Form 41a720sl - Application For Six-Month Extension Of Time To File Kentucky Corporation Income And License Tax Return

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41A720SL (10-98)
For taxable year
ended
APPLICATION FOR
Commonwealth of Kentucky
REVENUE CABINET
_ _
_ _
/
SIX-MONTH EXTENSION OF TIME TO FILE
Mo.
Yr.
KENTUCKY CORPORATION INCOME AND LICENSE TAX RETURN
It is not necessary to file this form if federal Form 70 04 is used to obtain a Kentucky extension.
PART I—Taxpayer Information
Name of Corporation
Kentucky Account Number
_ _ _ _ _ _
Number and Street
Federal Identification Number
_ _
_ _ _ _ _ _ _
State and Date of Incorporation
City
State
ZIP Code
Name of President of Corporation
Telephone Number of Corporation
PART II—Payment Schedule (See Instructions)
Payments
Kentucky Account Number
Name of Corporation
(if applicable)
Income Tax
License Tax
Total
Separate entity or
common parent corporation:
Subsidiary corporations:
Total Payment ............................................................................
Signature of Principal Officer or Chief Accounting Officer
Signature of Preparer Other Than Taxpayer
Date
Make check(s) payable to the Kentucky State Treasurer. Mail to Kentucky Revenue Cabinet, Frankfort, Kentucky 40620.

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