7004
Application for Automatic Extension of Time To File Certain
Form
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
Name
Identifying number
Type or
Print
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
requested. See
postal code)).
instructions.
Note. See instructions before completing this form.
Part I
Automatic 5-Month Extension Complete if Filing Form 1065, 1041, or 8804
1a
Enter the form code for the return that this application is for (see below)
Application
Form
Application
Form
Is For:
Code
Is For:
Code
Form 1065
Form 1041 (estate)
09
04
Form 8804
31
Form 1041 (trust)
05
Part II
Automatic 6-Month Extension Complete if Filing Other Forms
b Enter the form code for the return that this application is for (see below)
Application
Form
Application
Form
Is For:
Code
Is For:
Code
Form 706-GS(D)
01
Form 1120-PC
21
Form 706-GS(T)
02
Form 1120-POL
22
Form 1041-N
Form 1120-REIT
23
06
Form 1041-QFT
07
Form 1120-RIC
24
Form 1042
Form 1120S
08
25
Form 1065-B
10
Form 1120-SF
26
Form 1066
Form 3520-A
11
27
Form 8612
Form 1120
28
12
Form 1120-C
Form 8613
29
34
Form 8725
Form 1120-F
15
30
Form 1120-FSC
16
Form 8831
32
17
Form 8876
Form 1120-H
33
Form 1120-L
18
Form 8924
35
Form 1120-ND
Form 8928
19
36
Form 1120-ND (section 4951 taxes)
20
2
If the organization is a foreign corporation that does not have an office or place of business in the United States,
check here
3
If the organization is a corporation and is the common parent of a group that intends to file a consolidated return,
check here
If checked, attach a schedule, listing the name, address, and Employer Identification Number (EIN) for each member
covered by this application.
Part III
All Filers Must Complete This Part
4
If the organization is a corporation or partnership that qualifies under Regulations section 1.6081-5, check here
5a
The application is for calendar year 20
, or tax year beginning
, 20
, and ending
,
20
b
Short tax year. If this tax year is less than 12 months, check the reason:
Initial return
Final return
Change in accounting period
Consolidated return to be filed
6
6
Tentative total tax
7
7
Total payments and credits (see instructions)
8
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)
8
7004
For Privacy Act and Paperwork Reduction Act Notice, see separate Instructions.
Cat. No. 13804A
Form
(Rev. 12-2008)