Form 504e - Maryland Application For Extension To File Fiduciary Income Tax Return - 2011

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2011

MARYLAND

FORM

504E

APPLICATION FOR

EXTENSION TO FILE

FIDUCIARY INCOME TAX RETURN

11504E049

OR FISCAL YEAR BEGINNING

2011, ENDING

Federal employer identification number (9 digits)

Name of estate or trust

Name and title of fiduciary

Number and street

For Office Use Only

City or town

State

ZIP code

Tax Payment Worksheet

1. Total income tax liability for 2011 (You may estimate this amount) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.

Note: You must enter an amount on line 1. If you do not expect to owe tax, enter zero (0).

2. Maryland income tax withheld.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.

3. 2011 estimated tax payments . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.

4. Other payments and credits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.

5. Add lines 2, 3 and 4. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.

6. Income tax balance due (Subtract line 5 from line 1).

If line 5 is more than line 1, enter zero (0) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6.



TAX PAID WITH THIS EXTENSION . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Make checks payable to and mail to:

COMPTROLLER OF MARYLAND

REVENUE ADMINISTRATION DIVISION

110 Carroll Street

Annapolis, Maryland 21411-0001

(Write federal employer identification number on check)

COM/RAD-056

11-49