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4 State of Rhode Island Division of Taxation 4
5 2023 Form T-86 5
6 Bank Deposits Tax 23112199990101 6
7 7
8 Name Federal employer identification number 8
9 9
January 15th
10 Report AddressXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 99-9999999 10
11 11
June 15th
12 Filing XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 12
13 Address 2 13
14 Amended 14
15 XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX 15
City, town or post office State ZIP code E-mail address
16 16
17 XXXXXXXXXXXXXXXXXXXX XX 99999 XXXXXXXXXXXXXXXXXXXXXXXXX 17
18 18
19 19
20 1 Daily Average Deposits. Daily Average is calculated on a calendar year basis......................................... 1 9999999999 99 20
21 Taxable 2a Daily average book value of investments in obligations of the United 21
Deposits States, its territories and possessions and of any authority, commission
22 22
23 or instrumentality of the United States.................................................... 2a 9999999999 99 23
24 b Daily average book value of assets......................................................... 2b 9999999999 99 24
25 c Percent investment. Divide line 2a by line 2b. 25
26 Carry out to four decimal places.............................................................. 2c _ . __________0.1234 26
27 d Exempt obligations exclusion. Multiply line 2c by line 1............................................................................. 2d 9999999999 99 27
28 3 TAXABLE DEPOSITS. Subtract line 2d from line 1................................................................................... 3 9999999999 99 28
29 Tax and 4 TAX. If line 1 is $150,000,000 or less, multiply line 3 by 0.000625. If not, multiply line 3 by 0.000695..... 4 9999999999 99 29
Payments 5 Rhode Island Credits from Schedule B-CR, Business Entity Credit Schedule, line 19............................... 5
30 9999999999 99 30
31 6 Tax after credits. Subtract line 5 from line 4 ............................................................................................... 6 9999999999 99 31
32 7 Estimated payments made on Form BUS-EST for 2023......................... 7 9999999999 99 32
8 Other payments........................................................................................ 8
33 9999999999 99 33
9 Total Payments. Add lines 7 and 8............................................................................................................. 9
34 34
Balance 10 Net tax due. Subtract line 9 from line 6...................................................................................................... 10 9999999999 99
35 Due 11 Interest due: (a) Late payment interest ___________ (b) Underestimating interest ___________ Total (a) + (b) 11 9999999999 99 35
36 36
12 Total Due with Return. Add lines 10 and 11................................................................................................ 12 9999999999 99
37 37
Refund 13 Overpayment. Subtract line 6 and line 11 from line 9................................................................................. 13 9999999999 99
38 38
14 Amount of overpayment from line 13 to be applied to 2024 estimated tax.................................................. 14 9999999999 99
39 9999999999 99 39
40 15 Amount to be Refunded. Subtract line 14 from line 13............................................................................... 15 9999999999 99 40
GENERAL INSTRUCTIONS
41 41
42 For the January 15th reporting requirement, only complete lines DRAFT those investments that are actually owned by this 42
43 1 through 7. Credit Union; and should when necessary, be easily 43
For the June 15th filing requirement, complete entire form and sub- traceable to the Credit Union’s statement of financial
44 mit with payment due on or before June 15, 2024 to: condition. 44
45 RI Division of Taxation - One Capitol Hill - Providence, RI 02908. 45
46 Line 2b: Enter the Credit Union’s simple, daily average book 46
47 Line 1: Enter the Credit Union’s simple, daily average of value of its assets. This calculation should reflect such 47
deposits from the first business day of January 2023 normal valuation accounts as are reflected on the
48 through the last business day of December 2023. Credit Union’s statement of condition. 48
49 49
50 Line 2a: Enter the simple, daily average book value of invest- Line 4: Tax. If Line 1 is $150,000,000.00 or less, multiply line 50
51 ments in exempt obligations. This calculation should 3 by 0.000625. If line 1 is more than $150,000,000.00, 51
reflect amortization and accretion; should reflect only multiply line 3 by 0.000695.
52 52
Under penalties of perjury, I declare that I have examined09/08/2023this 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 XXXXXXXXXXXXXXXXXXXX 06/03/2023 (999) 999-9999 55
56 Paid preparer signature Print name Date Telephone number 56
57 57
58 XXXXXXXXXXXXXXXXXXXX 06/03/2023 (999) 999-9999 58
59 Paid preparer address City, town or post office State ZIP code PTIN 59
60 XXXXXXXXXXXXXXXXXXX XXXXXXXXXXXXXX XX 99999 P99999999 60
61 61
62 May the Division of Taxation contact your preparer? YES 62
1111111111222222222233333333334444444444555555555566666666667777777777888Rhode Island has an Electonic Mandate for filing a return and remitting a payment.
34567890123456789012345678901234567890123456789012345678901234567890123456789012See the Business Forms General Instructions for more information on the requirements and how to file and pay. Revised
08/2023