7004 Application for Automatic Extension of Time to File Cert

7004

Form
(Rev. December 2018)
Department of the Treasury
Internal Revenue Service
Name

Print
or
Type

Application for Automatic Extension of Time To File Certain
Business Income Tax, Information, and Other Returns

OMB No. 1545-0233

File a separate application for each return.
▶ Go to www.irs.gov/Form7004 for instructions and the latest information.
▶

Identifying number

Number, street, and room or suite no. (If P.O. box, 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: File request for extension by the due date of the return. See instructions before completing this form.
Part I
Automatic Extension for Certain Business Income Tax, Information, and Other Returns. See instructions.
1
Enter the form code for the return listed below that this application is for . . . . . . . . .
Application
Form
Application
Is For:
Code
Is For:
01
Form 1120-ND (section 4951 taxes)
Form 706-GS(D)
Form 706-GS(T)
02
Form 1120-PC
Form 1041 (bankruptcy estate only)
03
Form 1120-POL
Form 1041 (estate other than a bankruptcy estate)
04
Form 1120-REIT
Form 1041 (trust)
05
Form 1120-RIC
Form 1041-N
06
Form 1120S
Form 1041-QFT
07
Form 1120-SF
Form 1042
08
Form 3520-A
Form 1065
09
Form 8612
Form 1066
11
Form 8613
Form 1120
12
Form 8725
Form 1120-C
34
Form 8804
Form 1120-F
15
Form 8831
Form 1120-FSC
16
Form 8876
Form 1120-H
17
Form 8924
Form 1120-L
18
Form 8928
Form 1120-ND
19

Part II

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Form
Code
20
21
22
23
24
25
26
27
28
29
30
31
32
33
35
36

All Filers Must Complete This Part

If the organization is a foreign corporation that does not have an office or place of business in the United States,
check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
If the organization is a corporation and is the common parent of a group that intends to file a consolidated return,
3
check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶
If checked, attach a statement listing the name, address, and employer identification number (EIN) for each member
covered by this application.
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
, 20
.
Initial return
Final return
b Short tax year. If this tax year is less than 12 months, check the reason:
Change in accounting period
Consolidated return to be filed
Other (See instructions—attach explanation.)
2

6

Tentative total tax .

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6

7

Total payments and credits. See instructions .

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7

8

Balance due. Subtract line 7 from line 6. See instructions .

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8

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

Cat. No. 13804A

Form 7004 (Rev. 12-2018)