Form Fr-127 - Extension Of Time To File Income Tax Or Fiduciary Return - 2002
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1FR-127 Extension of Time to File
2002
*021270110000*
Income Tax or Fiduciary Return
Government of the
District of Columbia
Important:
Print in all CAPITAL letters in black ink.
Leave lines blank that do not apply.
OFFICIAL USE ONLY
Personal information
Individual Income Tax Return (D-40, D-40EZ)
Fiduciary Income Tax Return (D-41)
Requesting an extension for:
Federal Employer ID Number (Fiduciary Income Tax)
Your first name
M.I.
Last name
Spouse’s first name
M.I.
Last name
Your social security number
Spouse’s social security number
Your daytime phone number
Home address
Fill in
if your address is different from your last return
Apartment number
City
State
Zip
Complete either Section A or Section B.
Section A Extension until August 15, 2003
Round all amounts to the nearest dollar.
If amount is zero, leave the line blank.
$
.00
1
Total estimated income tax liability for 2002
1
$
2
D.C. income tax withheld
2
.00
$
3
2002 estimated tax payments
3
.00
$
.00
4
Total payments
4
Add lines 2 and 3.
$
.00
5
Amount due with this request
5
If line 1 is more than line 4, subtract line 4 from line 1.
You must submit payment in full with this form or your request will be denied. If line 4 is more
than line 1, leave this line blank and send no payment.
Attach check or money order made payable to D.C. Treasurer. Write your social security
number or FEIN and “2002 FR-127” on your payment. You may not pay by credit card.
You must mail this form, with any payment due, by April 15, 2003.
Section B Additional extension until October 15, 2003
You may request this only if you were previously granted the 4-month extension above.
Reason(s) for your request
Signature
Your signature
Date
Spouse’s signature if filing jointly or separately on same return
Date
Send your signed and completed original form to
Office of Tax and Revenue
Returns Processing Administration, 6th floor
Save a copy of this form for your records.
941 North Capitol Street NE
Washington, D.C. 20002
2002 FR-127
Revised 10/02
Extension of Time to File page 1
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