Form Ar1055 - Request For Extension Of Time For Filing Income Tax Returns

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AR1055

STATE OF ARKANSAS

Request for Extension of Time for Filing Income Tax Returns

Do not file this Extension Request if you have received an Extension of Time to File your Federal Income Tax Return.

(See Reverse Side for additional information).

APPROVED EXTENSION TO BE RETURNED TO:

NAME AND ADDRESS OF TAXPAYER:

(PREPARER’S OR TAXPAYER’S ADDRESS)

___________________________________________________________

SSN/FEIN: ___________________________________________________

THIS BLOCK MUST BE COMPLETED ON ALL REQUESTS

Indicate type of return for which extension is being requested by checking appropriate box:

INDIVIDUAL

PARTNERSHIP

FIDUCIARY

S CORPORATION

LIMITED LIABILITY COMPANY

C CORPORATION - If requesting for (a) member(s) of a group filing an Arkansas consolidated return, request extension for the parent corporation and list the subsidiaries in the

federal group eligible to file in the Arkansas consolidated group.

I request

30,

60 or

90 days extension of time until _____________________________ to file a return for the

_____________________________________

(Check Appropriate Box)

(Extended Due Date)

tax year beginning _________________________, 19 _______ and ending _________________________, 19 _______.

If requesting an extension beyond the federal extended due date, attach a copy of the federal extension to this request.

Please state your reason for requesting an extension of time to file:

______________________________________________________________________________________________________________________________

File this request in triplicate ON OR BEFORE THE DUE DATE OF RETURN. The original copy of the approved request must be attached to the face of the return when filed.

A request for an extension which is postmarked AFTER the due date of the tax return will NOT be considered. This also applies to an additional extension.

NOTE:

By law an income tax return must be filed and the tax paid on or before the fifteenth (15th) day of the fifth (5th) month following the close of the Tax Year (May 15 for

Calendar Year). This extension is an agreement by the Commissioner of Revenue to waive the statutory penalty for delinquency if the return is filed and the tax, with inter-

est, is paid by the extension date.

Please mail to the following address:

INDIVIDUAL INCOME TAX SECTION

CORPORATION INCOME TAX SECTION

P. O. Box 3628

P. O. Box 919

Little Rock, AR 72203-3628

Little Rock, AR 72203-0919

DIVISION USE

APPROVED: _______________________________________________________________________________________________________________________

Your payment has been credited to your account.

Federal extension honored. For automatic extension (Federal Form 4868) check the box on the face of the Arkansas return when filed. For the additional extension (Federal Form 2688)

attach an approved copy to the front of Arkansas return when filed.

INCOMPLETE:

Please complete and return to address above.

DENIED:

Extension request not filed on time.

DENIED:

Inability to pay is not valid reason for requesting extension.

FILE THIS REQUEST IN TRIPLICATE