Form It-303 - Application For Extension Of Time For Filing State Income Tax Returns
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1IT-303 (Rev. 8/99)
Prepare Application in duplicate and
GEORGIA DEPARTMENT OF REVENUE
submit all copies to Georgia
Department of Revenue for
INCOME TAX DIVISION
consideration on or before the date
ATLANTA, GEORGIA
prescribed by law for filing the return.
APPLICATION FOR EXTENSION OF TIME FOR FILING STATE INCOME TAX RETURNS
A
B
READ INSTRUCTIONS ON REVERSE
SIDE BEFORE PREPARING APPLICATION
DO NOT WRITE IN THIS SPACE
APPLICANT:
TYPE NAME AND ADDRESS, INCLUDING ZIP CODE (WITHIN
(FOR REVENUE DEPARTMENT USE ONLY)
BRACKETS). TO WHOM EXTENSION IS TO BE MAILED IF APPROVED.
APPROVED COPIES WILL BE RETURNED IN A WINDOW ENVELOPE.
APPROVAL STAMPS
C
NAME OF TAXPAYER FOR WHOM EXTENSION IS REQUESTED
ADDRESS
(IF DIFFERENT FROM ABOVE)
STATE
ZIP CODE
SOC. SEC. NO. OR F.E.I. NO.
CITY
D
APPLICATION IS HEREBY MADE FOR AN EXTENSION OF TIME FOR FILING THE FOLLOWING STATE TAX RETURN:
1.
Type of return: (check proper type)
2. For Period Ending
3. Extension Requested To
[ ] Individual, Form 500
[ ] Partnership, Form 700
[ ] Fiduciary, Form 501
[ ] Corporation Income Tax
[ ]
Net Worth Tax (For Period Beginning)
Other
[ ]
NOTE: Extensions are limited by law to a maximum of six (6) months
E
REASON FOR EXTENSION
(SEE INSTRUCTIONS ON REVERSE SIDE)
I AFFIRM THAT THE INFORMATION GIVEN ABOVE IS, TO THE BEST OF MY KNOWLEDGE AND BELIEF, TRUE AND ACCURATE.
THIS AFFIRMATION IS MADE UNDER THE PENALTIES PRESCRIBED BY LAW.
DATE
SIGNATURE OF TAXPAYER OR AUTHORIZED AGENT
IF SIGNED BY AGENT, AGENT'S FIRM OR TRADING NAME
IMPORTANT! ACCEPTANCE OF FEDERAL EXTENSIONS
A FEDERAL EXTENSION WILL BE ACCEPTED AS A GEORGIA EXTENSION IF; 1) THE RETURN IS RECEIVED WITHIN THE TIME AS EXTENDED
BY THE INTERNAL REVENUE SERVICE AND 2) A COPY OF THE FEDERAL EXTENSION(S) IS ATTACHED TO THE RETURN WHEN FILED.
NOTE: THERE IS NO EXTENSION FOR PAYMENT OF TAX. INCOME TAX OR CORPORATION NET WORTH TAX MUST BE PAID BY THE
PRESCRIBED DUE DATE TO AVOID THE ASSESSMENT OF LATE PAYMENT PENALTIES AND INTEREST. (USE GEORGIA FORM IT-560)
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