Form Sc4768 - Application For Extension Of Time To File/pay Estate Tax Return

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SC4768
STATE OF SOUTH CAROLINA
DEPARTMENT OF REVENUE
(Rev. 4/7/03)
3104
APPLICATION FOR EXTENSION OF TIME
Application must be
received prior to
TO FILE/PAY ESTATE TAX RETURN
due date of return.
PART I
Identification
Decedent's first name and middle initial
Decedent's last name
Date of death
Name of application filer
Personal representative's full name
Decedent's
social security #
Address of personal representative
Address of application filer
Estate Tax
Return due date
City, state and ZIP code
City, state and ZIP code
County of SC real estate
PART II
Extension of Time to File (Sec. 12-54-70)
You must attach your written statement to explain in detail why it is impossible or impractical to
Extension date
requested.
file a reasonable complete return within the statutory time period provided by law. To avoid any
interest due you must pay 100% of the tax due.
1.
Amount of estate tax estimated to be due (Pay with this application) . . . . . . . . . . . . . . . . . . . . . . . . . . . $
PART III
Extension of Time to Pay (Sec. 12-16-1140)
You must attach your written statement to explain in detail why it is impossible or impractical to pay
Extension date
requested.
the full amount of the estate tax by the return due date. This extension to pay cannot exceed 12
months. Enter applicable amounts on lines 1 - 3 in Part IV.
PART IV
Hardship Extension of Time to Pay (Sec. 12-16-1140)
You must attach your written statement to explain in detail why it is impossible or impractical to
Extension date
pay the full amount of the estate tax by the estate tax return due date. Your statement must include
requested.
the reason for the hardship, amount of liquid assets, and the amount of federal taxes paid.
1.
Amount of estate tax estimated to be due . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
2.
Amount of cash shortage claimed . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
4
3.
Balance due (Pay with this application) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
For Office Use Only
Signature and Verification
If filed by Personal Representative - I declare that to the best of my knowledge and belief, the
statements made herein and attached are true and correct.
Personal Representative's Signature
Title
Date
14-2801
If filed by someone other than personal representative - I declare that to the best of my knowledge and belief, the statements
made herein and attached are true and correct, that I am authorized by the personal representative to file this application, and
that I am:
A member in good standing of the bar of the highest court of (specify jurisdiction)
A certified public accountant duly qualified to practice in (specify jurisdiction)
A person enrolled to practice before the SC Department of Revenue
A duly authorized agent holding a power of attorney (The power of attorney need not be submitted unless requested.)
Filer's Signature (other than personal representative)
Phone Number
Date
PART V
Notice to Applicant - To be completed by SC Department of Revenue
1. The application for hardship extension of time to pay (Part III) is
1. The application for extension of time to file (Part II) is
Approved
Approved
Not approved because
Not approved because
Other
Other
SC Department of Revenue
Date
SC Department of Revenue
Date

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