1998
Form M-8736
Massachusetts
Application for Extension of Time to File
Department of
Fiduciary, Partnership or Corporate Trust Return
Revenue
For the year January 1–December 31, 1998 or other taxable year beginning
1998, ending
19
Part 1. Application for Automatic Six-Month Extension of Time to File
Name
Federal Identification number
Address
Type of return filed (check one)
Form 2
Form 3
Form 3F
Other ______________________________
City/Town/Post Office
State
Zip
1 Total tax you expect to owe for 1998 (Form 2, line 39; or Form 3F, line 22. Form 3 filers, enter “0”) . . . . . . . . . . . . . . . . . . . . 1
2 Massachusetts income tax withheld . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 1997 overpayment applied to your 1998 estimated tax (do not enter 1997 refund). . . . . . . . . . . . . . 3
4 1998 Massachusetts estimated tax payments (do not include amount in line 3) . . . . . . . . . . . . . . . . 4
5 Credits (Form 2, line 40; or Form 3F, lines 23, 24, 25 and 26. Form 3 filers, enter “0”) . . . . . . . . . . . 5
6 Total. Add lines 2, 3, 4 and 5 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6
7 Amount of Tax Due. Subtract line 6 from line 1. Pay in full with this application . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ¨ 7
Fiduciaries should file this application by touch-tone telephone. See reverse for more information.
Confirmation number
Part 2. Complete if Prepared by Someone Other than Taxpayer
I am authorized to prepare this application and I am (select one):
a member in good standing of the bar of the highest court of (specify jurisdiction) ______________________________________________________
a certified public accountant, or public accountant, duly qualified to practice in (specify jurisdiction)_________________________________________
a person enrolled to practice before the Internal Revenue Service __________________________________________________________________
a duly authorized agent holding a power of attorney with respect to filing an extension of time (the power of attorney need not be submitted unless
requested) _____________________________________________________________________________________________________________
______________________________________________________________________________________________________________________
a person standing in close personal or business relationship to the taxpayer who is unable to sign this application because of illness, absence, or
other good cause; my relationship to the taxpayer and the reasons why the taxpayer is unable to sign this application are ______________________
______________________________________________________________________________________________________________________
Part 3. Sign Here
Under penalties of perjury, I declare that to the best of my knowledge and belief this return and enclosures are true, correct and complete. Declaration of
preparer (other than taxpayer) is based on all information of which he/she has knowledge.
Signature
Date
Paid preparer’s signature
Social Security number
¨
–
–
/
/
Title
Employer Identification number
Date
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–
/
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Write your Federal Identification number on lower left corner of check. Make check payable to Commonwealth of Massachusetts and mail to:
Massachusetts Department of Revenue, PO Box 7070, Boston, MA 02204.