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. September 2013)
(For Forms W-2, W-2G, 1042-S, 1097, 1098, 1099, 3921, 3922, 5498, and 8027)
Department of the Treasury
This form may be filled out online. See How to file below.
Internal Revenue Service
▶
Do not use this form to request an extension of time to (1) file Form 1040 (use Form 4868), (2) file Form 1042 (use Form 7004), or (3)
furnish statements to recipients (see Extensions under part M in the General Instructions for Certain Information Returns).
2 Taxpayer identification number (TIN)
1 Payer's/filer's information. Type or print clearly in black ink.
(Enter the payer/filer nine-digit number.
Do not enter hyphens.)
Payer's/filer's name
Address
City
State
ZIP Code
Contact name
Telephone number
Email address
3 Check your method of filing information returns
4 If you are requesting an extension for more than
(check only one box). Use a separate Form 8809
one payer/filer, enter the total number of payers/
for each method.
filers and attach a list of names and taxpayer
identification numbers. See How to file below for
details.
▶
electronic
paper
5
Check this box only if you already requested the automatic extension and you now need an additional extension. See instructions.
▶
6
Check only the box(es) that apply. Do not enter the number of returns.
Form(s)
Form(s)
Form
✓
✓
✓
here
here
here
W-2
5498
8027
1097, 1098, 1099, 3921, 3922, W-2G
5498-ESA
1042-S
5498-SA
If you checked the box on line 5, state in detail why you need an additional extension of time. You must provide
7
sufficient cause as to why you were not able to file by the date granted by the first extension request. If you need
more space, attach additional sheets. Include the payer/filer name and taxpayer identification number on each
additional page.
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
▶
▶
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General Instructions
Where to file. Send Form 8809 to:
Internal Revenue Service
Purpose of form. Use Form 8809 to request an initial or additional
Attn: Extension of Time Coordinator
extension of time to file only the forms shown in line 6 for the
240 Murall Drive, Mail Stop 4360
current tax year.
Kearneysville, WV 25430
Who should file. Payers/filers who need more time to file
Need help? If you have questions about Form 8809, call the IRS toll
information returns with the IRS should file this form before the filing
free at 1-866-455-7438 or 304-263-8700 (not toll free). Persons with
due date. See When to file, later.
a hearing or speech disability with access to TTY/TDD equipment
How to file. Extensions may be requested:
can call 304-579-4827 (not toll free).
• Online by completing a fill-in Form 8809 through the FIRE system
Also, see Pub. 1220 and Pub. 1187, Specifications for Electronic
at for an automatic 30-day extension.
Filing of Form 1042-S, Foreign Person’s U.S. Source Income
Acknowledgements are automatically displayed online if the request
Subject to Withholding. For additional information, see Topic 803,
is made by the due date of the return.
Waivers and Extensions, at
• Electronically through the FIRE system in a file formatted
Note. Specifications for filing Forms W-2, Wage and Tax Statement,
according to the specifications in Publication 1220, Specifications
electronically are only available from the Social Security
for Electronic Filing of Forms 1097, 1098, 1099, 3921, 3922, 5498,
Administration (SSA). Call 1-800-772-6270 for more information or
8935, and W-2G.
visit the SSA's Employer W-2 Filing Instructions & Information page
at
• On paper Form 8809. Mail the form to the address shown in
Where to file, later, or fax it to 1-877-477-0572 (toll free). You are
encouraged to submit your request via the online fill-in form.
8809
For Privacy Act and Paperwork Reduction Act Notice, see page 2.
Form
(Rev. 9-2013)
Cat. No. 10322N
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