Form Fr-127 - Extension Of Time To File A Dc Income Tax Return - 2011
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2FR-127 Extension of Time to File a DC Income Tax Return
Worksheet
Round cents to the nearest dollar. If the amount is zero, leave
the line blank.
Extension of time to file until October 15, 2012.
Leave lines blank that do not apply.
$
.00
1 Total estimated income tax liability for 2011.
1
$
.00
2 DC Income tax withheld.
2
$
.00
3 2011 estimated tax payments.
3
$
.00
4 Total payments
4
0
Add Lines 2 and 3.
$
.00
5 Amount due with this request.
5
If Line 1 is more than Line 4, subtract Line 4 from Line 1.
Pay this amount and send it with the voucher below. See instructions on back.
Payment and mailing Instructions. Make check or money order (do not send cash) payable to: DC Treasurer. Write your SSN and “2011 FR-
127” on your payment. Detach and mail the voucher portion of this form with full payment of any tax due by April 15, 2012, to the Office of
Tax and Revenue, PO Box 7182, Washington, DC 20044-7182.
NOTE: You may also file and pay electronically. Visit
Detach at perforation and mail the voucher, with payment attached, to the Office of Tax and Revenue, PO Box 7182, Washington, DC 20044-7182.
2011
FR-127 Extension of Time to File
Print
l
*111270110002*
a DC Income Tax Return
Government of the
District of Columbia
Clear
This is a FILL-IN format. Please do not handwrite
any data on this form other than your signature.
If filing jointly, or filing separately on same return, see instructions on page 2.
Vendor ID# 0002
Official Use Only
Your social security number
Spouse’s/domestic partner’s social security number
Your daytime telephone number
Your first name
M.I.
Last name
Spouse’s/domestic partner’s first name
M.I.
Last name
Home address (number, street and apartment)
City
State
Zip Code +4
-
.
$
00
Amount submitted with this form
l
l
2011 FR-127 P1
Extension of Time to File a DC Income Tax Return
Revised 09/11
2011
FR-127 Extension of Time to File
l
*111270110002*
a DC Income Tax Return
Government of the
District of Columbia
This is a FILL-IN format. Please do not handwrite
any data on this form other than your signature.
If filing jointly, or filing separately on same return, see instructions on page 2.
Vendor ID# 0002
Official Use Only
Your social security number
Spouse’s/domestic partner’s social security number
Your daytime telephone number
Your first name
M.I.
Last name
Spouse’s/domestic partner’s first name
M.I.
Last name
Home address (number, street and apartment)
City
State
Zip Code +4
-
.
$
00
Amount submitted with this form
l
l
2011 FR-127 P1
Extension of Time to File a DC Income Tax Return
Revised 09/11
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