Form It-6 - Indiana Corporation Income Tax Return - Extension Payment

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Indiana Department of Revenue
Form IT- 6
Do not use the space above.
Indiana Corporation Income Tax Return - Extension Payment
State Form 44461
(R/ 8-01)
Due 15th day of the 4th month following close of your tax year.
XXXXXBusiness NameXXXXX
XXXXXDBA NameXXXXXXX
Federal ID Number
Signature of Officer
Title
XXXXXXXXX XX XX
(
)
Date
Daytime Phone #
Calendar or FiscalYear Ending
Due Date
Extension
XXX XXXX
XX XX XXXX
Payment
.
Enter Corporation Income Tax Return
Extension Payment Below:
.
,
$
,
6
INDIANA DEPARTMENT OF REVENUE
Pay this amount. Do not send cash.
P.O. BOX 7226
Make check payable to the Indiana Department of Revenue.
INDIANAPOLIS, IN 46207-7226
If you have address changes or name corrections,
use the Change Form found in this packet.
XXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXXX

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