Application for Automatic Extension of Time To File Certain Business Income Tax, Information, and Other Returns

Application for Automatic Extension of Time To File Certain Business Income Tax, Information, and Other Returns
Business Name
Legal Business Name registered with the IRS & your State of Incorporation
Business Type
LLC, S-Corp, C-Corp, Etc...
EIN
Tax ID # assigned by the IRS
Name

First Name of Requestor (person completing this form)Last Name of Requestor
SSN
SSN of Requestor (person completing this request for Extension)
Physical Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address if different

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the organization a foreign corporation that does not have an office or place of business in the United States?
Is the organization a corporation and is the common parent of a group that intends to file a consolidated return? (If yes, we will need to attach a statement listing the name, address, and employer identification number (EIN) for each member covered by this application.)
Is the organization a corporation or partnership that qualifies under Regulations section 1.608-5?
The application is for calendar year 202 digit yr, or tax year beginning Month, 202 digit yr and ending Month, 2 digit yr .
Short tax year. If this tax year is less than 12 months, check the reason
6. Tenative Total Tax
7. TOTAL payments and credits
BALANCE DUE. Subtract line 7 from line 6.
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