Free CT-5 (Fill-in) - New York

Staple forms here

CT-5
Employer identification number Legal name of corporation

New York State Department of Taxation and Finance

Request for Six-Month Extension to File
(for franchise/business taxes, MTA surcharge, or both)
Tax Law -- Articles 9-A, 13, 32, and 33
File number Business telephone number

All filers must enter tax period:

beginning

ending

(
Mailing name (if different from legal name) and address c/o Number and street or PO box

)
Trade name/DBA State or country of incorporation Date received (for Tax Department use only)

Date of incorporation

City

State

ZIP code

Foreign corporations: date began
business in NYS Audit use

If your name, employer identification number, address, or owner/officer information has changed, you must file Form DTF-95. If only your address has changed, you may file Form DTF-96. You can get these forms from our Web site, by phone, or by fax. See Need help? in the instructions.

Request for extension of time to file the following forms: Mark box(es) for one article only. Submit only one Form CT-5 and mark an X in both boxes in the appropriate article if you are requesting an extension for both the franchise tax and MTA surcharge returns. For example, mark an X in both the CT-3 box and the CT-3M/4M box under Article 9-A if you are requesting an extension of time to file both returns.

Article 9-A CT-3 or CT-4 CT-3M/4M

Article 13 CT-13 CT-32

Article 32 CT-32-M CT-33 CT-33-C
A. 1. 2. 3. 4. 5.

Article 33 CT-33-M CT-33-NL
Payment enclosed

A. Pay amount shown on line 11. Make payable to: New York State Corporation Tax Attach your payment here. Detach all check stubs. (See instructions for details.)

Computation of estimated franchise tax
1 2 3 4 5 6 7 8 9 10 11 Franchise tax from the worksheet in Form CT-5-I .............................................................................. First installment of estimated tax for the next tax year (see instructions) ............................................. Total franchise tax and first installment (add lines 1 and 2) .................................................................... Prepayments of franchise tax (from line 16, column A) ......................................................................... Balance due -- franchise tax (subtract line 4 from line 3) ......................................................................

Computation of estimated MTA surcharge
MTA surcharge from the worksheet in Form CT-5-I ........................................................................... 6. First installment of estimated MTA surcharge for the next tax year (see instructions) .......................... 7. Total MTA surcharge and first installment (add lines 6 and 7) ................................................................. 8. Prepayments of MTA surcharge (from line 16, column B) ...................................................................... 9. Balance due -- MTA surcharge (subtract line 9 from line 8) .................................................................. 10. Total balance due (add lines 5 and 10 and enter here; enter the payment amount on line A above) .............. 11.

Composition of prepayments -- Use this worksheet to determine the prepayments of franchise tax on line 4 and the prepayments of the
MTA surcharge on line 9. See instructions.

12 13a 13b 13c 14 15 16

Date paid Mandatory first installment ........................................... 12. Second installment from Form CT-400 ......................... 13a. Third installment from Form CT-400 ............................. 13b. Fourth installment from Form CT-400 .......................... 13c. Overpayment credited from prior years ................................................... 14. Period Overpayment credited from Form CT15. Total prepayments (total all entries in column A and column B) .................... 16.
Firm's name (or yours if self-employed) Signature of individual preparing this document E-mail address of individual preparing this document Address

A. Franchise tax

B. MTA surcharge

Paid preparer use only

ID number City State Date ZIP code

See instructions for where to file.

45501080094

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CT-5 (2008)

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