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STATE OF SOUTH CAROLINA

SC4868

DEPARTMENT OF REVENUE

(Rev. 9/2/04)

REQUEST FOR EXTENSION OF TIME

3506

2004

South Carolina Individual Income Tax Return

Who May File:

If You Filed A Federal Extension:

Use SC4868 to request an extension of time to file SC1040

If no income tax is anticipated to be due and you have been

Individual Income Tax return for:

granted a federal extension of time to file a federal income tax

(1)

individual income taxpayers, or

return, the department will accept a copy of the federal

(2)

nonresident shareholders of an S corporation, or

extension. In this case, you do not need to send SC a copy of

(3)

nonresident partners of a partnership or LLC.

the federal form by the due date of the tax return.

When to File:

How To File:

File this request ON OR BEFORE April 15th, or before the

File your extension and pay your balance due on-line at

original due date of your fiscal year return. If the due date for

Or file a paper form SC4868. Mail the original

filing your return falls on a Saturday, Sunday, or legal holiday,

with payment if any. Keep two copies: one copy should be

substitute the next regular working day. This extension will allow

attached to the back of your return when it is filed, and the other

you an additional 120 days to file your return.

should be retained for your records.

Complete the following worksheet to calculate the amount to be paid with this form if any.

File Electronically

Tax Computation Worksheet (Keep for your records.)

A. Total state income tax

A $____________

................................................

B. Use Tax (Tax on Out-of-State Purchases)

B $____________

.................

File a South Carolina extension

through

SCnetFile.

Zero

and

balance

due

extensions

are

C. Total Tax (add lines A and B)

C $____________

.....................................

accepted. Pay any balance due by

credit card or Electronic Funds

Withdrawal (EFW). We accept Visa

D. South Carolina income tax withheld

D $____________

...........................

and

MasterCard.

There

additional charge for paying your

E. Payment on Declaration of Estimated Tax

balance due by credit card.

(including last year's overpayment transferred)

E $____________

.........

F $____________

Tax credits

.................................................................

If you pay your balance due by

Electronic Funds Withdrawal (EFW),

funds are automatically withdrawn

G. Total credits (add lines D, E, F)

G $____________

...................................

from

your

checking

savings

account based on the payment date

H. Balance Due (subtract line G from line C).

you select. EFW is also a FREE

service to taxpayers.

Enter this amount on Line 5 of the SC4868 below

H $____________

......

This extension cannot be processed without proper Social Security Number(s) for individuals or Employer Identification

Number for S corporations or partnerships.

SC4868

State of South Carolina

DEPARTMENT OF REVENUE

(Rev. 8/31/04)

3506

Request for Extension of Time to File

2004

South Carolina Individual Income Tax Return

Or other fiscal year beginning

, 2004 and ending

,2005

1. Your Name (Type or Print)

3. Your Social Security number

Spouse Name

Spouse's Social Security number

4. New Filer or

2. Home Address

Address Has Changed

Do not write in this space - OFFICE USE

City, State and ZIP code

Make check or money order payable to: SC DEPARTMENT OF REVENUE

3. Confirmation Number - if extension was filed electronically

5. Balance Due from Worksheet

Mail to:

SC DEPARTMENT OF REVENUE INCOME TAX COLUMBIA SC 29214- 0013

14-0801

Form Sc4868 - Request For Extension Of Time To File South Carolina Individual Income Tax Return - 2004

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