Form It-9 - Application For Extension Of Time To File - 2012 Page 2

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Form IT-9: Application for Extension of Time to File Instructions
Who should get an extension of time to
Extension period. Form IT-9 extends your
1-800- 2-PAY TAX (1-800-272-9829). A
file? You must get an extension of time to
filing time to June 17, 2013. Federal exten-
convenience fee will be charged by the credit
file if you are required to file a 2012 Indiana
sion Form 4868 extends your Indiana filing
card processor based on the amount you are
individual income tax return, but cannot file
time to Nov. 15, 2013.
paying. You will be told what the fee is and
by the April 15, 2013 due date. Whether you
you will have the option to either cancel or
owe additional tax, are due a refund or are
Penalty will not be due if you:
continue the credit card transaction.
breaking even, you still need to file for an
file within the extension period;
extension.
paid at least 90% of the tax you expect
File online. If you need to make an extension
to owe by April 15, 2013, and
payment, you may file your application for
If you owe… To get a valid extension, you
pay any remaining amount due when
an extension of time to file online. Visit our
must file Form IT-9, and send in a payment
you file.
web site at and
of at least 90% of the tax expected to be due,
follow the prompts for making an Individual
by April 15, 2013. This will extend your time
Interest is due on all amounts paid after the
extension payment.
to file to June 17, 2013.
April 15, 2013 due date.
Claim your payment. Add your extension
If you don’t owe… If you are due a refund,
How to file. Complete the worksheet below
payment to any estimated tax paid, and
or don’t expect to owe any tax when filing
to figure how much you will need to pay. If
report on line 3 of either the Form IT-40,
your tax return, and you are unable to file by
filing a joint return, include your spouse’s
Schedule 5, or Form IT-40PNR,
April 15, 2013, you’ll still need to file for an
income. If you don’t owe, complete Part 2:
Schedule F.
extension. There are two ways to accomplish
Nonpayment Information on the front of this
this:
form.
Military personnel stationed in a presiden-
If you have a valid federal extension,
tially declared combat zone should see the
How to pay. If paying, make your check
Form 4868, you automatically have an
Form IT-40 or Form IT-40PNR instruction
extension with Indiana and do not need
or money order payable to the Indiana
booklet for special filing instructions. You can
to file Form IT-9.
Department of Revenue. Write your Social
access these instruction booklets online at
If you do not have a federal extension,
Security number on your check or money
complete Form IT-9, Part 2: Nonpayment
order. Payments must be made with U.S.
Information. Mail this in by April 15,
funds. To pay by using your American
2013.
Express® Card, Discover® Card,
MasterCard® or VISA®, call
Worksheet to figure your 2012 extension payment – see instructions below
A. Total estimated income for 2012 .................................................................................................................................... A ______________
B. Total exemption amount (see Line B instructions below) ............................................................................................... B ______________
C. Amount subject to tax (line A minus line B) .................................................................................................................... C ______________
D. Amount of state income tax due (line C x .034) ............................................................................................................. D ______________
E. Amount of county income tax due (line C x the appropriate county tax rate(s); see Line E instructions below) . ........... E ______________
F. Anticipated state and county tax due for 2012 (add line D and line E) .......................................................................... F ______________
G. Subtotal: multiply line F by 90 percent (.90) . .................................................................................................................. G ______________
H. Total credits (including 2012 state and county income tax withheld, estimated tax payments, etc.).............................. H ______________
I. Minimum required extension payment: line G minus line H ....... Enter on Part 1: Payment Information, line 4 ........ I ______________
J. Enter portion of line I that represents your state tax due ........... Enter on Part 1: Payment Information, line 1 ........ J ______________
K. Enter portion of line I that represents your (and spouse’s if same county) county tax due.
Enter 2-digit county code (from county tax chart)
Enter on Part 1: Payment Information, line 2b . ......... K ______________
L. Enter portion of line I that represents spouse’s county tax due if for a different county than the one on line K.
Enter 2-digit county code (from county tax chart)
Enter on Part 1: Payment Information, line 3b . ......... L ______________
Line B – Multiply the number of allowable
county tax rate and 2-digit county code
Line J – Enter the amount from line I that
federal exemptions by $1,000. Add $1,500
number on the chart on the back of Schedule
represents the portion of Indiana state
for each eligible dependent child. If you are
CT-40 or Schedule CT-40PNR, or at
income tax you are paying on Part 1:
65 years or older and/or blind, add $1,000
Payment Information, line 1, on the front of
for each additional exemption. Limitation. If
this form.
you are a nonresident alien (not a U.S. citizen
Line H – Enter your anticipated credits,
and does not meet the green card test)
including 2012 state and county withholding
Lines K and L – If the amount on line I also
you may claim only one $1,000 exemption
amounts, estimated tax payments, and any
includes county tax, enter that portion on Part
(even if married filing jointly and/or with
other credits you may have.
1: Payment Information, line 2b, on the front
dependents).
of this form. Only break out your spouse’s
Line I – This is your extension payment.
county tax if spouse owes tax to a county
Line E – Multiply amount on line C by the
Enter this amount on Part 1: Payment
other than yours. Enter that portion on Part 1:
appropriate county tax rate(s). Find your
Information, line 4, on the front of this form.
Payment Information, line 3b.
*24100000000*
24100000000

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