Form 8809 - Request For Extension Of Time To File Information Returns
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1
28809
Request for Extension of Time To
Form
File Information Returns
OMB No. 1545-1081
(Rev. June 1997)
(For Forms W-2, W-2G, 1042-S, 1098, 1099, 5498, and 8027)
Department of the Treasury
Send to Martinsburg, WV. See Where To File on page 2.
Internal Revenue Service
1 Filer or transmitter name and mailing address (number and street (including room or suite
2
Federal identification number
Extension
number) or post office box, city, state, and ZIP code) (Please type or print clearly.)
(Enter your nine-digit number. Do
Request for
not enter a hyphen.)
Tax Year
(Enter only 1
Transmitter control code (IRS magnetic media/electronic filers only)
3
4
Person IRS can contact about this request
5
Telephone number
tax year.)
(
)
6 Enter total number of filers for which this request is made (Complete only if you are a transmitter requesting an extension
for more than one filer. You must attach a list of the names and employer identification numbers of such filers. If you are
making the request for 10 or more filers, see the Note under Who May File below)
7
Check this box only if you received an original extension and you now need an additional extension. (See instructions.)
8
Check the boxes that apply. You need not enter the number of returns.
Caution: Do not use this form to request an extension of time to (1) provide statements to recipients, (2) file Form 1042
(use For m 2758), or (3) file For m 1040 (use Form 4868).
Form
Check here
Form
Check here
Form
Check here
(
)
(
)
(
)
W-2
1099-DIV
1099-PATR
W-2G
1099-R
1099-G
1042-S
1099-INT
1099-S
1098
5498
1099-LTC
1099-A
1099-MISC
5498-MSA
1099-B
1099-MSA
8027
1099-C
1099-OID
State in detail why you need an extension. If you need more space, attach additional sheets.
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Under penalties of perjury, I declare that I have examined this form, including any accompanying statements, and, to the best of
my knowledge and belief, it is true, correct, and complete.
Signature
Title
Date
General Instructions
filers, you are encouraged to submit the extension requests
magnetically or electronically. For more information, see Pub. 1220,
Purpose of Form.—Use this form to request an extension of time to
Specifications for Filing Forms 1098, 1099, 5498 and W-2G
file Form W-2, W-2G, 1042-S, 1098, 1099, 5498, or 8027.
Magnetically or Electronically, and Pub. 1239, Specifications for
Filing Form 8027, Employer’s Annual Information Return of Tip
Who May File.—Filers of returns submitted on paper, on magnetic
media, or electronically may request an extension of time to file on
Income and Allocated Tips Magnetically/Electronically.
this form. A transmitter for multiple filers may file this form but must
When To File.—File Form 8809 as soon as you know an extension
attach a list of the names and employer identification numbers of
of time to file is necessary. However, Form 8809 must be filed by
those for whom they will be filing.
the due date of the returns. For example, a request for an extension
Note: If you are requesting extensions of time to file for more than
of time to file Form 1099-INT, Interest Income, must be filed by
February 28. If you are requesting an extension of time to file several
50 filers, you must submit the extension requests magnetically or
types of forms, you may use one Form 8809, but you must file Form
electronically. If you are requesting extensions of time for 10–50
8809
For Paperwork Reduction Act Notice, see back of form.
Cat. No. 10322N
Form
(Rev. 6-97)
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