Form 7004 - Application For Automatic Extension Of Time To File Certain Business Income Tax, Information, And Other Returns

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7004
Application for Automatic Extension of Time To File Certain
Business Income Tax, Information, and Other Returns
Form
OMB No. 1545-0233
(Rev. December 2012)
File a separate application for each return.
▶
Department of the Treasury
Information about Form 7004 and its separate instructions is at
▶
Internal Revenue Service
Name
Identifying number
Print
Number, street, and room or suite no. (If P.O. box, see instructions.)
or
Type
City, town, state, and ZIP code (If a foreign address, enter city, province or state, and country (follow the country’s practice for entering
postal code)).
Note.
File request for extension by the due date of the return for which the extension is granted. See instructions before completing this form.
Part I
Automatic 5-Month Extension
1a Enter the form code for the return that this application is for (see below) .
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Application
Form
Application
Form
Is For:
Code
Is For:
Code
09
04
Form 1065
Form 1041 (estate other than a bankruptcy estate)
Form 8804
31
Form 1041 (trust)
05
Part II
Automatic 6-Month Extension
b Enter the form code for the return that this application is for (see below) .
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Application
Form
Application
Form
Is For:
Code
Is For:
Code
01
20
Form 706-GS(D)
Form 1120-ND (section 4951 taxes)
Form 706-GS(T)
02
Form 1120-PC
21
Form 1041 (bankruptcy estate only)
03
Form 1120-POL
22
Form 1041-N
06
Form 1120-REIT
23
07
24
Form 1041-QFT
Form 1120-RIC
Form 1042
08
Form 1120S
25
Form 1065-B
10
Form 1120-SF
26
11
27
Form 1066
Form 3520-A
Form 1120
12
Form 8612
28
Form 1120-C
34
Form 8613
29
15
30
Form 1120-F
Form 8725
Form 1120-FSC
16
Form 8831
32
Form 1120-H
17
Form 8876
33
18
35
Form 1120-L
Form 8924
19
36
Form 1120-ND
Form 8928
2
If the organization is a foreign corporation that does not have an office or place of business in the United States,
check here
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3
If the organization is a corporation and is the common parent of a group that intends to file a consolidated return,
check here
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If checked, attach a statement, listing the name, address, and Employer Identification Number (EIN) for each member
covered by this application.
Part III
All Filers Must Complete This Part
4
If the organization is a corporation or partnership that qualifies under Regulations section 1.6081-5, check here .
▶
5a The application is for calendar year 20
, or tax year beginning
, 20
, and ending
, 20
b Short tax year. If this tax year is less than 12 months, check the reason:
Initial return
Final return
Change in accounting period
Consolidated return to be filed
Other (see instructions-attach explanation)
6
Tentative total tax .
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6
7
Total payments and credits (see instructions) .
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7
8
Balance due. Subtract line 7 from line 6 (see instructions) .
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7004
For Privacy Act and Paperwork Reduction Act Notice, see separate Instructions.
Form
(Rev. 12-2012)
Cat. No. 13804A

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