Form 3593 - California Extension Of Time For Payment Of Taxes By A Corporation Expecting A Net Operating Loss Carryback

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TAXABLE YEAR
CALIFORNIA FORM
Extension of Time for Payment of Taxes by a
3593
Corporation Expecting a Net Operating Loss Carryback
For calendar year
or fiscal year beginning (mm/dd/yyyy),
and ending (mm/dd/yyyy)
.
File this form separately.
Corporation/exempt organization name
California corporation number
FEIN
Additional information. See instructions.
California Secretary of State file number
Street address (suite/room no.)
PMB no.
City (If the corporation has a foreign address, see instructions.)
State
ZIP code
Foreign country name
Foreign province/state/county
Foreign postal code
A. This entity will file Form:
100, 100W, or 100S
109
B. Check the applicable box:
Initial form FTB 3593
Revised form FTB 3593
1 Ending date of the taxable year of the expected net operating loss (NOL) . . . . . . . . . . . . . . . . . . . . . . . . . (mm/dd/yyyy) 1
2 Amount of expected NOL . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
00
3 Reduction of previously determined tax attributable to the expected NOL carryback . Attach schedule . See instructions . . . 3
00
4 Ending date of the taxable year immediately preceding the taxable year of the expected NOL . . . . . . . . . (mm/dd/yyyy) 4
5 Give the reasons, facts, and circumstances that cause the corporation to expect an NOL . Attach schedule, if additional space is needed .
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
_____________________________________________________________________________________________________________________
6 Amount for which payment is to be extended:
a Enter the total tax shown on the return, plus any amount assessed as a deficiency, interest,
or penalty . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6a
00
b Enter amounts from line 6a that were already paid or were required to have been paid, plus refunds, credits,
and abatements . See instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6b
00
c Subtract line 6b from line 6a . Do not enter more than the amount on line 3 above . This is the amount of
tax for which the time for payment is extended . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6c
00
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge
and belief, it is true, correct, and complete .
Title
Date
Telephone
Sign
Signature
Here
(
)
of officer
Officer’s email address (optional)
Paid preparer's signature (declaration of preparer is based on all information of which preparer has any knowledge)
PTIN
Paid
Preparer’s
Firm's name (or yours if self-employed)
Firm’s address
Use Only
FTB 3593
(NEW 2015)
8491153
C1

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