Form 8809 - Application For Extension Of Time To File Information Returns
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28809
Application for Extension of Time
Form
To File Information Returns
OMB No. 1545-1081
(Rev. July 2004)
(For Forms W-2 series, W-2G, 1042-S, 1098 series, 1099 series, 5498 series, and 8027)
Department of the Treasury
Send to IRS–Martinsburg Computing Center. See Where to file below.
Internal Revenue Service
Caution: Do not use this form to request an extension of time to (1) provide statements to recipients, (2) file Form 1042
(instead use Form 2758), or (3) file Form 1040 (instead use Form 4868).
1 Filer or transmitter information. Type or print clearly in black ink.
2
Taxpayer identification number
Extension
(Enter your nine-digit number. Do
not enter hyphens.)
Requested
for Tax Year
Filer/Transmitter Name
20
Address
(Enter one
year only.)
3 Transmitter Control Code (TCC)
City
State
ZIP Code
(
)
Contact Name
Telephone number
Email address
4
Check your method of filing information returns
5
If you are requesting an extension for more than
6
For extension requests sent
(check only one box). Use a separate Form 8809
one filer, enter the total number of filers and
electronically/magnetically only,
for each method.
attach a list of names and taxpayer identification
enter the total number of
numbers. Requests for more than 50 filers must
records in your extension file.
be filed electronically or magnetically. See How
Do not attach a list.
electronic
magnetic media
paper
to file below for details.
7
Check this box only if you already received the automatic extension and you now need an additional extension. See
instructions.
8
Check the box(es) that apply. Do not enter the number of returns.
here
here
here
Form
Form
Form
W-2 series
5498
8027
1098 series, 1099 series, W-2G
5498-ESA
1099-INT/OID for REMIC
1042-S
5498-SA
If you checked the box on line 7, state in detail why you need an additional extension of time. You must give a
9
reason or your request will be denied. If you need more space, attach additional sheets.
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
If filing on paper with 50 or less filers, you must attach a list of
General Instructions
the filers’ names and taxpayer identification numbers. If you are
Purpose of form. Use this form to request an extension of time
filing the extension request magnetically or electronically, you do
to file any forms shown in line 8.
not have to provide a list.
Who may file. Filers of returns submitted on paper, on magnetic
Also, see Pub. 1220, Specifications for Filing Forms 1098,
media, or electronically may request an extension of time to file
1099, 5498, and W-2G Electronically or Magnetically and
on this form.
Pub. 1187, Specifications for Filing Form 1042-S, Foreign
Person’s U.S. Source Income Subject to Withholding,
Where to file. Send Form 8809 to IRS-Martinsburg Computing
Center, Information Reporting Program, Attn: Extension of Time
Electronically or Magnetically.
Coordinator, 240 Murall Dr., Kearneysville, WV 25430. To avoid
Note. Specifications for filing Forms W-2, Wage and Tax
delays, be sure the attention line is included on all envelopes
Statements, magnetically or electronically, are only available from
and packages containing Form 8809.
the Social Security Administration (SSA). Call 1-800-SSA-6270
for more information.
How to file. When you request extensions of time to file for
more than 50 filers for the forms shown in line 8, except
When to file. File Form 8809 as soon as you know an extension
Form 8027, you must submit the extension requests
of time to file is necessary. However, Form 8809 must be filed
magnetically or electronically. For 10–50 filers, you are
encouraged to submit the extension request magnetically or
electronically.
8809
For Privacy Act and Paperwork Reduction Act Notice, see page 2.
Cat. No. 10322N
Form
(Rev. 7-2004)
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