Free Form 7004 (Rev. December 2008) - Federal

Form

7004
Name

(Rev. December 2008)
Department of the Treasury Internal Revenue Service

Application for Automatic Extension of Time To File Certain Business Income Tax, Information, and Other Returns
File a separate application for each return. See separate instructions.

OMB No. 1545-0233

Identifying number

Type or Print
Number, street, and room or suite no. (If P.O. box, see instructions.)

File by the due date for the return for which an extension is requested. See instructions.

City, town, state, and ZIP code (If a foreign address, enter city, province or state, and country (follow the country's practice for entering postal code)).

Note. See instructions before completing this form. Part I Automatic 5-Month Extension Complete if Filing Form 1065, 1041, or 8804
1a Enter the form code for the return that this application is for (see below) Application Form Application Is For: Code Is For: Form 1041 (estate) Form 1065 09 Form 8804 Form 1041 (trust) 31 Form Code 04 05

Part II

Automatic 6-Month Extension Complete if Filing Other Forms

b Enter the form code for the return that this application is for (see below) Application Form Application Form Is For: Code Is For: Code Form 706-GS(D) Form 1120-PC 01 21 Form 706-GS(T) Form 1120-POL 02 22 Form 1120-REIT Form 1041-N 23 06 Form 1120-RIC Form 1041-QFT 07 24 Form 1042 Form 1120S 08 25 Form 1065-B Form 1120-SF 10 26 Form 3520-A Form 1066 27 11 Form 8612 28 Form 1120 12 Form 8613 Form 1120-C 29 34 Form 8725 30 Form 1120-F 15 Form 8831 16 32 Form 1120-FSC Form 8876 17 33 Form 1120-H Form 1120-L Form 8924 18 35 Form 1120-ND Form 8928 19 36 Form 1120-ND (section 4951 taxes) 20 2 If the organization is a foreign corporation that does not have an office or place of business in the United States, check here 3 If the organization is a corporation and is the common parent of a group that intends to file a consolidated return, check here If checked, attach a schedule, listing the name, address, and Employer Identification Number (EIN) for each member covered by this application.

Part III

All Filers Must Complete This Part
, 20

4 If the organization is a corporation or partnership that qualifies under Regulations section 1.6081-5, check here 5a The application is for calendar year 20 , or tax year beginning , 20 , and ending b Short tax year. If this tax year is less than 12 months, check the reason: Initial return Final return Change in accounting period 6 7 8 Tentative total tax Total payments and credits (see instructions) Balance due. Subtract line 7 from line 6. Generally, you must deposit this amount using the Electronic Federal Tax Payment System (EFTPS), a Federal Tax Deposit (FTD) Coupon, or Electronic Funds Withdrawal (EFW) (see instructions for exceptions)
Cat. No. 13804A

Consolidated return to be filed 6 7

8
Form

For Privacy Act and Paperwork Reduction Act Notice, see separate Instructions.

7004

(Rev. 12-2008)