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FORM 4868, PAGE 1 of 4: 4868Form 20 (IRS)

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The Internal Revenue Service (IRS) is a government agency responsible for collecting taxes and administering the federal statutory tax laws of the United States. The IRS provide tax assistance to taxpayers and pursue and resolve fraudulent tax filings.

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7
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
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INSTRUCTIONS TO PRINTERS
FORM 4868, PAGE 1 of 4
MARGINS: TOP 13mm (
1
⁄2 "), CENTER SIDES. PRINTS: HEAD TO HEAD
PAPER: WHITE, WRITING, SUB. 20 INK: BLACK
FLAT SIZE: 432mm (17") x 279mm (11") FOLD TO: 216mm (8
1
⁄2 ") x 279mm (11")
PERFORATE: ON THE FOLD AND 3
1
⁄4 " FROM THE BOTTOM
OMB No. 1545-0074
Application for Automatic Extension of Time
To File U.S. Individual Income Tax Return
4868Form
Department of the Treasury
Internal Revenue Service
Your social security number
Your name(s) (see instructions)
Spouse’s social security number
Address (see instructions)
City, town, or post office
Cat. No. 13141WFor Privacy Act and Paperwork Reduction Act Notice, see page 4.
1
23
4
Estimate of total tax liability for 2005 $
Total 2005 payments
Balance due. Subtract line 5 from line
4 (see instructions)
5
6
䊲
DETACH HERE
䊲
OMB No. 1545-0074
Application for Automatic Extension of Time
To File U.S. Individual Income Tax Return
4868Form
Department of the Treasury
Internal Revenue Service
Part I Part IIIdentification Individual Income Tax
7
Amount you are paying (see instructions)
䊳
For calendar year 2005, or other tax year beginning , 2005, ending , 200 .
Form
4868 (2005)
(99)
It’s Convenient,
Safe, and Secure
IRS e-file is the IRS’s electronic filing program. You can get an
automatic extension of time to file your tax return by filing Form
4868 electronically. You will receive an electronic
acknowledgment once you complete the transaction. Keep it
with your records. Do not send in Form 4868 if you file
electronically.
If you think you may owe tax and wish to make a payment,
you can pay by electronic funds withdrawal using option 1 or
you can pay by credit card using option 2. See 1 and 2 on this
page for details.
Complete Form 4868 to use as a worksheet. If you think you
may owe tax when you file your return, you will need to estimate
your total tax liability and subtract how much you have already
paid (lines 4, 5, and 6 below).
E-file Using Your Personal
Computer or Through a Tax
Professional
Refer to your tax software package or tax preparer for ways to
file electronically. Be sure to have a copy of your 2004 tax
return—you will be asked to provide information from the return
for taxpayer verification. If you wish to make a payment, you can
pay by electronic funds withdrawal (see page 4) or send your
payment to the address shown in the middle column under
Where To File a Paper Form 4868 on page 4.
E-file and Pay by Credit
Card
You can get an extension if you pay part or all of your estimate
of income tax due by using a credit card (American Express
®
Card, Discover
®
Card, MasterCard
®
card, or Visa
®
card). Your
payment must be at least $1. You can pay by phone or over the
Internet through one of the service providers listed below.
Official Payments Corporation
1-888-PAY-1040
sm
Link2Gov Corporation
1-800-2PAY-TAX
sm
File a Paper Form 4868
If you wish to file on paper instead of electronically, fill in the
Form 4868 below and mail it to the address shown on
page 4. If you are a fiscal year taxpayer, you must file a paper
Form 4868.
1
2
Each service provider will charge a convenience fee based on
the amount of the tax payment you are making. Fees may vary
between service providers. You will be told what the fee is
during the transaction and will have the option to continue or
cancel the transaction. You can also obtain the convenience fee
by calling the providers’ toll-free automated customer service
numbers or visiting their websites. Do not add the convenience
fee to your tax payment.
(1-800-272-9829)
1-877-754-4413 (Customer Service)
www.officialpayments.com
(1-888-729-1040)
1-888-658-5465 (Customer Service)
www.PAY1040.com
20
05
20
05
Caution: Incorrect or missing information may cause a delay in processing.
8
Check here if you are “out of the country” and a U.S.
citizen or resident
䊳
State ZIP code
Enter confirmation number here
䊳
What’s New
● You can now use Form 4868 to obtain an automatic 6-month
extension (generally 4 months if you are “out of the country”).
You no longer need to file Form 2688 for an additional extension
of time. See General Instructions on page 2.
● If you are “out of the country” and are a U.S. citizen or
resident, you must check the box on line 8. See When To File
Form 4868 on page 2 and the instructions for line 8 on page 3.
Confirmation number. You will receive a confirmation number
when you pay by credit card. Enter the confirmation number
below and keep for your records.
7
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
INSTRUCTIONS TO PRINTERS
FORM 4868, PAGE 2 of 4
MARGINS: TOP 13mm (
1
⁄2 "), CENTER SIDES. PRINTS: HEAD TO HEAD
PAPER: WHITE, WRITING, SUB. 20 INK: BLACK
FLAT SIZE: 432mm (17") x 279mm (11") FOLD TO: 216mm (8
1
⁄2 ") x 279mm (11")
PERFORATE: 7
3
⁄4 " FROM TOP
Page 2Form 4868 (2005)
General Instructions
Purpose of Form
Use Form 4868 to apply for 6 more months to file Form
1040, 1040A, 1040EZ, 1040NR, or 1040NR-EZ.
You do not have to explain why you are asking for the
extension. We will contact you only if your request is denied.
To get the extra time you must:
● Properly estimate your 2005 tax liability using the
information available to you,
● Enter your total tax liability on line 4 of Form 4868, and
● File Form 4868 by the regular due date of your return.
Although you are not required to make a payment of
the tax you estimate as due, Form 4868 does not
extend the time to pay taxes. If you do not pay the
amount due by the regular due date, you will owe interest.
You may also be charged penalties. For more details, see
Interest and Late Payment Penalty on this page. Any
remittance you make with your application for extension will
be treated as a payment of tax.
Do not file Form 4868 if you want the IRS to figure your
tax or you are under a court order to file your return by the
regular due date.
Gift or generation-skipping transfer (GST) tax return (Form
709). An extension of time to file your 2005 calendar year
income tax return also extends the time to file Form 709 for
2005. However, it does not extend the time to pay any gift or
GST tax you may owe for 2005. To make a payment of gift or
GST tax, see Form 8892. If you do not pay the amount due
by the regular due date for Form 709, you will owe interest
and may also be charged penalties. If the donor died during
2005, see the instructions for Forms 709 and 8892.
Interest
You will owe interest on any tax not paid by the regular due
date of your return. The interest runs until you pay the tax.
Even if you had a good reason for not paying on time, you
will still owe interest.
Do not attach a copy of Form 4868 to your return.
Filing Your Tax Return
You can file your tax return any time before the extension
expires.
When To File Form 4868
File Form 4868 by April 17, 2006. Fiscal year taxpayers, file
Form 4868 by the regular due date of the return.
Generally, we cannot extend the due date of your return for
more than 6 months. There may be an exception if you are
living “out of the country.” See Taxpayers “out of the
country” on this page.
Total Time Allowed
Taxpayers “out of the country.” If, on the regular due date
of your return, you are “out of the country” (defined on this
page) and a U.S. citizen or resident, you are allowed 2 extra
months to file your return and pay any amount due without
requesting an extension. For a calendar year return, this is
June 15, 2006. File this form and be sure to check the box
on line 8 if you need an additional 4 months to file your
return.
CAUTION
You are considered to have “reasonable cause” for the
period covered by this automatic extension if at least 90% of
your actual 2005 tax liability is paid before the regular due
date of your return through withholding, estimated tax
payments, or payments made with Form 4868.
Late Payment Penalty
The late payment penalty is usually
1
⁄2 of 1% of any tax
(other than estimated tax) not paid by the regular due date. It
is charged for each month or part of a month the tax is
unpaid. The maximum penalty is 25%.
The late payment penalty will not be charged if you can
show reasonable cause for not paying on time. Attach a
statement to your return fully explaining the reason. Do not
attach the statement to Form 4868.
“Out of the country” means either:
1. You live outside the United States and Puerto Rico and
your main place of work is outside the United States and
Puerto Rico, or
2. You are in military or naval service outside the United
States and Puerto Rico.
If you qualify as being “out of the country,” you will still be
eligible for the extension even if you are physically present in
the United States or Puerto Rico on the regular due date of
the return.
If you are “out of the country” and are a U.S. citizen or
resident, you may qualify for special tax treatment if you
meet the foreign residence or presence tests. If you do not
expect to meet either of those tests by the due date of your
return, request an extension to a date after you expect to
qualify using Form 2350, Application for Extension of Time
To File U.S. Income Tax Return. See Pub. 54, Tax Guide for
U.S. Citizens and Resident Aliens Abroad.
7
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
INSTRUCTIONS TO PRINTERS
FORM 4868, PAGE 3 of 4
MARGINS: TOP 13mm (
1
⁄2 "), CENTER SIDES. PRINTS: HEAD TO HEAD
PAPER: WHITE, WRITING, SUB. 20 INK: BLACK
FLAT SIZE: 432mm (17") x 279mm (11") FOLD TO: 216mm (8
1
⁄2 ") x 279mm (11")
PERFORATE: ON THE FOLD AND 3
3
⁄4 " FROM THE BOTTOM
Page 3Form 4868 (2005)
If you and your spouse each filed a separate Form 4868
but later file a joint return for 2005, enter the total paid with
both Forms 4868 on the appropriate line of your joint return.
If you and your spouse jointly file Form 4868 but later file
separate returns for 2005, you may enter the total amount
paid with Form 4868 on either of your separate returns. Or
you and your spouse may divide the payment in any agreed
amounts. Be sure each separate return has the social
security numbers of both spouses.
How To Claim Credit for Payment Made With This Form
When you file your 2005 return, include the amount of any
payment you made with Form 4868 on the appropriate line of
your tax return.
A late filing penalty is usually charged if your return is filed
after the due date (including extensions). The penalty is
usually 5% of the amount due for each month or part of a
month your return is late. Generally, the maximum penalty is
25%. If your return is more than 60 days late, the minimum
penalty is $100 or the balance of the tax due on your return,
whichever is smaller. You might not owe the penalty if you
have a reasonable explanation for filing late. Attach a
statement to your return fully explaining the reason. Do not
attach the statement to Form 4868.
Late Filing Penalty
The instructions for the following line of your tax return will
tell you how to report the payment.
● Form 1040EZ, line 9.
● Form 1040A, line 43.
● Form 1040, line 69.
● Form 1040NR-EZ, line 21.
● Form 1040NR, line 63.
If you find you cannot pay the amount shown on line 6, you
can still get the extension. But you should pay as much as
you can to limit the amount of interest you will owe. Also,
you may be charged the late payment penalty on the unpaid
tax from the regular due date of your return. See Late
Payment Penalty on page 2.
Line 6—Balance Due
Line 5—Total 2005 Payments
Subtract line 5 from line 4. If line 5 is more than line 4,
enter -0-.
Make your estimate as accurate as you can with
the information you have. If we later find that the
estimate was not reasonable, the extension will be
null and void.
If you expect this amount to be zero, enter -0-.
● Form 1040EZ, line 10.
● Form 1040NR, line 58.
● Form 1040NR-EZ, line 17.
● Form 1040, line 71 (excluding line 69).
● Form 1040A, line 43.
● Form 1040EZ, line 9.
● Form 1040NR-EZ, line 21.
● Form 1040NR, line 69 (excluding line 63).
Enter on line 5 the total payments from:
An ITIN is for tax use only. It does not entitle you to
social security benefits or change your employment
or immigration status under U.S. law.
● Form 1040, line 63.
● Form 1040A, line 38.
If you plan to file jointly, enter on line 2 the social security
number (SSN) that you will show first on your return. Enter
your spouse’s SSN on line 3.
Part II—Individual Income Tax
IRS individual taxpayer identification numbers (ITINs) for
aliens. If you are a nonresident or resident alien and you do
not have and are not eligible to get an SSN, you must apply
for an ITIN. Although an ITIN is not required to file Form
4868, you will need one to file your income tax return. For
details on how to do so, see Form W-7 and its instructions. It
usually takes about 4-6 weeks to get an ITIN. If you already
have an ITIN, enter it wherever your SSN is requested. If you
are applying for an ITIN on Form W-7, enter “ITIN TO BE
REQUESTED” wherever your SSN is requested.
If you changed your mailing address after you filed your
last return, you should use Form 8822, Change of Address,
to notify the IRS of the change. Showing a new address on
Form 4868 will not update your record. You can get IRS
forms by calling 1-800-TAX-FORM (1-800-829-3676). You
can also download forms from the IRS website at
www.irs.gov.
Specific Instructions
If you changed your name after you filed your last return
because of marriage, divorce, etc., be sure to report this to
your local Social Security Administration office before filing
Form 4868. This prevents delays in processing your
extension request.
Part I—Identification
How To Complete Form 4868
Enter your name(s) and address. If you plan to file a joint
return, include both spouses’ names in the order in which
they will appear on the return.
If you want correspondence regarding this extension to be
sent to you at an address other than your own or to an agent
acting for you, include the agent’s name, if any, and enter
that address instead.
Line 7—Amount You Are Paying
CAUTION
CAUTION
Rounding off to whole dollars. You can round off cents to
whole dollars on Form 4868. If you do round to whole
dollars, you must round all amounts. To round, drop amounts
under 50 cents and increase amounts from 50 to 99 cents to
the next dollar. For example, $1.39 becomes $1 and $2.50
For Forms 1040A, 1040EZ, and 1040NR-EZ, do not
include on line 5 the amount you are paying with
this Form 4868.
CAUTION
Line 8—Out of the Country
If you are out of the country on the regular due date of your
return, check the box on line 8. “Out of the country” is
defined on page 2.
Line 4—Estimate of Total Tax Liability for 2005
Enter on line 4 the total tax liability you expect to report on
your 2005:
becomes $3. If you have to add two or more amounts to
figure the amount to enter on a line, include cents when
adding the amounts and round off only the total.
7
I.R.S. SPECIFICATIONS
TO BE REMOVED BEFORE PRINTING
DO NOT PRINT — DO NOT PRINT — DO NOT PRINT — DO NOT PRINT
INSTRUCTIONS TO PRINTERS
FORM 4868, PAGE 4 of 4
MARGINS: TOP 13mm (
1
⁄
2
"), CENTER SIDES. PRINTS: HEAD TO HEAD
PAPER: WHITE, WRITING, SUB. 20 INK: BLACK
FLAT SIZE: 432mm (17") x 279mm (11") FOLD TO: 216mm (8
1
⁄
2
") x 279mm (11")
PERFORATE: ON THE FOLD
Page 4Form 4868 (2005)
Privacy Act and Paperwork Reduction Act Notice. We ask for the
information on this form to carry out the Internal Revenue laws of the United
States. We need this information so that our records will reflect your intention
to file your individual income tax return within 6 months after the regular due
date. If you choose to apply for an automatic extension of time to file, you are
required by Internal Revenue Code section 6081 to provide the information
requested on this form. Under section 6109, you must disclose your social
security number (SSN) or individual taxpayer identification number (ITIN).
Routine uses of this information include giving it to the Department of Justice
for civil and criminal litigation, and to cities, states, and the District of
Columbia for use in administering their tax laws. We may also disclose this
information to other countries under a tax treaty, to federal and state agencies
to enforce federal nontax criminal laws, or to federal law enforcement and
intelligence agencies to combat terrorism. If you fail to provide this information
in a timely manner or provide incomplete or false information, you may be
liable for penalties and interest.
The average time and expenses required to complete and file this form will
vary depending on individual circumstances. For the estimated averages, see
the instructions for your income tax return.
If you have suggestions for making this form simpler, we would be happy to
hear from you. See the instructions for your income tax return.
You are not required to provide the information requested on a form that is
subject to the Paperwork Reduction Act unless the form displays a valid OMB
control number. Books or records relating to a form or its instructions must be
retained as long as their contents may become material in the administration
of any Internal Revenue law. Generally, tax returns and return information are
confidential, as required by Internal Revenue Code section 6103.
How To Make a Payment With Your Extension
If you owe tax and wish to have the money electronically
withdrawn from your account, you will be asked to make the
following declaration:
I authorize the U.S. Treasury and its designated Financial Agent to
initiate an ACH electronic funds withdrawal entry to the financial
institution account indicated for payment of my federal taxes and the
financial institution to debit the entry to this account. This
authorization is to remain in full force and effect until I notify the U.S.
Treasury Financial Agent to terminate the authorization. To revoke a
payment, I must contact the U.S. Treasury Financial Agent at
1-888-353-4537 no later than 2 business days prior to the payment
(settlement) date. I also authorize the financial institutions involved in
the processing of the electronic payment of taxes to receive
confidential information necessary to answer inquiries and resolve
issues related to the payment.
Note. This is your written copy of the electronic funds
withdrawal authorization you made to have the amount you
owe withdrawn. Keep it for your records.
● Make your check or money order payable to the “United
States Treasury.” Do not send cash.
● Do not staple or attach your payment to Form 4868.
● Write your social security number, daytime phone number,
and “2005 Form 4868” on your check or money order.
Pay by Check or Money Order
● When paying by check or money order with Form 4868,
use the addresses in the middle column under Where To File
a Paper Form 4868 below.
Pay by Electronic Funds Withdrawal
You can e-file Form 4868 using IRS e-file option 1 on
page 1 and make a payment by authorizing an electronic
funds withdrawal from your checking or savings account.
Check with your financial institution to make sure that an
electronic funds withdrawal is allowed and to get the correct
routing and account numbers.
Pay by Credit Card
You can e-file Form 4868 using IRS e-file option 2 on page 1
and pay by credit card.
Where To File a Paper Form 4868
If you live in:
And you are not making a
payment, send Form 4868 to
Internal Revenue Service Center:
Alabama, Delaware, Florida, Georgia, North Carolina, Rhode Island,
South Carolina, Virginia
Atlanta, GA 39901-0002
District of Columbia, Maine, Maryland, Massachusetts, New Hampshire,
New York, Vermont
Andover, MA 05501-0002
Connecticut, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri,
Ohio, North Dakota, Wisconsin
Kansas City, MO 64999-0002
New Jersey, Pennsylvania Philadelphia, PA 19255-0002
Arkansas, Kansas, Kentucky, Louisiana, Mississippi, Oklahoma,
Tennessee, Texas, West Virginia
Austin, TX 73301-0002
Alaska, Arizona, California, Hawaii, Idaho, Montana, Nevada,
Oregon, Washington
Fresno, CA 93888-0002
All APO and FPO addresses, a foreign country: U.S. citizens and
those filing Form 2555 or 2555-EZ
Austin, TX 73301-0215
USA
*Permanent residents of Guam should use: Department of Revenue and Taxation, Government of Guam, P.O. Box 23607, GMF, GU 96921; permanent
residents of the Virgin Islands should use: V.I. Bureau of Internal Revenue, 9601 Estate Thomas, Charlotte Amalie, St. Thomas, VI 00802.
American Samoa, nonpermanent residents of Guam or the Virgin
Islands*, Puerto Rico (or if excluding income under Internal Revenue
Code section 933), dual-status aliens, non-resident aliens, and those
filing Form 4563
Philadelphia, PA 19255-0215
USA
And you are making a payment, send
Form 4868 with your payment to IRS:
P.O. Box 105050 Atlanta, GA 30348-5050
P.O. Box 37003 Hartford, CT 06176-0003
P.O. Box 970028 St. Louis, MO 63197-0028
P.O. Box 80109 Cincinnati, OH 45280-0009
P.O. Box 660575 Dallas, TX 75266-0575
P.O. Box 7122 San Francisco, CA 94120-7122
P.O. Box 80109 Cincinnati, OH 45280-0009
USA
P.O. Box 660575 Dallas, TX 75266-0575
USA
Colorado, Nebraska, New Mexico, South Dakota, Utah, Wyoming P.O. Box 1236 Charlotte, NC 28201-1236 Fresno, CA 93888-0002
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FORM 4868, PAGE 1 of 4: 4868Form 20 (IRS)

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