CIFT-620 (00-01)
Department of Revenue • Page 13
State of Louisiana
CIFT-620EXT (00-01)
CE
Department of Revenue
P.O. Box 201
Baton Rouge, Louisiana 70821-0201
Application for Automatic Extension of Time to File
Corporation Income and Franchise Taxes Return
Name
Louisiana Revenue Account Number
Mailing address
Federal Employer Identification Number
City, State, ZIP
Telephone
(
)
An automatic extension of time to file the Louisiana corporation income tax return for the period ending
____________________________________________ and the corporation franchise tax return for the period ending
____________________________________________ is hereby requested until _____________________________ .
(not to exceed seven months)
General Instructions
This form should be used by a corporation to request an automatic extension of time to file its income and corporation
franchise taxes return. If you received an extension to file your federal tax return for this period, you do not need a
separate extension for filing your Louisiana return. Louisiana will recognize and accept the federal extension
authorizing the same extended due date as the federal. A copy of your federal application should be attached to
your Louisiana return. If you do not have a federal extension, or you need additional time beyond the date granted on
your federal extension (not to exceed seven months past the due date of the Louisiana return), then this form should be
used for making your request. The extension will be granted if you complete this form properly, file it, and pay any
balance due by the due date of the return for which the extension applies. Failure to remit the tax by the original due
date of the return may result in the assessment of penalties and interest.
Estimated Tax Due
1. Estimated amount of income and franchise taxes due ....................................................... $ ____________________
2. Less all previously remitted estimated income and franchise tax payments ...................... $ ____________________
3. Total estimated taxes due and remitted with this application
(Subtract Line 2 from Line 1.)
Make payment to:
Louisiana Department of Revenue
$ ____________________
(Include this amount on Line 5 of Form CIFT-620 when filing the return.) .........................................
Do not send cash.
NOTE: All amounts remitted will be accounted for as estimated income tax and should be claimed as such on the future
return. (Overpayments of estimated income tax will automatically be applied toward fulfillment of any franchise tax
liability. Do not claim portions of the payment with this form as estimated franchise tax on the return.)
Signature of officer/representative
Title
Date
Signature of individual or firm’s preparer
Date
2009