Form Type Letter Code  Withholding Form Type      Letter Code  Withholding                                  55
56              for Column A Box                           for Column A Box                   for Column A                             Box                   56
57    W-2          -         17                  1099-G    G            11          1099-OID                                         O 14                    57
58    W-2G         W         15                  1099-INT  I            17          1099-R                                           R 14                    58
59    1042-S       S         17a                 1099-K    K            8           RI-1099E                                         E 11                    59
60    1099-B       B         16                  1099-MISC M            16          RI K-1                                           P Sect. IV, line 2      60
61                                                                                                                                                           61
      1099-DIV     D         16                  1099-NEC  N            5
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