Form Cd-419 - Application For Extension Franchise And Corporate Income Tax 2000
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12000 Application for Extension
CD-419
4
Web-Fill
Franchise and Corporate Income Tax
12 - 00
PRINT
CLEAR
North Carolina Department of Revenue
CD-419 is the only acceptable form to be used by corporations requesting an extension of time to file a franchise and
corporate income tax return in this State. A copy of your federal extension is not a valid North Carolina extension.
North Carolina does not recognize or accept the federal extension. An automatic seven (7) month extension will be
granted if you properly complete this form and timely file it by the due date of the return to which the extension applies.
Returns are due on or before the 15
day of the third month following the close of the taxable year except for certain nonprofit
th
entities and cooperatives. Failure to pay the full amount of tax by the original due date of the return will result in the
assessment of interest and late payment penalties as provided by statute. Pay in U.S. currency.
Do not cut applications from this form.
Application for Extension
Franchise Tax
North Carolina Department of Revenue
Beginning Tax Year (MM-DD-YY)
Ending Tax Year (MM-DD-YY)
Federal Employer ID Number
N.C. Secretary of State ID Number
$
1. Total Franchise Tax Due
Legal Name (First 24 Characters) USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS
with this Application
Minimum Tax $35.00
Address
Send full amount of tax due with this application. Application only extends
City
State
Zip Code (5 Digit)
the time allowed to file the return and does not extend the time allowed to
pay the tax. Application for extension of franchise tax not applicable to
nonprofit entities and cooperatives or mutual associations.
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
CD-419
Title:
Web-Fill
MAIL TO: P.O. Box 25000, Raleigh, N.C. 27640-0520
12 - 00
Application for Extension
Fill in circle if:
Corporate Income Tax
Nonprofit
North Carolina Department of Revenue
Cooperative or Mutual Association
Beginning Tax Year (MM-DD-YY)
Ending Tax Year (MM-DD-YY)
2. Total Corporate Income Tax
Expected
3. Annual Report Fee
Federal Employer ID Number
N.C. Secretary of State ID Number
4. Estimated Income Tax Payments
Legal Name (First 24 Characters) USE CAPITAL LETTERS FOR YOUR NAME AND ADDRESS
5. Total Corporate Income Tax
$
Due with this Application
Line 2 plus Line 3 minus Line 4
Address
6. Amount of Enclosed Check
Line 1 plus Line 5
City
State
Zip Code (5 Digit)
Send full amount of tax due with this application. Application only
extends the time allowed to file the return and does not extend the
time allowed to pay the tax.
Signature:
Date:
I certify that, to the best of my knowledge, this return is accurate and complete.
CD-419
Title:
Web-Fill
MAIL TO: P.O. Box 25000, Raleigh, N.C. 27640-0520
12 - 00
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