Form F-7004 - Florida Tentative Income / Franchise Tax Return And Application For Extension Of Time To File Return Page 2

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Information for Filing Florida Form F-7004
F-7004
R. 01/13
A. If applicable, state the reason you need the extension:
When to file — File this application on or before the original due date of the taxpayer’s
corporate income tax or partnership return. Do not file before the end of the tax year.
______________________________________________________________________
To file online go to
______________________________________________________________________
Penalties for failure to pay tax — If you are required to pay tax with this application,
B. Type of federal return filed:_______________________________________________
failure to pay will void any extension of time and subject the taxpayer to penalties and
Contact person for questions: ____________________________________________
interest for failure to file a timely return(s) and pay all taxes due. There is also a penalty
Telephone number: (________) ___________________________________________
for a late-filed return when no tax is due.
Signature — A person authorized by the taxpayer must sign Florida Form F-7004.
They must be (a) an officer or partner of the taxpayer, (b) a person currently enrolled to
practice before the Internal Revenue Service (IRS), or (c) an attorney or Certified Public
Florida Income/Franchise
Accountant qualified to practice before the IRS under Public Law 89-332.
Extension of Time Request
Tax Due
The Florida Form F-7004 must be filed – To receive an extension of time to file your
1.
1. Tentative amount of Florida tax for the taxable year
Florida return, Florida Form F-7004 must be timely filed, even if you have already filed
a federal extension request. A federal extension by itself does not extend the time to
2.
2. LESS: Estimated tax payments for the taxable year
file a Florida return.
An extension for Florida tax purposes may be granted, even though no federal
3. Balance due — You must pay 100% of the tax
3.
extension was granted. See Rule 12C-1.0222, F.A.C., for information on the
tentatively determined due with this extension request.
requirements that must be met for your request for an extension of time to be valid.
Transfer the amount on Line 3 to Tentative tax due on reverse side.
Information for Filing Florida Form F-7004
F-7004
R. 01/13
When to file — File this application on or before the original due date of the taxpayer’s
A. If applicable, state the reason you need the extension:
corporate income tax or partnership return. Do not file before the end of the tax year.
______________________________________________________________________
To file online go to
______________________________________________________________________
Penalties for failure to pay tax — If you are required to pay tax with this application,
B. Type of federal return filed:_______________________________________________
failure to pay will void any extension of time and subject the taxpayer to penalties and
Contact person for questions: ____________________________________________
interest for failure to file a timely return(s) and pay all taxes due. There is also a penalty
Telephone number: (________) ___________________________________________
for a late-filed return when no tax is due.
Signature — A person authorized by the taxpayer must sign Florida Form F-7004.
They must be (a) an officer or partner of the taxpayer, (b) a person currently enrolled to
practice before the Internal Revenue Service (IRS), or (c) an attorney or Certified Public
Florida Income/Franchise
Accountant qualified to practice before the IRS under Public Law 89-332.
Extension of Time Request
Tax Due
The Florida Form F-7004 must be filed – To receive an extension of time to file your
1.
1. Tentative amount of Florida tax for the taxable year
Florida return, Florida Form F-7004 must be timely filed, even if you have already filed
a federal extension request. A federal extension by itself does not extend the time to
2.
2. LESS: Estimated tax payments for the taxable year
file a Florida return.
An extension for Florida tax purposes may be granted, even though no federal
3. Balance due — You must pay 100% of the tax
3.
extension was granted. See Rule 12C-1.0222, F.A.C., for information on the
tentatively determined due with this extension request.
requirements that must be met for your request for an extension of time to be valid.
Transfer the amount on Line 3 to Tentative tax due on reverse side.
Information for Filing Florida Form F-7004
F-7004
R. 01/13
When to file — File this application on or before the original due date of the taxpayer’s
A. If applicable, state the reason you need the extension:
corporate income tax or partnership return. Do not file before the end of the tax year.
______________________________________________________________________
To file online go to
______________________________________________________________________
Penalties for failure to pay tax — If you are required to pay tax with this application,
B. Type of federal return filed:_______________________________________________
failure to pay will void any extension of time and subject the taxpayer to penalties and
Contact person for questions: ____________________________________________
interest for failure to file a timely return(s) and pay all taxes due. There is also a penalty
Telephone number: (________) ___________________________________________
for a late-filed return when no tax is due.
Signature — A person authorized by the taxpayer must sign Florida Form F-7004.
They must be (a) an officer or partner of the taxpayer, (b) a person currently enrolled to
practice before the Internal Revenue Service (IRS), or (c) an attorney or Certified Public
Accountant qualified to practice before the IRS under Public Law 89-332.
Florida Income/Franchise
Extension of Time Request
Tax Due
The Florida Form F-7004 must be filed – To receive an extension of time to file your
1.
1. Tentative amount of Florida tax for the taxable year
Florida return, Florida Form F-7004 must be timely filed, even if you have already filed
a federal extension request. A federal extension by itself does not extend the time to
2.
2. LESS: Estimated tax payments for the taxable year
file a Florida return.
An extension for Florida tax purposes may be granted, even though no federal
3. Balance due — You must pay 100% of the tax
3.
extension was granted. See Rule 12C-1.0222, F.A.C., for information on the
tentatively determined due with this extension request.
requirements that must be met for your request for an extension of time to be valid.
Transfer the amount on Line 3 to Tentative tax due on reverse side.

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