FR-128 : 2001 Extension of
Government of the District of Columbia
*011280310000*
Office of the Chief Financial Officer
Time to File D.C. Franchise
Office of Tax and Revenue
or Partnership Return
*011280310000*
FEDERAL EMPLOYER I.D. NUMBER
SOC. SEC. NO. (IF SELF-EMPLOYED)
OFFICIAL USE:
BUSINESS NAME
TAXABLE YEAR ENDING
MAILING ADDRESS LINE #1
MAILING ADDRESS LINE #2
CITY
STATE
ZIP + 4
-
Submit this form along with your payment of any tax due as shown on Line 6 below.
1. A 6-month extension of time to file until ___________ 15, 2002, for the calendar year 2001, or a 6-month extension of time to file until ________,
______, for a fiscal year ending _____________, ______ is hereby requested to file the following District of Columbia return (check one):
Corporation Franchise Tax Return,
Unincorporated Business Franchise Tax Return,
Partnership Return of Income,
Form D-20
Form D-30
Form D-65
ENTER DOLLAR AMOUNTS ONLY
$
,
,
2. TOTAL TAX LIABILITY FOR THE PERIOD ....................................................................................
$
,
,
3. ESTIMATED FRANCHISE TAX PAYMENTS (Include any overpayment credit) .............................
$
,
,
4. OTHER PAYMENTS .......................................................................................................................
$
,
,
5. TOTAL PAYMENTS AND CREDITS (Add Lines 3 and 4) ...............................................................
6. BALANCE DUE (Line 2 minus Line 5).
Payment in full must be submitted with this form or your
$
,
request will be denied. (Note: You will be subject to the failure-to-pay penalty and interest on any
,
amount of tax due and not paid with this request). ...............................................................................................
INSTRUCTIONS
ADDITIONAL EXTENSION OF TIME - No additional
PURPOSE - Form FR-128 must be used to request a 6-month
extension of time to file will be granted beyond the 6-month ex-
extension of time in which to f ile a Corporation
tension unless the taxpayer is outside the continental limits of the
Franchise Tax Return (Form D-20), an Unincorporated Business
United States. In this instance an additional extension of 6 months
Franchise Tax Return (Form D-30), or a Partnership Return of
may be granted.
Income (Form D-65).
PENALTIES - The penalty for the failure to file a return on
WHEN TO FILE - The request for an extension of time to file
time or the failure to pay any tax when due is 5% of the unpaid
must be submitted on or before the due date of the return.
portion of the tax due. The penalty is computed for each month,
or fraction thereof, that the failure to file or pay continues. The
WHERE TO SUBMIT REQUEST - Mail the completed
penalty may not exceed 25% of the tax due.
FR-128 with your payment of any tax due to the Office of
Tax and Revenue, 6th Floor, 941 North Capitol St., N.E.
INTEREST - Interest at the rate of .0355921 percent per day (13
Washington, D.C. 20002. Be sure to sign and date the FR-128.
percent per year) must be paid on any tax not paid on time. Inter-
Your payment should be made out to the D.C. Treasurer. On the
est is computed from the due date of the return until the tax is
payment you should include your Federal Employer Identifica-
paid even if a request for an extension of time to file is granted.
tion Number, FR-128 (or SSN), and the tax year.
SIGNATURE- The request must be signed by the following:
REQUEST FOR EXTENSION OF TIME - A 6-month
•
CORPORATION
extension of time will be granted if you complete this form prop-
Any designated or authorized officer of the corporation.
erly, file it on time and PAY with it the amount of tax due shown
•
UNINCORPORATED BUSINESS
on Line 6. A copy of the FR-128 which you filed must be at-
Any owner or member of the unincorporated business.
tached to your return when the return is filed. A separate
•
PARTNERSHIP
extension request must be submitted for each return. Blanket re-
Any member of the partnership.
quests for extensions will not be granted.
•
PAID PREPARER must sign and provide the necessary
identification numbers.
FEDERAL EXTENSION FORMS - The Office of Tax and
NOTE: If receivers, trustees in bankruptcy, or assignees are in
Revenue does not accept copies of the federal application for an
control of the property or business of the organization, such
receivers, trustees, or assignees must sign the request.
extension of time to file. YOU MUST USE ONLY FORM
FR-128.