Form Cbt-200-T - Tentative Return And Application For Extension Of Time To File

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CBT-200-T
State of New Jersey
7-01, R-22
DIVISION OF TAXATION
TENTATIVE RETURN AND APPLICATION FOR EXTENSION OF TIME TO FILE
The New Jersey Corporation Business Tax Return (Form CBT-100) or
The New Jersey S Corporation Business Tax Return (Form CBT-100S)
For Taxable Years Ending on and After July 31, 1999
(See instructions on reverse side. Type or print the requested information.)
For accounting period beginning ____________________, ___________ and ending ____________________, ___________
Federal Employer Identification Number
Corporation Name
Mailing Address
NJ Corporation Number
City
State
Zip Code
State and Date of Incorporation
APPLICATION IS HEREBY MADE FOR AN AUTOMATIC EXTENSION OF SIX (6) MONTHS FOR FILING THE COMPLETED
RETURN OF THE ABOVE CORPORATION UNDER THE CORPORATION BUSINESS TAX ACT (N.J.S.A. 54:10A-1 et seq.)
Remittance to cover the full amount of the net balance due, as per computation below, must accompany this application.
No extension will be granted in the absence of such remittance.
COMPUTATION OF TENTATIVE TAX
1. Total Tentative Tax for Current Period
IMPORTANT:
See Instruction 5 regarding minimum tax requirements. . . . . . . . . . . . . . . . . . . . . . .
1
2. Installment Payment (See Instruction 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2
3. Combined Total (Line 1 plus Line 2) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4. Credits:
(a) Installments Paid
. . . . . . . . . . . . .
4(a)
(Including payment on prior year’s return, if any)
(b) Overpayment Claimed as a Credit
(From prior period)
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4(b)
Total Credits (Add Lines (a) and (b)) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4
5. Net Balance Remitted Herewith (Line 3 minus Line 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
WARNING: Penalties may be assessed for underestimation of tax. See Instruction 7 on reverse side.
Remittance should be made payable to “State of New Jersey” and forwarded with this return to:
Division of Taxation - Corporation Tax, Revenue Processing Center, PO Box 666, Trenton, NJ 08646-0666
SIGNATURE AND VERIFICATION
I declare under the penalties of perjury that I have been authorized by the above-named corporation to make this application and that to the best of my
knowledge and belief the statements made herein are true and correct.
___________________________________________________________________________________________________________________________
(Date)
(Signature of Duly Authorized Officer of Taxpayer)
(Title)
___________________________________________________________________________________________________________________________
(Date)
(Tax Preparer’s Signature)
(Address)
(Preparer’s I.D. Number)
___________________________________________________________________________________________________________________________
(Name of Tax Preparer’s Employer)
(Address)
(Employer’s I.D. Number)

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