Form 4 - Application For Extension Of Time To File Michigan Tax Returns

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Michigan Department of Treasury
4 (Rev. 2-07)
Instructions for Application for Extension of Time to File Michigan Tax Returns
General Information
An extension of time to file is not an extension of time
- If you e-filed an MI-1040 return, retain a copy of the
to pay.
Read instructions before completing this
extension form for your records. Add a short comment
Application.
explaining why you are unable to file your return by the
due date.
This information is issued under Public Acts 301 of 1939,
281 of 1967 and 228 of 1975. Filing of this form is
Single Business Tax filers must use this form to request
mandatory for Single Business Tax (SBT) filers to obtain
an extension and must file it even if the IRS has approved
an extension. Income Tax filers may file this form or a
a federal extension. If this form is received by the due
copy of their federal extension.
date of the annual return and a federal extension was
granted, Treasury will grant the taxpayer the same length
Income Tax (individual and fiduciary). An extension of
of time as the federal extension plus 60 days. If this form
time to file the federal return automatically extends the
is received and a federal extension was not granted,
due date of the Michigan return to the new federal due
Treasury will grant a 180-day extension.
date. If you have not been granted a federal extension, the
Michigan Department of Treasury will grant a 180-day
An extension of time to file is not an extension of time to
extension.
pay. Payment must be included with this form or
appropriate estimated tax payments must have been made
Do not file this form if a refund is expected or if you are
during the year. Extension requests received without
not submitting payment with this form.
payment on the account will not be honored and penalty
and interest will accrue on the unpaid tax from the
- If at the time the extension is filed, it is determined
original due date of the return. Penalty and interest for
additional Michigan tax is due, send the amount due and a
late filing is only charged if tax will be due on the SBT
completed Michigan extension application or a copy of
annual return. If no tax will be due on the SBT annual
your federal extension form. Extension requests received
return, there is no need to request an extension to avoid
without payment on the account will not be honored and
penalty and interest.
penalty and interest will accrue on the unpaid tax from the
original due date of the return.
Read the line-by-line instructions on page 2 before
completing the Application below.
- Attach a copy of all federal and Michigan extensions to
the MI-1040 or MI-1041 when it is filed. DO NOT attach a
copy of the federal extension with this form.
Reset Form
Detach here and mail with your payment. Do not fold or staple the application.
Issued under authority of
Michigan Department of Treasury, Form 4 (Rev. 2-07)
P.A. 301 of 1939, 281 of
Application for Extension of Time to File Michigan Tax Returns
1967, and 228 of 1975.
Make check payable to "State of Michigan." Print your Social Security or account number and "Michigan extension" on the front of your check.
Mail to: Michigan Department of Treasury, Department 78205, PO Box 78000, Detroit, MI 48278-0205
1. Extension request is for the following tax
2. Month and Year Your Tax Year Ends (
)
3. Federal Employer Identification or TR No.
MM-YYYY
-
Check ONLY ONE
4. Reasonable Cause
Income Tax*
a.
5. Filer's Social Security No.
* Do not file this form
if a refund will be
Fiduciary Tax*
b.
shown on return.
6.
7. Spouse's Social Security No., if filing jointly
Check if an extension was granted for
Single Business Tax
c.
your federal income tax return
9. Tentative Annual Tax (SBT Only)
8. Business Name
11. Total Payments Made to Date (SBT Only)
10. Taxpayer's Name (First Name, Middle Initial, and Last Name)
13. Payment Amount
12. Mailing Address
.00
DO NOT WRITE IN THIS SPACE

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