Form F-7004 - Florida Tentative Income / Franchise And/or Emergency Excise Tax Return And Application For Extension Of Time To File Return - 2005 Page 2

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F-7004
Information for Filing Form F-7004
R. 01/05
When to file — File this application on or before the original due date of the
B. If applicable, state in detail the reason the extension is needed:
taxpayer's corporate income tax or partnership return.
___________________________________________________________
Penalties for failure to pay tax — If a payment of tax is required with this
___________________________________________________________
application, failure to make such payment will void any extension of time and
C. Type of federal return filed: _____________________________________
subject the taxpayer to penalties and interest for failure to file a timely return(s)
and pay all taxes due. There is also a penalty for a late-filed return when no tax
Contact person for questions ____________________________________
is due.
Telephone number (________) __________________________________
Signature — Form F-7004 must be signed by a person authorized by the
taxpayer to do so, and who is either (a) an officer or partner of the taxpayer, (b)
a person currently enrolled to practice before the Internal Revenue Service, or
(c) an attorney or C.P.A. qualified to practice before the IRS under P.L. 89-332.
Florida Income/Franchise
Six Month Extension of Time Request
Emergency Excise Tax Due
A. Has Form 7004 or 8736 been filed with the Internal
Revenue Service for the taxable year? ............................
Yes
No
1. Tentative amount of Florida tax for the taxable year
1.
If the answer is "Yes," attach a copy of Form 7004 or 8736 when the F-1120
2. LESS: Estimated tax payments for the taxable year
2.
or F-1065 is filed. If the answer is "No," complete Item B.
3. Balance due —100% of the tax tentatively determined
3.
An extension for Florida tax purposes may be granted, even though no
due must be paid with this extension request
federal extension was granted, if good cause is shown. For more
Transfer the amount in Line 3 to Tentative tax due on reverse side.
information, see IRS announcements 60-90 and 63-113.

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