Form 4868 - Application For Automatic Extension Of Time To File U.s. Individual Income Tax Return - 2014 Page 4

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4
Form 4868 (2014)
Page
And you are making a payment, send
And you are not making a
Where To File a Paper Form 4868
Form 4868 with your payment to
payment, send Form 4868 to
Internal Revenue Service:
Department of the Treasury,
If you live in:
Internal Revenue Service Center:
Alabama, Georgia, Kentucky, New Jersey, North Carolina, South Carolina,
P.O. Box 931300 Louisville, KY 40293-1300
Kansas City, MO 64999-0045
Tennessee, Virginia
Connecticut, Delaware, District of Columbia, Maine, Maryland, Massachusetts,
Missouri, New Hampshire, New York, Pennsylvania, Rhode Island, Vermont,
P.O. Box 37009 Hartford, CT 06176-7009
Kansas City, MO 64999-0045
West Virginia
Florida, Louisiana, Mississippi, Texas
P.O. Box 1302 Charlotte, NC 28201-1302
Austin, TX 73301-0045
Alaska, Arizona, California, Colorado, Hawaii, Idaho, Nevada, New Mexico,
P.O. Box 7122 San Francisco, CA 94120-7122
Fresno, CA 93888-0045
Oregon, Utah, Washington, Wyoming
Arkansas, Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Montana,
P.O. Box 802503 Cincinnati, OH 45280-2503
Fresno, CA 93888-0045
Nebraska, North Dakota, Ohio, Oklahoma, South Dakota, Wisconsin
A foreign country, American Samoa, or Puerto Rico, or are excluding income
under Internal Revenue Code section 933, or use an APO or FPO address, or file
P.O. Box 1302 Charlotte, NC 28201-1302 USA
Austin, TX 73301-0215 USA
Form 2555, 2555-EZ, or 4563, or are a dual-status alien, or are a nonpermanent
resident of Guam or the U.S. Virgin Islands
All foreign estate and trust Form 1040NR filers
P.O. Box 1303 Charlotte, NC 28201-1303 USA
Cincinnati, OH 45999-0048 USA
All other Form 1040NR, 1040NR-EZ, 1040-PR, and 1040-SS filers
P.O. Box 1302 Charlotte, NC 28201-1302 USA
Austin, TX 73301-0045 USA
Private Delivery Services
on this form. Under section 6109, you must disclose your social
security number or individual taxpayer identification number.
You can use certain private delivery services designated by the IRS
Routine uses of this information include giving it to the Department
to meet the “timely mailing as timely filing/paying” rule for tax
of Justice for civil and criminal litigation, and to cities, states, the
returns and payments. These private delivery services include only
District of Columbia, and U.S. commonwealths and possessions for
the following.
use in administering their tax laws. We may also disclose this
• Federal Express (FedEx): FedEx Priority Overnight, FedEx
information to other countries under a tax treaty, to federal and
Standard Overnight, FedEx 2 Day, FedEx International Priority, and
state agencies to enforce federal nontax criminal laws, or to federal
FedEx International First.
law enforcement and intelligence agencies to combat terrorism. If
you fail to provide this information in a timely manner or provide
• United Parcel Service (UPS): UPS Next Day Air, UPS Next Day Air
incomplete or false information, you may be liable for penalties.
Saver, UPS 2nd Day Air, UPS 2nd Day Air A.M., UPS Worldwide
Express Plus, and UPS Worldwide Express.
You are not required to provide the information requested on a
form that is subject to the Paperwork Reduction Act unless the form
The private delivery service can tell you how to get written proof
displays a valid OMB control number. Books or records relating to a
of the mailing date.
form or its instructions must be retained as long as their contents
Private delivery services cannot deliver items to P.O. boxes.
▲
may become material in the administration of any Internal Revenue
!
You must use the U.S. Postal Service to mail any item to an
law. Generally, tax returns and return information are confidential,
IRS P.O. box address.
CAUTION
as required by Internal Revenue Code section 6103.
The average time and expenses required to complete and file this
Privacy Act and Paperwork Reduction Act Notice. We ask for the
form will vary depending on individual circumstances. For the
information on this form to carry out the Internal Revenue laws of
estimated averages, see the instructions for your income tax return.
the United States. We need this information so that our records will
If you have suggestions for making this form simpler, we would
reflect your intention to file your individual income tax return within 6
be happy to hear from you. See the instructions for your income tax
months after the regular due date. If you choose to apply for an
return.
automatic extension of time to file, you are required by Internal
Revenue Code section 6081 to provide the information requested

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