Form 355-7004 Misc. - Application For Extension Of Time To File Financial Institution, Insurance Or Miscellaneous - 2012 Page 2

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General Information
Who May File This Form?
How Long Is the Period of Extension?
All financial institutions, insurance corporations, public utility cor-
An automatic six-month extension is granted upon the proper
porations and urban redevelopment corporations may use this
filing of this form. An extension for a period longer than six-
application to request either an automatic six-month extension of
months may be granted if good cause exists; it requires the writ-
time to file their return or an extension of time to file for more than
ten approval of the Commissioner before it becomes effective.
six-months. Form 355-7004 Misc. also acts as the required ten-
The Commissioner may terminate this extension at any time by
tative return. The reason for delay must be stated on all requests
mailing a notice of termination to the corporation or to the person
for extension.
who requested the extension for the corporation. The notice will be
mailed at least 10 days prior to the termination date designated in
When Should This Form Be Filed?
the notice.
This application must be filed on or before the 15th day of the
How and Where Should This Form Be Filed?
third month after the close of the taxable year, calendar or fiscal.
Complete this form in duplicate. Mail to the address on front. At-
Must a Payment Be Submitted with This Form?
tach the second copy to the corporation’s tax return when it is
Yes. The full payment of tax reasonably estimated to be due
filed. The return may be filed any time prior to the expiration of the
must accompany this form.
six-month extension period or any longer period approved. If an
approved copy of an extension is desired, or if an extension for
Will Interest and Penalties Be Due?
more than six-months is requested, two copies must be submitted
An extension of time to file a corporation tax return does not ex-
along with a stamped, pre-addressed return envelope. A copy of
tend the due date for payment of the tax. Interest will be charged
the approved extension will be returned to the taxpayer.
on any tax not paid on or before the original due date. Any tax not
paid within the extended period is subject to a penalty of 1% per
Who May Sign?
month, up to a maximum of 25%, from the extended due date.
Form 355-7004 Misc. must be signed by the treasurer or assistant
treasurer of the corporation or by a person authorized by the cor-
poration to do so. An application signed by an unauthorized per-
son will be considered null and void. If a return is filed after the
original due date based on a void extension, interest and penal-
ties will be assessed back to the original due date.

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