Form Sc4868 - Request For Extension Of Time To File South Carolina Individual Income Tax Return - 2012 Page 2

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Complete the following worksheet to calculate the amount to be paid with this form if any.

ax Computation Worksheet (Keep for your records.)

A $

A. Total state income tax..............................................................................................................................

B $

B. Use Tax (Tax on Out-of-State Purchases)...............................................................................................

C $

C. Total Tax (add lines A and B) ..................................................................................................................

D $

D. South Carolina income tax withheld.........................................................................................................

E $

E. Payment on Declaration of Estimated Tax (including last year's overpayment transferred)....................

F $

F. Tax credits................................................................................................................................................

G $

G. Total credits (add lines D, E, F)................................................................................................................

H $

H. Balance Due (subtract line G from line C). Enter this amount on Line 6 of the SC4868..........................

SC4868 INSTRUCTIONS

General Instructions:

Line A: Enter the amount of income tax you expect to owe for the

current tax year.

Use SC4868 to request an extension of time to file SC1040

Individual Income Tax return including a composite return for

nonresident shareholders or partners of an S corporation or

Line B: Enter Use Tax due on Out-of-state purchases. This line is to

be used by individual filers who are reporting use tax on their

partnership or LLC.

individual return rather than using the UT-3. See individual income tax

booklet for more information.

NOTE: Partnerships and Fiduciaries now use SC8736 to extend the

time to file the SC1065 and SC1041.

Line D: Enter total amounts of SC withholding from forms W-2, 1099

and/or SC41.

Specific Instructions for Individual

Taxpayers for lines 1, 2 and 3:

For individuals, fill in name, address, and social security number for

Line E: Enter amount of estimated tax payments paid using

SC1040ES or transferred from last year's return.

you and your spouse if applicable.

Line F: Enter the amount of any applicable tax credits.

Specific Instructions for Composite

Taxpayers for lines 1, 2 and 3:

For composite filers, enter the name, address and FEIN of the S

Line H: Enter this amount on line 6 of the SC4868.

corporation, partnership or LLC.

NOTE: A taxpayer owing fifteen thousand dollars or more in

connection with any return to be filed with the department should pay

Line 4:

electronically per SC Code of Laws Section 12-54-250(A)(1).

Check this box if this is your first time filing a tax return in South

Carolina or if your address has changed since you last filed a SC

ITIN - Individual Taxpayer Identification Number:

return.

If you are a nonresident or resident alien and cannot get a Social

Security number, you may contact the Internal Revenue Service

Line 5:

to apply for and obtain an Individual Taxpayer Identification Number

Check this box if you are a Composite Filer.

(ITIN) for the purpose of filing income tax returns. South Carolina will

accept this number in lieu of a Social Security number for the

Line 6:

Enter the amount from line H from the Tax Computation Worksheet.

purposes of processing your individual income tax returns. We are

This amount must be paid in full with SC4868. An extension of time

unable to process your return if filed without a Social Security number

or Individual Taxpayer Identification Number (ITIN).

to file your tax return will not extend the time to pay your income tax.

Social Security Privacy Act Disclosure

Interest and Penalty for Failure to Pay Tax:

It is mandatory that you provide your Social Security number on this

The extension of time to file your SC tax return granted by this

tax form, if you are an individual. 42 U.S.C 405(c)(2)(C)(i) permits a

request does not extend the time for payment of tax. Any unpaid

state to use an individual's social security number as means of

portion of the final tax due will incur interest at the prevailing federal

identification in administration of any tax. SC Regulation 117-201

rates. This amount is computed from the original due date of the tax

mandates that any person required to make a return to the SC

return to the date of payment. In addition to the interest, a penalty

Department of Revenue shall provide identifying numbers, as

of ½% per month will be incurred for failure to pay at least 90% of

prescribed, for securing proper identification. Your Social Security

the total tax due by the original due date. The penalty will be

number is used for identification purposes.

imposed on the difference between the amount paid with the

extension and the tax to be paid for the period.

The Family Privacy Protection Act

Under the Family Privacy Protection Act, the collection of personal

Filing Your Tax Return: You may file your tax return any time

information from citizens by the Department of Revenue is limited to

before the extension expires. Attach a copy of your extension to the

the information necessary for the Department to fulfill its statutory

back of your return. Mark the extension box on the front of

duties. In most instances, once this information is collected by the

SC1040.

Department, it is protected by law from public disclosure. In those

situations where public disclosure is not prohibited, the Family Privacy

Instructions for Tax Computation Worksheet:

Protection Act prevents such information from being used by third

Complete the worksheet to calculate the amount to be paid with

parties for commercial solicitation purposes.

SC4868.

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