QBPage_990 Extension Request

990 or 990-EZ Extension
Request for Automatic 6-Month Extension
EIN Number:
e.g., 23
Legal Name of Organization
DBA Name (if applicable):
Please provide answers to the questions below:
Current Mailing Address of Organization

Street Address

Street Address Line 2

CityState

Zip Code
1) Is this extension request for a Form 990/990-EZ (not Form990-T, Form 990-BL, etc)?
If NO, STOP HERE as the following forms are not eligible for this request: 990-BL, 990-PF, 990-T
2) Is this an extension request for a group return?
Books are in care of:

First NameLast Name
Address

Street Address

Street Address Line 2

CityState

Zip Code
Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

My Products
prevnext( X )
990 Extension
$45.00

Total

$0.00
What is the name and official title of the requestor?
First Name* Last Name* Official Title*
Signature

Debit or Credit Card

Choose from one of the PayPal options to make your payment.

990 or 990-EZ Extension