Form 7004 - Application For Automatic 6-Month Extension Of Time To File Certain Business Income Tax, Information, And Other Returns Form - Department Of The Treasury Internal Revenue Service

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7004
Application for Automatic 6-Month Extension of Time To File
Form
Certain Business Income Tax, Information, and Other Returns
OMB No. 1545-0233
(Rev. December 2006)
Department of the Treasury
File a separate application for each return.
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.
1
Enter the form code for the return that this application is for (see below)
2
If the foreign corporation does not have an office or place of business in the United States, check here
3
If the organization is a corporation or partnership that qualifies under Regulations section 1.6081-5, check here
4a
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
5
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.
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
Application
Form
Application
Form
Is For:
Code
Is For:
Code
Form 1120-H
Form 706-GS(D)
17
01
Form 706-GS(T)
Form 1120-L
18
02
Form 1120-ND
Form 990-C (2005 fiscal year filers only)
03
19
Form 1041 (estate)
04
Form 1120-ND (section 4951 taxes)
20
Form 1041 (trust)
05
Form 1120-PC
21
Form 1041-N
06
Form 1120-POL
22
Form 1041-QFT
Form 1120-REIT
07
23
Form 1042
08
Form 1120-RIC
24
Form 1065
09
Form 1120-S
25
Form 1065-B
10
Form 1120-SF
26
Form 1066
11
Form 3520-A
27
Form 1120
12
Form 8612
28
Form 1120 (sub T) (2005 fiscal year filers only)
13
Form 8613
29
Form 1120-A
14
Form 8725
30
Form 1120-C
34
Form 8804
31
Form 1120-F
15
Form 8831
32
Form 1120-FSC
16
Form 8876
33
7004
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 13804A
Form
(Rev. 12-2006)

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