Form 504 - Application For Extension Of Time To File An Oklahoma Income Tax Return - 2015

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Application for Extension
of Time to File an Oklahoma Income Tax Return
504
2
(This is NOT an extension of time for payment of tax. Do NOT use this form to remit franchise tax) (See Instructions)
0
1
2015
For the year January 1 - December 31, or other taxable year beginning
,
ending
,
.
5
Your Social
INDIVIDUALS: Your first name, middle initial and last name
Security Number:
Spouse’s Social
INDIVIDUALS: If joint return, spouse’s first name, middle initial and last name
Security Number:
CORPORATIONS: Corporate, Partnership, Trust or Estate Name
CORPORATIONS, PARTNERSHIPS, TRUSTS, ESTATES:
Federal Employer
Present address (number and street, including apartment number or rural route)
Identification Number:
CHECK THE FORM TYPE FOR THE RETURN THIS APPLICATION IS FOR:
City, State and ZIP
Form 511
Form 512
Form 513
Form 512-E
Form 511NR
Form 512-S
Form 513NR
Form 514
Important:
Extension is valid only if 90% of the tax liability is paid by the original due date.
An Extension of Time to File with the IRS has been granted to:
DATE ________________________
Extension of Time to File with the Okla. Tax Commission is requested to:
DATE ________________________
If requesting a total of more than 6 months for corporations or more than 5 months for partnerships, estates or trusts,
state reason here: ______________________________________________________________________________
Amount you are
Signature
Under penalty of perjury, I declare the information contained in this document, attachments and schedules are true and
correct to the best of my knowledge and belief.
paying:
.
(from line 7)
Your Signature (*If corporation, partnership, estate, or trust, see below)
Date
Paid Preparer’s Signature
$
Date
Spouse’s Signature (if filing jointly, BOTH must sign even if only one had income)
Date
* If corporation, partnership, estate, or trust (officer, partner, member or fiduciary signature is required)
This is NOT an extension of time for payment of tax!
Application for Extension of Time
to File an Oklahoma Income Tax Return Worksheet
The bottom portion of this form is a worksheet to compute your payment. Be sure to retain for
your records. Enter the total from line 7 of the worksheet on the coupon above. Return the top
portion with your payment, if applicable, to: Oklahoma Tax Commission • Income Tax • P.O. Box
26890 • Oklahoma City, OK 73126-0890.
Oklahoma Income Tax Computation
00
1. Total income tax liability (you may estimate this amount) .........................................
1
Note: You must enter an amount on line 1. If you do not expect to owe tax, enter zero.
00
2. Oklahoma income tax withheld ...............................................
2
3. Estimated tax payments (include prior year overpayment
00
allowed as a credit) .................................................................
3
4. Other payments and credits you expect to claim
00
on your return .........................................................................
4
00
5. Add lines 2, 3 and 4 ..................................................................................................
5
00
6. Income tax balance due (subtract line 5 from line 1) ................................................
6
7. Amount you are paying. (Enter here and on the coupon above) ...........................
00
Important: Extension is valid only if 90% of the tax liability is paid by the original due date
7

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