Form 355-7004 Misc - Application For Extension Of Time To File Financial Institution, Insurance Or Miscellaneous - 2013

Download a blank fillable Form 355-7004 Misc - Application For Extension Of Time To File Financial Institution, Insurance Or Miscellaneous - 2013 in PDF format just by clicking the "DOWNLOAD PDF" button.

Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.

Complete Form 355-7004 Misc - Application For Extension Of Time To File Financial Institution, Insurance Or Miscellaneous - 2013 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.

Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.

ADVERTISEMENT

Form 355-7004 Misc.
2013
Application for Extension of
Massachusetts
Time to File Financial Institution,
Department of
Insurance or Miscellaneous
Revenue
This application may be filed by corporations filing Form 63FI, 63-20P, 63-23P, 121A, P.S.1 or 63-29A. All other business/manufacturing corpora-
tions that file Forms 355, 355S, 355U, 355SC or SBC Corporation Excise Returns must file Form 355-7004 when applying for an extension of
time to file.
pplication for Extension
Name of corporation
Federal Identification number
For tax year beginning
Ending
Street address
City/Town
State
Zip
Return to be filed:
Financial institutions 
Insurance 
Public utility 
Urban redevelopment 
Ocean marine
Type of extension being applied for:
a. Automatic six-month extension 
b. Extension until:
Reason for extension:
Tentative Return
1 Estimated amount of tax for the taxable year (must be at least minimum tax) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Advance and/or estimated payments made (if any). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Tax due with this application. Subtract line 2 from line 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Payment in full of the tax due must be made with this application for it to be considered valid. If at least 50% of the tax due or the minimum tax (whichever
is greater) for the taxable year is not paid, the extension is null and void. Penalties for a late return will be assessed from the original due date of the return.
Declaration
I declare under the penalties of perjury that I have been authorized by the above-named corporation to make this application and that to the
best of my knowledge and belief the statements made herein are true and correct.
Signature of officer or agent
Title
Date
Signature of paid preparer
Address
Date
Mail to: Massachusetts Department of Revenue, PO Box 7052, Boston, MA 02204.

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2