Application for Automatic Extension of Time To File Certain
Business Income Tax, Information, and Other Returns
OMB No. 1545-0233
(Rev. December 2008)
File a separate application for each return.
Department of the Treasury
See separate instructions.
Internal Revenue Service
Number, street, and room or suite no. (If P.O. box, see instructions.)
File by the due
date for the
return for which
an extension is
City, town, state, and ZIP code (If a foreign address, enter city, province or state, and country (follow the country’s practice for entering
Note. See instructions before completing this form.
Automatic 5-Month Extension Complete if Filing Form 1065, 1041, or 8804
Enter the form code for the return that this application is for (see below)
Form 1041 (estate)
Form 1041 (trust)
Automatic 6-Month Extension Complete if Filing Other Forms
b Enter the form code for the return that this application is for (see below)
Form 1120-ND (section 4951 taxes)
If the organization is a foreign corporation that does not have an office or place of business in the United States,
If the organization is a corporation and is the common parent of a group that intends to file a consolidated return,
If checked, attach a schedule, listing the name, address, and Employer Identification Number (EIN) for each member
covered by this application.
All Filers Must Complete This Part
If the organization is a corporation or partnership that qualifies under Regulations section 1.6081-5, check here
The application is for calendar year 20
, or tax year beginning
, and ending
Short tax year. If this tax year is less than 12 months, check the reason:
Change in accounting period
Consolidated return to be filed
Tentative total tax
Total payments and credits (see instructions)
Balance due. Subtract line 7 from line 6. Generally, you must deposit this amount using the
Electronic Federal Tax Payment System (EFTPS), a Federal Tax Deposit (FTD) Coupon, or
Electronic Funds Withdrawal (EFW) (see instructions for exceptions)
For Privacy Act and Paperwork Reduction Act Notice, see separate Instructions.
Cat. No. 13804A