Form
7004
Application for Automatic Extension of Time To File Certain
Business Income Tax, Information, and Other Returns
OMB No. 1545-0233
(Rev. December 2008)
Department of the Treasury
Internal Revenue Service
Identifying number
Name
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)).
Form 7004 (Rev. 12-2008)
Cat. No. 13804A
For Privacy Act and Paperwork Reduction Act Notice, see separate Instructions.
Type or
Print
File by the due
date for the
return for which
an extension is
requested. See
instructions.
Note. See instructions before completing this form.
1a
2
4
5a
3
6
7
8
b
Enter the form code for the return that this application is for (see below)
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 or partnership that qualifies under Regulations section 1.6081-5, check here
©
The application is for calendar year 20 , or tax year beginning , 20 , and ending ,
Short tax year. If this tax year is less than 12 months, check the reason:
Initial return
Final return
Change in accounting period
Consolidated return to be filed
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.
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)
6
7
8
Application
Is For:
Form
Code
Form
Code
Application
Is For:
Form 706-GS(D)
Form 706-GS(T)
Form 1041-QFT
Form 1042
Form 1065-B
Form 1066
Form 1120
Form 1120-F
Form 1120-H
Form 1120-L
Form 1120-ND
Form 1120-ND (section 4951 taxes)
Form 1120-PC
Form 1120-POL
Form 1120-REIT
Form 1120-RIC
Form 1120S
Form 1120-SF
Form 3520-A
Form 8612
Form 8613
Form 8725
Form 8831
Form 8876
Form 1041-N
01
02
06
07
08
10
11
12
34
17
18
19
20
21
22
23
24
25
26
27
28
29
30
32
33
©
File a separate application for each return.
Form 1120-FSC
15
20
16
Form 1120-C
Form 8924
35
Part I
Automatic 5-Month Extension Complete if Filing Form 1065, 1041, or 8804
Application
Is For:
Form
Code
Form
Code
Application
Is For:
Form 1065
Form 8804
Form 1041 (estate)
Form 1041 (trust)
09
31
04
05
b
Enter the form code for the return that this application is for (see below)
Part II
Automatic 6-Month Extension Complete if Filing Other Forms
Form 8928
36
Part III
All Filers Must Complete This Part
©
See separate instructions.
