Form It-30 - Application For Extension Of Time For Filling State Income Tax Returns printable pdf download

Form It-30 - Application For Extension Of Time For Filling State Income Tax Returns

IT-303 (Rev. 1/97)

PrepareApplication induplicate

GEORGIA DEPARTMENT O F REVENUE

and submitallcopiesto Georgia

INCOME TAXDIVISION

Department o f Revenue forcon-

ATLANTA, GEORGIA

siderationon or beforethe date

prescribedby lawforfilingthe

return.

APPLICATION

FOR EXTENSION OFTIME FOR FILING STATE INCOME T AX RETURNS

READ I NSTRUCTIONS

ONREVERSE

SIDE BEFORE PREPARING

APPLICATION

APPLICANT:

PRINT OR TYPE NAME AND A DDRESS,

INCLUDING

ZIP CODE (WITHIN

BRACKETS).

TO WHOM EXTENSION

IS TO BE MAILED

IF APPROVED.

APPROVED

COPIES

WILL BE RETURNED

IN AWINDOW

ENVELOPE.

DO NOT W RITE

IN THIS SPACE

(FOR R EVENUE

DEPARTMENT

USE O NLY)

APPROVAL

STAMPS

NAME OF TAXPAYER

FOR W HOM EXTENSION

ISREQUESTED

ADDRESS

(IF DIFFERENT

FROM A BOVE)

CITY

STATE

ZIP CODE

SOC. SEC. NO, OR F.E..I. NO.

APPLICATION

ISHEREBY

MADE FOR AN EXTENSION

OF TIME F OR FILING THE FOLLOWING

STATE TAX RETURN:

1. Type ofreturn: ( check p roper t ype)

2.ForPeriod Ending

[ ]

Individual, Form 500

3.Extension Requested To

[ ]

Partnership, Form 700

[ ]

Fiduciary, Form 501

[ ]

Corporation Income T ax

[ ]

Net W orth Tax(For P eriod Beginning)

[

]

Other

NOTE: Extensions arelimited b ylawtoa maximum ofsix(6)months

REASON FOR EXTENSION

(SEE INSTRUCTIONS

ONREVERSE

SIDE)

IAFFIRM

THAT THE I NFORMATION

GIVEN ABOVE IS, T O THE B EST O F MY KNOWLEDGE

AND BELIEF,

TRUE AND ACCURATE.

THIS A FFIRMATION

ISMADE UNDER THE P ENALTIES

PRESCRIBED

BY LAW.

DATE

SIGNATURE

OF TAXPAYER

OR AUTHORIZED

AGENT

IF SIGNED

BY AGENT,

AGENT’S

FIRM O R TRADING

NAME

IMPORTANT! ACCEPTANCE OFFEDERAL EXTENSIONS

AFEDERAL

EXTENSION

WILL BE ACCEPTED

ASAGEORGIA

EXTENSION

IF; 1 )THE R ETURN

ISRECEIVED

WITHIN

THE T IME ASEXTENDED

BY THE I NTERNAL

REVENUE

SERVICE

AND 2)ACOPY O F THE F EDERAL

EXTENSION(S)

ISAITACHED

TO THE R ETURN

WHEN FILED.

NOTE: THERE

ISNO EXTENSION

FOR PAYMENT

OF TAX. INCOME

TAX OR CORPORATION

NET WORTH

TAX MUST B E PAID B Y THE

PRESCRIBED

DUE DATE TO AVOID THE A SSESSMENT

OF LATE PAYMENT

PENALTIES

AND INTEREST.

(USE GEORGIA

FORM I T-560)

Form It-30 - Application For Extension Of Time For Filling State Income Tax Returns

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