Form Sc4768 - Application For Extension Of Time To File/pay Estate Tax Return

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SC4768

(Rev. 7/94)

3104

Application must be

received prior to

due date of return.

hardship extension under Section 12-16-1140 is being requested.

PART I

Identification

Decedent’s first name and middle initial

Decedent’s last name

Date of death

Name of application filer

Personal representative’s full name

Decedent’s

social security #

Address of personal representative

Address of application filer

. Estate Tax

City, state and ZIP code

Return due date

Decedent’s county of residence or county of SC real estate

City, state and ZIP code

PART II

Extension of Time to File

(Sec. 12-54-70)

You must attach your written statement to explain in detail why it is impossible or impractical to

Extension date

file a reasonable complete return within the statutory time period provided by law. You must

requested.

remit one hundred percent (100%) of the anticipated tax with this application, unless a hardship

extension under Section 12-16-1140 is being requested.

1. Amount of estate tax estimated to be due (Pay with this application) . . . . . . . . . . . . . . . . . . . .

PART III

Hardship Extension of Time To Pay (Sec. 12-16-1140)

You must attach your written statement to explain in detail why it is impossible or impractical to

Extension date

pay the full amount of the estate tax by the estate tax return due date. Your statement must

requested.

include the reason for the hardship, amount of liquid assets, and the amount of federal taxes paid.

1. Amount of estate tax estimated to be due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

2. Amount of cash shortage claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Balance due (Pay with this application ) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . > $

Signature and Verification

For Office Use Only

If filed by Personal Representative-Under penalties of perjury, I declare that to the best of my

knowledge and belief, the statements made herein and attached are true and correct.

14-2801

Personal Representative's signature

Title

Date

If filed by someone other than personal representative-Under penalties of perjury, I declare that to the best of my knowledge

and belief, the statements made herein and attached are true and correct, that I am authorized by the personal representative to

file this application, and that I am:

[] A member in good standing of the bar of the highest court of (specify jurisdiction) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[] A certified public accountant duly qualified to practice in (specify jurisdiction) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

[] A person enrolled to practice before the SC Department of Revenue

[] A duly authorized agent holding a power of attorney (The power of attorney need not be submitted unless requested.)

Filer’s Signature (other than personal representative)

Date

PART IV

Notice to Applicant - To be completed bv SC Department of Revenue

1, The application for extension of time

1. The application for hardship extension of time

to file (Part II) is

to pay (Part III) is

[] Approved

[] Not approved because