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Date Signature of authorized officer Title Signature of preparer Address of preparer MAY THE DIVISION CONTACT YOUR PREPARER ABOUT THIS RETURN YES NO Phone number MAILING ADDRESS OVERPAYMENTS/REFUNDS - RI DIVISION OF TAXATION ONE CAPITOL HILL PROVIDENCE RI 02908-5811 PAYMENTS - RI DIVISION OF TAXATION ONE CAPITOL HILL PROVIDENCE RI 02908-5814 RI-1120X Name Federal employer identification number page 2 Amounts on...
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