2022 Tax Extension Request

Personal Information

Single Filing Status
Taxpayer's First Name*
Last Name*
Address*
City*
State*
Zip*
Enter the total of all W-2 and 1099-R withholdings below. Also, enter the total of all 2022 federal and state estimated payments.
Box 2 - W-2
Total - All W/H
Box 4 - 1099R
Total - All W/H
Federal
Estimated Pymts
State
Estimated Pymts

Personal Information

Married Filing Status
Taxpayer's First Name*
Last Name*
Spouse*
Last Name*
Address*
City*
State*
Zip*
Enter the total of all W-2 and 1099-R withholdings below. Also, enter the total of all 2022 federal and state estimated payments.
Box 2 - W-2
Total - All W/H
Box 4 - 1099R
Total - All W/H
Federal
Estimated Pymts
State
Estimated Pymts

Required Documents

Extensions can not be filed without required documents.
READ ME:

All Clients - Upload a copy of your 2022 W-2 and 1099R forms.

New Clients - Upload a copy of your 2021 tax return.
Browse Files
File Upload - PDF Format Cancelof
IMPORTANT

If this request is after 12 pm(central), on April 18th, you will need to manually file an extension by sending a completed 4868 form to the IRS.

Extension of Time to File- Form 4868:

https://www.irs.gov/forms-pubs/about-form-4868-application-for-automatic-extension-of-time-to-file-us-individual-income-tax-return

If you have any questions or need additional help, please contact our office at 763-425-8778

Authorization
Print First and Last Name*
I authorize Clergy Financial Resources to file the 2022 Application for Extension
Confirm Email*
example@example.com
Should be Empty:

Personal Information