Form Ct-5 - Request For Six-Month Extension To File - 2012
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1CT-5
New York State Department of Taxation and Finance
Request for Six-Month Extension to File
(for franchise/business taxes, MTA surcharge, or both)
All filers must enter tax period:
Tax Law — Articles 9-A, 13, 32, and 33
beginning
ending
Employer identification number
File number
Business telephone number
(
)
Legal name of corporation
Trade name/DBA
Mailing name (if different from legal name) and address
State or country of incorporation
Date received (for Tax Department use only)
c/o
Number and street or PO box
Date of incorporation
F
City
State
ZIP code
oreign corporations: date began
business in NYS
Audit use
If you need to update your address or phone information for corporation tax, or other tax types,
you can do so online. See Business information in Form CT-1.
Request for extension of time to file the following forms: Mark box(es) for one article only. Submit only one Form CT-5 and mark an
X in both boxes in the appropriate article if you are requesting an extension for both the franchise tax and MTA surcharge returns. For
example, mark an X in both the CT-3 box and the CT-3M/4M box under Article 9-A if you are requesting an extension of time to file
both returns.
Note: Do not use this form if you are a combined filer; use Form CT-5.3 instead.
Article 9-A
Article 13
Article 32
Article 33
CT-3
CT-33
CT-33-M
CT-3M/4M
CT-13
CT-32
CT-32-M
or
CT-4
CT-33-C
CT-33-NL
Payment enclosed
A. Pay amount shown on line 11. Make payable to: New York State Corporation Tax
Attach your payment here. Detach all check stubs.
A
(See instructions for details.)
Computation of estimated franchise tax
1 Franchise tax from the worksheet in Form CT-5-I ...........................................................................
1
2 First installment of estimated tax for the next tax year
2
..........................................
(see instructions)
3 Total franchise tax and first installment
..................................................................
3
(add lines 1 and 2)
4 Prepayments of franchise tax
.......................................................................
4
(from line 16, column A)
5 Balance due — franchise tax
5
....................................................................
(subtract line 4 from line 3)
Computation of estimated MTA surcharge
6 MTA surcharge from the worksheet in Form CT-5-I ........................................................................
6
7 First installment of estimated MTA surcharge for the next tax year
7
.......................
(see instructions)
8 Total MTA surcharge and first installment
8
...............................................................
(add lines 6 and 7)
9 Prepayments of MTA surcharge
...................................................................
9
(from line 16, column B)
10 Balance due — MTA surcharge
................................................................
10
(subtract line 9 from line 8)
11 Total balance due
11
............
(add lines 5 and 10 and enter here; enter the payment amount on line A above)
Composition of prepayments —
Use this worksheet to determine the prepayments of franchise tax on line 4 and the prepayments of the
MTA surcharge on line 9. See instructions.
Date paid
A. Franchise tax
B. MTA surcharge
12 Mandatory first installment ..........................................
12
13a Second installment from Form CT-400 ........................
13a
13b Third installment from Form CT-400 ............................
13b
13c Fourth installment from Form CT-400 ..........................
13c
14 Overpayment credited from prior years .................................................. 14
Period
15 Overpayment credited from Form CT-
15
16 Total prepayments
................... 16
(total all entries in column A and column B)
Firm’s name
Firm’s EIN
Preparer’s PTIN or SSN
(or yours if self-employed)
Paid
preparer
Signature of individual preparing this document
Address
City
State
ZIP code
use
only
E-mail address of individual preparing this document
Preparer’s NYTPRIN
Date
(see instr.)
See instructions for where to file.
455001120094
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