Form Ct-1120si Ext - Application For Extension Of Time To File Connecticut S Corporation Information And Composite Income Tax Return - 1998

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STATE OF CONNECTICUT

DEPARTMENT OF REVENUE SERVICES

(Rev. 12/98)

Application For Extension of Time to File Connecticut

S Corporation Information and Composite Income Tax Return

IMPORTANT! PLEASE READ INSTRUCTIONS ON REVERSE BEFORE COMPLETING THIS APPLICATION

Name of Corporation

Federal Employer ID Number

TAXPAYER

Address

Number and Street

PO Box

Date Received (FOR DEPARTMENT USE ONLY)

(Please Type

or Print)

City, Town or Post Office

State

Zip Code

Connecticut Tax Registration Number

(SEE INSTRUCTIONS)

I request a six-month extension of time, to October 15, 1999, to file a Connecticut S Corporation Information and Composite Income Tax

Return for calendar year 1998, or until _______________________ for fiscal year ending

____________________________.

This extension is not an extension to file the S corporation’s Connecticut Corporation Business Tax Return, Form CT-1120S. Form CT-1120S EXT (new) is

used for this purpose.

A federal extension has been requested on federal Form 7004, Application for Automatic Extension of Time to File Corporation Income Tax

Return for calendar year 1998, or fiscal year beginning ________________, 1998, and ending _______________, 19 ___.

YES

, the reason for the Connecticut extension is: .....................................................................................................................................................

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

–– YOU WILL BE NOTIFIED ONLY IF THE EXTENSION REQUEST IS DENIED ––

1. Total Connecticut S corporation composite income tax liability for 1998. (You may estimate this amount) ............. 1

NOTE: An amount must be entered on Line 1. If no tax is due, enter zero (0).

2. The sum of 1998 estimated Connecticut S corporation composite income tax payments and any

1997 overpayment credited to 1998 .............................................................................................. ........................ 2

3. Connecticut S corporation composite income tax balance due (Subtract Line 2 from Line 1). Pay in

full with this form. If Line 2 is greater than Line 1, enter zero (0) ................................................................

Make check or money order payable to: COMMISSIONER OF REVENUE SERVICES

Write the S Corporation’s Federal Employer ID Number and “1998 Form CT-1120SI EXT” on the check or money order.

Mail to:

State of Connecticut

Department of Revenue Services

PO Box 2967

Hartford CT 06104-2967

DECLARATION: I declare under the penalties of false statement that I have examined this application and to the best of my knowledge and belief it is true,

complete and correct. Declaration of the preparer (other than the taxpayer) is based on all information of which the preparer has any knowledge.

Signature of Corporate Officer

Title

Date

Telephone Number

(

)

Sign Here

Paid Preparer’s Signature

Date

Federal Employer ID Number

Keep a copy