Form 8809 - Application For Extension Of Time To File Information Returns
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28809
Request for Extension of Time To
Form
File Information Returns
OMB No. 1545-1081
(Rev. May 2002)
(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 on page 2.
Internal Revenue Service
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
(Enter one
Address
year only.)
3 Transmitter Control Code (TCC)
City
State
ZIP Code
(
)
Contact Name
Telephone number
E-mail address
4
Check your method of filing information returns
5
If you are requesting an extension for more than
6
Electronic/magnetic media
(check only one box). Use a separate Form 8809
one filer, enter the total number of filers and
requests only. Enter the total
for each method.
attach a list of names and taxpayer identification
number of records in your file.
numbers. Requests for more than 50 filers must
Do not attach a list.
be filed electronically or magnetically. See How
electronic
magnetic media
paper
to file below for details.
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Check this box only if you received an extension and you now need an additional extension. See instructions.
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Caution: Do not use this for m to request an extension of time to (1) provide statements to recipients, (2) file Form 1042
(instead use For m 2758), or (3) file For m 1040 (instead use Form 4868).
Check the box(es) that apply. Do not enter the number of returns.
Form
here
Form
here
Form
here
W-2 series
5498
8027
1098 series, 1099 series, W-2G
5498-ESA
REMIC
1042-S
5498-MSA
State in detail why you need an extension of time. You must give a reason or your request will be denied. If
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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
General Instructions
If filing on paper with 50 or less filers, you must attach a list
of the filers’ names and taxpayer identification numbers. If you
Purpose of form. Use this form to request an extension of time
are filing the extension request magnetically or electronically, you
to file any form shown in line 8.
do not have to provide a list.
Who may file. Filers of returns submitted on paper, on magnetic
For more information, see Pub. 1220, Specifications for Filing
media, or electronically may request an extension of time to file
Forms 1098, 1099, 5498, and W-2G Electronically or
on this form.
Magnetically and Pub. 1187, Specifications for Filing Form
How to file. When you request extensions of time to file for
1042-S, Foreign Person’s U.S. Source Income Subject to
more than 50 filers for the forms shown in line 8, except Form
Withholding, Magnetically or Electronically.
8027, you must submit the extension requests magnetically or
Note: Specifications for filing Forms W-2, Wage and Tax
electronically.
Statements, magnetically or electronically, are only available from
For 10–50 filers, you are encouraged to submit the extension
the Social Security Administration (SSA). Call 1-800-SSA-6270
request magnetically or electronically.
for more information.
8809
For Privacy Act and Paperwork Reduction Act Notice, see back of form.
Cat. No. 10322N
Form
(Rev. 5-2002)
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