Form Fr-128 - Extension Of Time To File A Dc Franchise Or Partnership Return - 2015

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2015
Government of the
FR-128 Extension of Time
*151280110002*
District of Columbia
to File a DC Franchise
This is a FILL-IN format. Please do not handwrite any
or Partnership Return
Print
data on this form other than your signature.
Amount of payment
$
.00
Clear
(dollars only)
OFFICIAL USE ONLY
Vendor ID# 0002
Taxpayer I.D. Number
Fill in
if FEIN
Fill in
if SSN
Business Name or Designated Agent name
Tax period ending (MMYY)
Business mailing address (number, street and suite/apartment number if applicable)
City
State
Zip Code +4
A 6 or 7 month extension of time to fi le until _________ 15, 2016, for calendar year 2015, or until ____________, ________, for fi scal year ending
___________, is requested for the following return: (fi ll in one):
D-20
D-30
D-65
2015 FR-128 P1
Revised 02/15
Extension of Time to File a DC Franchise or Partnership Return

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