Form 4868a - Application For Extension Of Time To File Alabama Income Tax Returns

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A
D
R
LABAMA
EPARTMENT OF
EVENUE
2000
4868A
Application For Extension of Time
To File Alabama Income Tax Returns
Attachment
Sequence No. 71
PREPARE IN TRIPLICATE — SEND ONE COPY ONLY – SEE INSTRUCTIONS
Your social security number
Your first name and initial (if joint return, also give spouse’s first name and initial)
Last name
Spouse’s social security number
Present home address (number and street). (If you have a P.O. Box, see the instructions.)
FEIN (Form 41 or 65)
City, town or post office, state, and ZIP code
FN
(For official use only)
Read instructions on reverse side before preparing this form.
All information must be given or application will not be approved.
1. An application is hereby made for an extension of time to file the following Alabama Income Tax Return:
Form 40, 40A, or 40NR
Partnership Form 65
Fiduciary (Estate or Trust) Form 41
2. Check
A 4-month extension of time to August 15, 2001 is requested to file the above return for the calendar year 2000 (or if a fiscal
a
only
year return to _________________ , ________ for the tax year ending _________________ , ________ .)
one
I have already been granted a 4-month extension and need an additional 2-month extension of time to October 15, 2001 to
b
box
file the above return for the calendar year 2000 (or if a fiscal year return to _________________ , ________ for the tax year
ending _________________ , ________ .)
3. Indicate the reason why you need this extension.
An Automatic Extension of Time for Filing Federal Return has been requested.
Serious illness or death in family.
Unable to complete return due to incomplete records and information.
Other (explain).__________________________________
RECEIVING STAMP
4. APPLICABLE TO FORMS 40, 40A, 40NR, and 41 ONLY. If you anticipate owing
additional tax when your return is filed, you may pay this amount with this application.
$
Enter amount paid here.
Full payment of the amount
entered must be paid with this application. Partial payments will not be accepted.
(See instructions for claiming credit for this amount on your return.)
Signature and Declaration
Under penalties of perjury, I declare that I have examined this form, and to the best of my knowledge and belief, it is true, correct, and complete; and, if
prepared by someone other than the taxpayer, that I am authorized to prepare this form.
Signature of taxpayer
Date
Tel. No. (
)
Signature of taxpayer
Date
(If filing jointly, BOTH must sign even if only one had income)
Signature of preparer
other than taxpayer
Date
Tel. No. (
)
If you are not making a payment, mail this form to:
If you are including a payment, mail this form and payment to:
Alabama Department of Revenue
Alabama Department of Revenue
Individual and Corporate Tax Division
Individual and Corporate Tax Division
P.O. Box 327461
P.O. Box 327464
Montgomery, AL 36132-7461
Montgomery, AL 36132-7464
For Official Use Only
APPLICATION REJECTED. Your request for an extension is denied
7. The request was not in this office, or mailed on or before the date pre-
for the following reason(s):
scribed by law for filing the return.
8. Since no extension has previously been filed and approved, your request
1. Request for the extension is not signed by the taxpayer or his duly autho-
for an additional extension is denied.
rized agent.
9. Your extension request exceeds the date provided by law. However, your
2. Reason given not grounds for justifying extension.
__________________________.
request has been approved to file by
3. Separate requests are required for each type of tax involved.
10. Your extension request has been rejected for the above reason(s). You
4. Except in the case of taxpayers who are abroad, no extension may be
have ten (10) days to submit your completed return as provided by
granted for more than six months.
Section 40-18-27, Code of Alabama 1975. If your income tax return
5. Social security number is not listed.
____________________
(Form 40, 40A, 40NR, 65, or 41) is not filed by
____________________________________________________
6.
___________________________, with this form attached, your return will be
______________________________________________________
considered delinquent and subject to the delinquent penalty.
Form 4868A (2000)

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