EXTENSION REQUEST INSTRUCTIONS
EXTENSION REQUEST:
To be used by a corporation, an LLC or partnership for requesting an automatic extension of time for filing Rhode Island
Form RI-1120C, RI-1120S or RI-1065.
Automatic six (6) month extension for filers of Form RI-1120C (except for filers with a June 30 fiscal year end), Form RI-
1120S or Form RI-1065 (LLC, LLP, LP, Partnership, SMLLC).
Automatic seven (7) month extension for June 30 year end filers of Form RI-1120C.
TO BE EFFECTIVE:
1. Payment of the full amount of the tax reasonably estimated to be due must be submitted with this request.
2. This form must be completed and filed before the date prescribed for payment of the tax.
3. This form must be signed by a person authorized to represent the corporation in this matter.
NOTE:
The extension of time is limited to: 1) The date requested, or 2) The date on which a certificate of good standing is
required to be issued, whichever is earlier.
ONLINE PAYMENT
Your extension payment can be made online. For more information, visit:
https://
If you make your payment online, you do not need to send in this extension request form.
STATE OF RHODE ISLAND
RI-7004
AUTOMATIC EXTENSION REQUEST FOR RI-1120C, RI-1120S and RI-1065 FILERS
DIVISION OF TAXATION - ONE CAPITOL HILL - PROVIDENCE, RI 02908
YOUR COPY
/
/
For the Taxable Year Ending:
DO NOT FILE THIS COPY WITH THE
ESTIMATED TAX
$
0 0
RHODE ISLAND DIVISION OF TAXATION
RI-7004
CURRENT YEAR
NAME
AMOUNT PAID AND
$
0 0
CREDITED TO DATE
FEDERAL EMPLOYER IDENTIFICATION NUMBER
AMOUNT DUE
$
0 0
WITH EXTENSION
I declare, under the penalties of perjury, that this document has been examined by me and,
to the best of my knowledge and belief, is true, and complete.
AMOUNT
$
0 0
ENCLOSED
Key #5
Signature of officer or agent.
STATE OF RHODE ISLAND
RI-7004
AUTOMATIC EXTENSION REQUEST FOR RI-1120C, RI-1120S and RI-1065 FILERS
DIVISION OF TAXATION - ONE CAPITOL HILL - PROVIDENCE, RI 02908
/
/
NAME
For the Taxable Year Ending:
ADDRESS
ESTIMATED TAX
$
0 0
RI-7004
CURRENT YEAR
CITY, STATE, ZIP CODE
AMOUNT PAID AND
$
0 0
CREDITED TO DATE
FEDERAL EMPLOYER IDENTIFICATION NUMBER
AMOUNT DUE
$
0 0
WITH EXTENSION
I declare, under the penalties of perjury, that this document has been examined by me and,
to the best of my knowledge and belief, is true, and complete.
AMOUNT
$
0 0
ENCLOSED
Key #5
Signature of officer or agent.