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Federal Carryover Worksheet2012G Keep for your recordsName(s) Shown on ReturnSocial Security NumberSaptaparna Bhattacharya038-72-17552011 State and Local Income Tax Information (See Tax Help)(a)State orLocal ID(b)Paid WithExtension(c)Estimates PdAfter 12/31(d)Total Withheld/Pmts(e)Paid WithReturn(f)Total Overpayment(g)AppliedAmountTotalsOther Tax and Income Information123456782011Filing statusNumber of exemptions for blind or over 65 (0 - 4)Itemized deductionsCheck box if required to itemize deductionsAdjusted gross incomeTax liability for Form 2210 or Form 2210-FAlternative minimum taxFederal overpayment applied to next year estimated tax1234567820121 Single1,004.27,778.2,269.QuickZoom to the IRA Information Worksheet for IRA informationExcess Contributions9ab10 ab11 abTaxpayer’s excess Archer MSA contributions as of 12/31Spouse’s excess Archer MSA contributions as of 12/31Taxpayer’s excess Coverdell ESA contributions as of 12/31Spouse’s excess Coverdell ESA contributions as of 12/31Taxpayer’s excess HSA contributions as of 12/31Spouse’s excess HSA contributions as of 12/312012201120102009200820072012201120129ab10 ab11 abLoss and Expense CarryoversNote: Enter all entries as a positive amount12 a Short-term capital lossb AMT Short-term capital loss13 a Long-term capital lossb AMT Long-term capital loss14 a Net operating loss available to carry forwardb AMT Net operating loss available to carry forward15 a Investment interest expense disallowedb AMT Investment interest expense disallowed16 Nonrecaptured net Section 1231 losses from:abcdef201112 ab13 ab14 ab15 ab16 abcdef

ELECTRONIC POSTMARK - CERTIFICATION OF ELECTRONIC FILINGTaxpayer:Primary SSN:Saptaparna Bhattacharya038-72-1755Federal Return Submitted:Federal Return Acceptance Date:October 13, 201311:21 PM PDTYour return has been rejected by the IRSThe Intuit Electronic Postmark shows the date and time Intuit received your federal tax return. The IntuitElectronic Postmark documents the filing date of your income tax return, and the electronic postmarkinformation should be kept on file with your tax return and other tax-related documentation.There are two important aspects of the Intuit Electronic Postmark:1. THE INTUIT ELECTRONIC POSTMARK.The electronic postmark shows the date and time Intuit received the federal return, and is deemed thefiling date if the date of the electronic postmark is on or before the date prescribed for filing of thefederal individual income tax return.TIMELY FILING:For your federal return to be considered filed on time, your return must be postmarked on or beforemidnight April 15, 2013. Intuit’s electronic postmark is issued in the Pacific Time (PT) zone. If you arenot filing in the PT zone, you will need to add or subtract hours from the Intuit Electronic Postmark timeto determine your local postmark time. For example, if you are filing in the Eastern Time (ET) zone andyou electronically file your return at 9 AM on April 15, 2013, your Intuit electronic postmark will indicateApril 15, 2013, 6 AM. If your federal tax return is rejected, the IRS still considers it filed on time if theelectronic postmark is on or before April 15, 2013, and a corrected return is submitted and acceptedbefore April 20, 2013. If your return is submitted after April 20, 2013, a new time stamp is issued toreflect that your return was submitted after the IRS deadline and, consequently, is no longer consideredto have been filed on time.If you request an automatic six-month extension, your return must be electronically postmarked bymidnight October 15, 2013 If your federal tax return is rejected, the IRS will still consider it filed on timeif the electronic postmark is on or before October 15, 2013, and the corrected return is submitted andaccepted by October 20, 2013.2. THE ACCEPTANCE DATE.Once the IRS accepts the electronically filed return, the acceptance date will be provided by the IntuitElectronic Filing Center. This date is proof that the IRS accepted the electronically filed return.

Electronic Filing Instructions for your 2012 Rhode Island Tax ReturnImportant: Your taxes are not finished until all required steps are completed.Bhattacharya, Saptaparna1101 Iroquois AvenueNaperville, IL 60563 Your Rhode Island state tax return (Form RI-1040) shows a refund due to you in the amount of 392.00. Your tax refund will be direct deposited into your account. The account information you entered Account Number: 20115717 Routing Transit Number: 011500120. Where's My Before you call the State of Rhode Island, Division of Taxation withRefund? questions about your refund, give them 21 days processing time from the date your return is accepted. If then you have not received your refund, or the amount is not what you expected, contact the State of Rhode Island, Division of Taxation directly at 1-401-574-8829. No No signature form is required since you signed your returnSignature electronically.Document Needed What You Your Electronic Filing Instructions (this form)Need to Printed copy of your state and federal returnsKeep 2012 Taxable Income 16,328.00Rhode Island Total Tax 612.00Tax Total Payments/Credits 1,004.00Return Amount to be Refunded 392.00Summary BalanceDue/RefundPage 1 of 1

ISLANDRI-1040 RHODERESIDENT INDIVIDUAL INCOME TAX RETURN2012038-72-1755SAPTAPARNABHATTACHARYA1101 IROQUOIS AVENUE APT 2117NAPERVILLE IL 60563OUT OF STATEIf you want 5.00 ( 10.00 if a joint return) to goELECTORALto this fund, check here. (See instructions. ThisCONTRIBUTION will not increase your tax or reduce your refund.)FILINGSTATUSINCOME,TAX ANDCREDITSRhode IslandStandardDeductionSingle 7,800Married filingjointly orQualifyingwidow(er) 15,600Check onlyone box1Single2YesIf you wish the 1st 2.00 ( 4.00 if a joint return) to be paid to aspecific party, check the box and fill in the name of the politicalparty. Otherwise, it will be paid to a nonpartisan general account.Married filing jointly3Married filing separately4Head of household5Qualifying widow(er)1. Federal AGI (Adjusted Gross Income) from Federal Form 1040, line 37; 1040A, line 21 or 1040EZ, line 4. 1.27,778.2. Net modifications to Federal AGI from RI Schedule M, line 3. If no modifications, enter zero on this line. 2.0.3. Modified Federal AGI. Combine lines 1 and 2 (add net increases or subtract net decreases). 3.27,778.4. Deductions. RI standard deduction (left margin). If line 3 is over 181,900 see Standard Deduction Worksheet on page i.4.7,800.5. Subtract line 4 from line 3. 5.19,978.6. Exemptions. Enter federal exemptions in box, multiply by 3,650 and enter result on line 6.If line 3 is over 181,900, see Exemption Worksheet on page i (back of front cover) .1 X 3,650 6.3,650.7. RI TAXABLE INCOME. Subtract line 6 from line 5. 7.16,328.8. RI income tax from Rhode Island Tax Table or Tax Computation Worksheet . 8.612.9. A. RI percentage of allowable Federal credit from page 2, RI Schedule I, line 22. 9A.Married filingseparately 7,800B. RI credit for income taxes paid to other states from page 2, RI Schedule II, line 29. 9B.C. Other Rhode Island Credits from RI Schedule CR, line 4 . 9C.Head ofhousehold 11,700D. Total RI credits. Add lines 9A, 9B and 9C . 9D.10. A. Rhode Island income tax after credits. Subtract line 9D from line 8 (not less than zero). 10A.612.B. Recapture of Prior Year Other Rhode Island Credits from RI Schedule CR, line 7. 10B.Attach FormsW-2 and1099 here. 11. RI checkoff contributions from page 2, RI Checkoff Schedule, line 37 (Contributions reduce your refund or increase your balance due.) 11.0.12. USE/SALES tax due from page I-4, line 6 of the Individual Consumer’s Use/Sales Tax Worksheet . 12.13. TOTAL RI TAX AND CHECKOFF CONTRIBUTIONS. Add lines 10A, 10B, 11 and 12 . 13.14. A. R h o d e I s l a n d 2 0 1 2 i n c o m e ta x w i t h h e l d f r o m R I S c h e d u l e W, l i n e 2 1 . . .14A.(All Forms W-2 and 1099 with RI withholding, AND Schedule W must be attached)1,004.B. 2012 estimated tax payments and amount applied from 2011 return. 14B.PAYMENTSANDPROPERTYTAXRELIEFCREDITC. Property tax relief credit from form RI-1040H, line 16 or 23. Attach Form RI-1040H 14C.612.Check ifextension isattached.D. RI earned income credit from page 2, RI Schedule EIC, line 46. 14D.E. RI Residential Lead Paint Credit from Form RI-6238, line 7. Attach Form RI-6238 14E.F. Other payments. 14F.G. TOTAL PAYMENTS AND CREDITS. Add lines 14A, 14B, 14C, 14D, 14E and 14F . 14G.AMOUNTDUEB. Check if RI-2210 or RI-2210A is attached and enter underestimating interest due.This amount should be added to line 15A or subtracted from line 16, whichever applies.15B.C. TOTAL AMOUNT DUE. Add lines 15A and 15B. Complete RI-1040V and send in with your payment .REFUND1,004.15. A. AMOUNT DUE. If line 13 is LARGER than line 14G, subtract line 14G from 13 . 15A.16. AMOUNT OVERPAID. If line 14G is LARGER than line 13, subtract line 13 from line 14G.If there is an amount due for underestimating interest on line 15B, subtract line 15B from line 16.0. 15C. 16.17. Amount of overpayment to be refunded. 17.392.392.18. Amount of overpayment to be applied to 2013 estimated tax. 18.REV 12/05/12 TTO1555RETURN MUST BE SIGNED - SIGNATURE LINE IS LOCATED ON PAGE 2MAILING ADDRESS: RI Division of Taxation - One Capitol Hill - Providence, RI 02908-5806

RI-10402012RI SCHEDULE I - ALLOWABLE FEDERAL CREDIT19. RI income tax from page 1, line 8. 19.20. Credit for child and dependent care expenses from Federal Form 1040, line 48 or 1040A, line 29. 20.21. Tentative allowable federal credit. Multiply line 20 by 25% (0.2500) . 21.22. MAXIMUM CREDIT. Line 19 or 21, whichever is SMALLER. Enter here and on page 1, line 9A. 22.RI SCHEDULE IICREDIT FOR INCOME TAXES PAID TO ANOTHER STATENOTE: You must attach a signed copy of the state tax return(s) for which you are claiming credit.23. RI income tax from RI-1040, page 1, line 8 less allowable federal credit from RI-1040, page 2, line 22. 23.24. Income derived from other state. If more than one state, see instructions.24.25. Modified federal AGI from page 1, line 3. 25.26. Divide line 24 by line 25. 26.27. Tentative credit. Multiply line 23 by line 26. 27.28. Tax due and paid to other state (see specific instructions) Insert name of state paid . 28.29. MAXIMUM TAX CREDIT. Line 23, 27 or 28, whichever is the SMALLEST. Enter here and on page 1, line 9B. 29.RI CHECKOFF CONTRIBUTIONS SCHEDULE 1.0030.Drug program account RIGL §44-30-2.4 .31.Olympic Contribution RIGL §44-30-2.132.RI Organ Transplant Fund RIGL §44-30-2.5 .33.RI Council on the Arts RIGL §42-75.1-1 .34.RI Nongame Wildlife Fund RIGL §44-30-2.2 .35.Childhood Disease Victims’ Fund RIGL §44-30-2.3 .36.RI Military Family Relief Fund RIGL §44-30-2.9 .YesNOTE: Contributions reduce yourrefund or increase your balance due. 5.00 10.00 Other30. 1.00 Contribution ( 2.00 if a joint return). 31.32.33. 34. 35.36.37. TOTAL CONTRIBUTIONS. Add lines 30, 31, 32, 33, 34, 35 and 36. Enter here and on RI-1040, page 1, line 11 . 37.RI SCHEDULE EIC RHODE ISLAND EARNED INCOME CREDIT38. Rhode Island income tax from RI-1040, page 1, line 10A. 38.39. Federal earned income credit from Federal Form 1040, line 64a; 1040A, line 38a or 1040EZ, line 8a. 39.40. Rhode Island percentage. 40.25%41. Multiply line 39 by line 40. 41.42. Enter the SMALLER of line 38 or line 41. 42.43. Subtract line 42 from line 41 (If zero or less, enter the amount from line 42 on line 46. Otherwise, continue to line 44). 43.44. Refundable percentage. 44.15%45. Rhode Island refundable earned income credit. Multiply line 43 by line 44. 45.46. TOTAL RI EARNED INCOME CREDIT. Add line 42 and line 45. Enter here and on RI-1040, line 14D. 46.Under penalties of perjury, I declare that I have examined this return, and to the best of my knowledge and belief, it is true, correct and complete.YourSignature DateMay the division contact your preparer about this return?Paid preparer’s signature and addressYesSpouse’sSignature DatePreparer’s name (please print):SSN, PTIN or EINSELF PREPAREDTelephone number(REV 12/05/12 TTOPage 2)1555

RI SCHEDULE W2012RHODE ISLAND W2 AND 1099 INFORMATIONName(s) shown on Form RI-1040 or RI-1040NRYour social security numberSAPTAPARNA BHATTACHARYA038-72-1755Complete the Schedule below listing all of your and your spouse’s (if applicable) W2s and 1099s showing Rhode Island IncomeTax withheld. W2s or 1099s showing Rhode Island Income Tax withheld must still be attached to the front of your return. FailureATTACH THIS SCHEDULE W TO YOUR RETURNto do so may delay the processing of your return.Column A Column BEnter “S”if forSpouse1.Column CEnter 1099Employer’s Name from Box C of your W2 orletter codePayer’s Name from your Form 1099from chartBROWN UNIVERSITYColumn EColumn DEmployer’s Federal ID # from Rhode Island Income TaxWithheld (SEE BELOWbox b of your W2 or Payer’sFederal ID # from Form 1099 FOR BOX .13.14.15.16.17.18.19.20.21. Total RI Income Tax Withheld. Add lines 1 through 20, Column E. Enter total here and on RI-1040, line 14Aor RI-1040NR, line 17A .1,004.22. Total number of W2s and 1099s showing Rhode Island Income Tax Withheld .1INSTRUCTIONS FOR COMPLETING SCHEDULE WLines 1 - 20:Please complete columns A, B, C, D and E for each W2 and 1099 showing Rhode Island withholding.Line 21: Total Rhode Island Income Tax Withheld. Add the amounts fromColumn E, lines 1 through 20. Enter the total here and on RI-1040, line14A or RI-1040NR, line 17A.Schedule W Reference ChartColumn A: For each W2 or 1099 being entered, leave blank if the W2 or1099 is for you. Enter an “S” if the W2 or 1099 belongs to your spouse.Line 22: Enter the numberof W2s and 1099s enteredon lines 1-20 showingRhode Island income taxwithheld.Column B: For each W2 or 1099 being entered, leave blank if the information being entered is from a W2. For all 1099s being entered, enterthe letter code from the chart to the right.Column C: For each W2 or 1099 being entered, enter the name of theemployer or payer.Column D: For each W2, enter the employer identification number frombox b of the W2. For each 1099, enter the payer’s federal identificationnumber.Schedule W plus all W2sand 1099s with RhodeIsland withholding mustbe attached to your RhodeIsland return in order toreceive credit for your RhodeIsland withholding tax amount.ATTACH THIS FORM TOColumn E: For each W2 or 1099, enter the amount of Rhode Island withYOUR RHODE ISLANDholding as shown on each form. See chart to the right for box reference.RETURN.REV 11/21/12 TTOPage 3Form TypeW2W-2GLetter Code Withholdingfor Column 099

Tax Payment System (EFTPS). 3. You can file a paper Form 4868. It's Convenient, Safe, and Secure IRS e-file is the IRS's electronic filing program. You can get an automatic extension of time to file your tax return by filing Form 4868 electronically. You will receive an electronic acknowledgment