Form 7004 - Application For Automatic Extension Of Time To File Certain Business Income Tax, Information, And Other Returns

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7004
Application for Automatic Extension of Time To File Certain
Business Income Tax, Information, and Other Returns
Form
OMB No. 1545-0233
(Rev. December 2017)
File a separate application for each return.
▶
Department of the Treasury
Go to for instructions and the latest information.
▶
Internal Revenue Service
Name
Identifying number
Print
Number, street, and room or suite no. (If P.O. box, see instructions.)
or
Type
City, town, state, and ZIP code (If a foreign address, enter city, province or state, and country (follow the country’s practice for entering postal code)).
Note:
File request for extension by the due date of the return. See instructions before completing this form.
Part I
Automatic Extension for Certain Business Income Tax, Information, and Other Returns. See instructions.
1
Enter the form code for the return listed below that this application is for .
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Application
Form
Application
Form
Is For:
Code
Is For:
Code
01
19
Form 706-GS(D)
Form 1120-ND
Form 706-GS(T)
02
Form 1120-ND (section 4951 taxes)
20
Form 1041 (bankruptcy estate only)
03
Form 1120-PC
21
04
22
Form 1041 (estate other than a bankruptcy estate)
Form 1120-POL
Form 1041 (trust)
05
Form 1120-REIT
23
Form 1041-N
06
Form 1120-RIC
24
07
25
Form 1041-QFT
Form 1120S
Form 1042
08
Form 1120-SF
26
Form 1065
09
Form 3520-A
27
10
28
Form 1065-B
Form 8612
Form 1066
11
Form 8613
29
Form 1120
12
Form 8725
30
Form 1120-C
34
Form 8804
31
15
32
Form 1120-F
Form 8831
Form 1120-FSC
16
Form 8876
33
Form 1120-H
17
Form 8924
35
18
36
Form 1120-L
Form 8928
Part II
All Filers Must Complete This Part
2
If the organization is a foreign corporation that does not have an office or place of business in the United States,
check here
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3
If the organization is a corporation and is the common parent of a group that intends to file a consolidated return,
check here
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If checked, attach a statement listing the name, address, and employer identification number (EIN) for each member
covered by this application.
4
If the organization is a corporation or partnership that qualifies under Regulations section 1.6081-5, check here .
▶
5a The application is for calendar year 20
, or tax year beginning
, 20
, and ending
, 20
b Short tax year. If this tax year is less than 12 months, check the reason:
Initial return
Final return
Change in accounting period
Consolidated return to be filed
Other (see instructions—attach explanation)
6
6
Tentative total tax .
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7
Total payments and credits (see instructions) .
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7
8
Balance due. Subtract line 7 from line 6 (see instructions) .
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8
7004
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.
Form
(Rev. 12-2017)
Cat. No. 13804A

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