Form 7004 - Application For Automatic 6-Month Extension Of Time To File Certain Business Income Tax, Information, And Other Returns

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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 2005)
Department of the Treasury
File a separate application for each return.
Internal Revenue Service
Name
Taxpayer identification 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.
Caution: Carefully complete all items. Incorrect information may cause delay or rejection.
1
Enter only one code for type of return that this automatic 6-month extension 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 qualifies under Regulations section 1.6081-5 (see instructions), check here
4a
For calendar year 20
, or other 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 consolidated, check here
Also, you must attach a schedule, listing the name, address, and EIN for each member covered by this extension.
6
6
Tentative total tax (see instructions)
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
Extension
Form
Extension
Form
Is For:
Code
Is For:
Code
Form 706-GS(D)
Form 1120-L
01
18
Form 706-GS(T)
Form 1120-ND
02
19
Form 990-C
Form 1120-ND (section 4951 taxes)
03
20
Form 1041 (estate)
Form 1120-PC
04
21
Form 1041 (trust)
Form 1120-POL
05
22
Form 1041-N
Form 1120-REIT
06
23
Form 1041-QFT
Form 1120-RIC
07
24
Form 1042
Form 1120-S
08
25
Form 1065
Form 1120-SF
09
26
Form 1065-B
Form 3520-A
10
27
Form 1066
Form 8612
11
28
Form 1120
Form 8613
12
29
Form 1120 (subchapter T cooperative)
Form 8725
13
30
Form 1120-A
Form 8804
14
31
Form 1120-F
Form 8831
15
32
Form 1120-FSC
Form 8876
16
33
Form 1120-H
17
7004
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 13804A
Form
(Rev. 12-2005)

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