Form 05-110 - Extension Request For Texas Initial Corporation Franchise Tax Report Page 2
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2EXTENSION REQUEST FOR TEXAS INITIAL
INTERNET
05-110
(Rev. 2-96/10)
CORPORATION FRANCHISE TAX REPORT
b.
DO NOT WRITE IN THE SPACE ABOVE
05050
05050
05850
59050
59850
a.
2
1. Taxpayer number
2. Report year
3. Due date
6.
4
7.
$
8. Extension payment
4. Charter number
5. Corp. type
c.
d.
.
due and payable
PM
FM
.
Taxpayer name
TAXPAYER COPY / WORK SHEET
a a a
9.
Keep this part for your records.
RETURN ORIGINAL ONLY
IF YOU NEED AN EXTENSION to file your initial franchise tax report,
complete this request and return it, with any extension payment due, by
the original due date of the report. The extended due date for the initial report is
45 days after the original due date. If the due date falls on a weekend or a legal holiday,
the due date is the next working day.
YOUR EXTENSION REQUEST, WITH ANY APPLICABLE PAYMENT, MUST BE POSTMARKED ON
OR BEFORE THE ORIGINAL DUE DATE OF YOUR REPORT, OR THE EXTENSION WILL NOT BE
GRANTED. Please give the reason for your request on the back of the ORIGINAL part below.
YOUR EXTENSION PAYMENT MUST BE at least 90% of the tax that will be reported as due on your
initial report. If you will not owe any tax on the report, you do not have to send a payment, but you MUST
submit this request to be granted an extension to file the report.
If the timely extension payment is not at least 90% of the tax that will be due, then penalty and interest
will apply to any tax not paid by the original due date.
If you have any questions about requesting an extension, you may contact the Texas State Comptroller's
field office in your area or call 1-800-252-1381, toll free, nationwide. The Austin number is 512-463-4600.
From a Telecommunications Device for the Deaf (TDD), call 1-800-248-4099, toll free, or in Austin,
512-463-4621.
PLEASE DETACH AND RETURN THE ORIGINAL ONLY
EXTENSION REQUEST FOR TEXAS INITIAL
05-110
INTERNET
(Rev. 2-96/10)
CORPORATION FRANCHISE TAX REPORT
b.
05050
05850
59050
59850
DO NOT WRITE IN THE SPACE ABOVE OR
a.
IN ANY SHADED AREAS
1. Taxpayer number
2. Report year
3. Due date
2
6.
4
7.
4. Charter number
5. Corp. type
c.
d.
8. Extension payment
$
,
,
PM
FM
.
due and payable
,
,
.
Taxpayer name and mailing address
e.
Make the amount in Item 8 payable to STATE TREASURER
Mail to: COMPTROLLER OF PUBLIC ACCOUNTS
111 E. 17th STREET, AUSTIN, TX 78774-0100
(Officer, director or duly authorized agent)
Print or type name
(Area code & number)
Daytime phone
Date
NOTE: Give the reason for your request on the back.
Signature of officer, director or duly authorized agent
ORIGINAL
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