DELAWARE DIVISION OF REVENUE
1100TE 9301
FORM 1100-T-EXT
– DELAWARE CORPORATE INCOME TAX REQUEST FOR EXTENSION
FEDERAL IDENTIFICATION NUMBER
CALENDAR OR FISCAL YEAR ENDING
DUE ON OR BE FORE
VOUCHER
EXTENSION TO
0-000000000-000
12-31-12
04-01-13
T-5
10-01-13
Reset
00422505000000000000012311204011300000000000000000000
Print Form
BUSINESS MAILING NAME AND ADDRESS
Check Here If A
Request For
Change Form
Is
BALANCE DUE FROM LINE 5
Being Filed
OF WORKSHEET
$
0 0
( BALANCE OF TAX DUE FOR THE YEAR)
Mail This Form With Remittance Payable To:
Delaware Division of Revenue
P.O. Box 8751, Wilmington, DE 19899-8751
CHANGES MUST BE MADE ON THE REQUEST FOR CHANGE FORM.
CHECK THE BOX IF YOU ARE FILING A CHANGE FORM.
AUTHORIZED SIGNATURE I declare under penalties of perjury, that this
DATE
TELEPHONE NUMBER
If desired, provide an e-mail address where we may
is a true, correct and complete return.
contact you regarding this return.
(Cut Coupon on Line Above)
TAXPAYERS WORKSHEET AND RECORD OF PAYMENTS
1. Estimate Delaware taxable income for the year.
$
.00
2. Multiply Line 1 by Corporate Income Tax Rate.
x
.087
3. Enter result on Line 3.
$
.00
4. Actual Tax Liability for Year.
$
.00
5. Tentative Tax Paid.
$
.00
6. Subtract Line 2 from Line 1.
$
.00
7. Less Credit Carryover.
$
.00
8. Amount Due with Extension.
$
.00
9. Check No.
10. Date Paid.
Please fill in the federal identification number, business name and address in the
spaces provided. Sign and date the return and supply a telephone number where
we may contact someone regarding this information.
PLEASE NOTE: Voucher 1 (T-1) is due the 1st day of the 4th month following the end of the year.
Voucher 2 (T-2) is due the 15th day of the 6th month following the end of the year.
Voucher 3 (T-3) is due the 15th day of the 9th month following the end of the year.
Voucher 4 (T-4) is due the 15th day of the 12th month following the end of the year.