Form 1027 - Application For Automatic Extension Of Time To File A Delaware Individual Income Tax Return - 2013

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Page 1

DELAWARE

DO NOT WRITE IN THIS BOX

TAX YEAR

2013

FORM 1027

APPLICATION FOR AUTOMATIC EXTENSION OF TIME TO

FILE A DELAWARE INDIVIDUAL INCOME TAX RETURN

001-26

NOTE: PREPARE THIS FORM IN DUPLICATE. FILE THE ORIGINAL WITH THE DIVISION OF REVENUE, STATE OF DELAWARE ON OR BEFORE THE DUE DATE AND PAY

THE AMOUNT SHOWN ON LINE 6 BELOW. ATTACH THE DUPLICATE TO YOUR DELAWARE PERSONAL INCOME TAX RETURN.

NAME, (IF JOINT RETURN, GIVE FIRST NAMES AND INITIALS OF BOTH)

LAST NAME

YOUR SOCIAL SECURITY NUMBER

PLEASE

PRESENT HOME ADDRESS (NUMBER & STREET, INCLUDING APT. NUMBER OR RURAL ROUTE)

SPOUSE’S SOCIAL SECURITY NUMBER

TYPE

CITY, TOWN OR POST OFFICE

STATE

ZIP CODE

AN AUTOMATIC EXTENSION OF TIME UNTIL OCTOBER 15, 2 14

IS HEREBY REQUESTED IN WHICH TO FILE A DELAWARE PERSONAL

INCOME

TAX

RETURN FOR THE CALENDAR YEAR 2013 (OR IF A FISCAL YEAR RETURN UNTIL

FOR THE TAXABLE YEAR

BEGINNING

1. TOTAL INCOME TAX LIABILITY YOU EXPECT TO OWE FOR 2013....................................................................

2. DELAWARE INCOME TAX WITHHELD....................................................

3. TAX YEAR 2013 ESTIMATED TAX PAYMENTS (INCLUDE PRIOR

YEARS OVERPAYMENT ALLOWED AS A CREDIT)...............................

4. OTHER PAYMENTS & CREDITS..............................................................

5. TOTAL (ADD LINES 2, 3, AND 4)..............................................................................................................................

6. BALANCE DUE (SUBTRACT LINE 5 FROM LINE 1). PAY IN FULL WITH THIS APPLICATION

........................................................................................................................................................BALANCE DUE>

SIGNATURE AND VERIFICATION

IF PREPARED BY TAXPAYER: UNDER PENALTY OF PERJURY, I DECLARE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE

STATEMENTS MADE HEREIN ARE TRUE AND CORRECT.

YOUR SIGNATURE

DATE

DAYTIME PHONE N0.

SPOUSE’S SIGNATURE

DATE

DAYTIME PHONE NO.

(IF FILING JOINTLY, BOTH MUST SIGN EVEN IF ONLY ONE HAD INCOME)

IF PREPARED BY SOMEONE OTHER THAN TAXPAYER:

UNDER PENALTIES OF PERJURY, I DECLARE THAT TO THE BEST OF MY KNOWLEDGE AND BELIEF, THE