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Fiscal year filers. If your taxable year is for a period other than

Sign your return. You have not filed a complete or legal return

from January 1 to December 31, check the Fiscal Year Filer box

unless you sign it. Both spouses must sign a joint or combined

and write the beginning and ending dates of your fiscal year in the

return.

spaces provided.

Other persons who can sign your return. Persons acting for you

Name, address and social security number or FEIN. Please

under a power of attorney can sign Form 760E. However, without

clearly print or type your name, address and social security number

a power of attorney, the only other person who can sign Form

(or, in the case of an estate or trust, the name, address and FEIN

760E is the person who is authorized and has signed your federal

[federal employer identification number] of the estate or trust for

extension.

which an extension is being requested) and the name of the

Daytime phone number. Enter your daytime telephone number.

Virginia city or county where you reside or intend to file your return.

How, when and where to file Form 760E. In order for the extension

Determine your extension period. The maximum extension

to be allowed, Form 760E must be filed on or before May 1, for

period allowed by the Code of Virginia is six months after the

calendar year filers (on or before the due date of your return for

original due date of your return.

fiscal year filers) with payment of the tentative tax balance due, if

If you requested and were not denied an automatic extension of

any, shown on Form 760E. If the due date falls on a Saturday,

time to file your federal return using Form 4868, you may request

Sunday or legal holiday, this application may be filed on the next

the automatic Virginia four-month extension by checking the “4

day that is not a Saturday, Sunday or legal holiday. File the

Months Extension” box. Check the “6 Months Extension Request”

completed return with the Department of Taxation, P.O. Box 760,

box to request a Virginia extension of time to file of up to six months

Richmond, VA 23218-0760, (804) 367-8031.

after the original due date of your return. Enter the extended due

Where to get forms

date requested in month-day-year format (MM-DD-YY).

Forms are available from the Department of Taxation by calling

(804) 440-2541. Also, you can obtain most Virginia tax forms by

Fiscal year filers four month extension. Enter, in month-year

connecting to our Web site at

format, the date that is four months after the original due date of

your income tax return.

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Virginia Extension of up to six months. Check this box to request

REMEMBER: A copy of all extensions must be attached to your

an additional Virginia extension of time to file (maximum extension

Form 760, 760PY, 763 or 770 when filed.

allowed by the Code of Virginia is for six months from the original

due date of your Virginia return) or to request an extension longer

than four months. Enter, in month-day-year format, the date that is

not more than six months after the original due date of your Virginia

income tax return. For calendar year filers, the maximum extension

date is November 1.

Compute your tentative tax. Transfer the information from line 4

of the Tentative Tax Computation Worksheet to Form 760E.

Form 760E - Page 2

f you are certain you are due a refund you do not need to file Form

760E. However, you must file your return within 3 years of the

original due date to claim your refund.

YOUR SIGNATURE

DATE

DAYTIME PHONE NUMBER

SPOUSE’S SIGNATURE (IF JOINT DECLARATION)

TAX PREPARER’S NAME

DATE

DAYTIME PHONE NUMBER

FEIN or PTIN

TAX PREPARER’s ADDRESS

FIRM NAME

Form 760e - Virginia Tentative Tax Return And Application For Extension Of Time To File Individual Or Fiduciary Income Tax Return Page 2

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