Form Ar1055 - Request For Extension Of Time For Filing Income Tax Returns, Vouchers Ar1000es And Ar1100esct - 2004

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AR1055

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STATE OF ARKANSAS

Request for Extension of Time for Filing Income Tax Returns

Do not file this extension request if you have received an extension of time to file your

Federal Income Tax Return

(See instructions for additional information)

APPROVED EXTENSION TO BE RETURNED TO:

NAME AND ADDRESS OF TAXPAYER:

__________________________________________________

CONTACT TELEPHONE NUMBER: ______________________

SSN/FEIN: __________________________________________

Indicate type of return for which extension is being requested by checking appropriate box:

INDIVIDUAL

PARTNERSHIP

FIDUCIARY

S CORPORATION

C CORPORATION – If requesting for (a) member(s) of a group filing an Arkansas consolidated return, request extension for the parent

corporation and list the subsidiaries in the federal group eligible to file in the Arkansas consolidated group.

Check this box if an Automatic Extension has been filed by the taxpayer (Form 4868, 7004, or if other, please specify _________ ).

I request

30,

60 or

90 days extension of time until ___________________________ to file a return for the

(Extended Due Date)

(Check Appropriate Box)

tax year beginning _______________________________ ,20 ____ and ending _______________________________ ,20 ____ .

Please state your reason for requesting an extension of time to file: (REQUIRED)

________________________________________________________________________________________________________

File this request in triplicate ON OR BEFORE THE DUE DATE OF RETURN. The original copy of the approved request must be attached to the face of the

return when filed. A request for an extension which is postmarked AFTER the due date of the tax return will NOT be considered. This also applies to an

additional extension.

NOTE:

By law Corporation income tax returns must be filed and the tax paid on or before the fifteenth (15

) day of the third (3

) month following the close of the Tax

Year (March 15 for Calendar Year), all other income tax returns must be filed and the tax paid on or before the fifteenth (15

) day of the fourth (4

) month

following the close of the Tax Year (April 15 for Calendar Year). This extension is an agreement by the Commissioner of Revenue to waive the statutory penalty

for delinquency if the return is filed and the tax, with interest, is paid by the extension date.

Please mail to the following address:

FOR CORPORATION EXTENSIONS ONLY:

FOR ALL OTHER EXTENSIONS:

CORPORATION INCOME TAX SECTION

INDIVIDUAL INCOME TAX SECTION

P.O. Box 919

P.O. Box 3628

Little Rock, AR 72203-0919

Little Rock, AR 72203-3628

FOR TAX SECTION USE

APPROVED: