Form Fr-128 - Extension Of Time To File A Dc Franchise Or Partnership Return

Form Fr-128 - Extension Of Time To File A Dc Franchise Or Partnership Return - 2010

FR-128 Extension of Time to File a DC Franchise or Partnership Return

Worksheet

ENTER DOLLAR AMOUNTS ONLY

.00

1 Total estimated franchise tax liability for the tax period.

.00

2 Estimated franchise tax payments

(include any tax overpayment credit).

.00

3 Other payments.

.00

4 Total payments and credits

(add Lines 2 and 3).

.00

5 Balance due

(Line 1 minus Line 4). Payment in full must be submitted with this

form or your request will be denied. (Note: you will be subject to the failure-to-pay

penalty and interest on any tax due and not paid with this form.)

Detach at perforation and mail the voucher, with payment attached, to the Office of Tax and Revenue, PO Box 679, Washington, DC 20044-0679.

2010

FR-128 Extension of Time

Government of the

*101280110000*

District of Columbia

to File a DC Franchise

or Partnership Return

Important: Print in CAPITAL letters using black ink.

Federal Employer I.D. Number

Social Security Number (if self-employed)

OFFICIAL USE ONLY

Vendor ID# 0000

Business Name

Tax period ending MM/YY

Business mailing address

City

State

Zip Code +4

A 6-month extension of time to file until _________ 15, 2011, for calendar year 2010, or until ____________, ________, for fiscal year ending ___________,

is requested for the following return:

.00

Payment submitted with this form

(fill in one):

D-20

D-30

D-65

2010 FR-128 P1

Revised 05/10

Extension of Time to File a DC Franchise or Partnership Return