Form 7004 (Rev. December 2017) F7004
User Manual: 7004
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Form 7004 (Rev. December 2017) Application for Automatic Extension of Time To File Certain Business Income Tax, Information, and Other Returns ▶ Identifying number Name Print or Type OMB No. 1545-0233 File a separate application for each return. Go to www.irs.gov/Form7004 for instructions and the latest information. ▶ Department of the Treasury Internal Revenue Service 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 Form 706-GS(D) Form 706-GS(T) 02 Form 1120-ND (section 4951 taxes) Form 1041 (bankruptcy estate only) 03 Form 1120-PC Form 1041 (estate other than a bankruptcy estate) 04 Form 1120-POL Form 1041 (trust) 05 Form 1120-REIT Form 1041-N 06 Form 1120-RIC Form 1041-QFT 07 Form 1120S Form 1042 08 Form 1120-SF Form 1065 09 Form 3520-A Form 1065-B 10 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 Part II . . . . . . Form Code 19 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 . . . . . . . . . . . . . . . . . . 6 7 Total payments and credits (see instructions) . . . . . . . . . . . . . . . . . 7 8 Balance due. Subtract line 7 from line 6 (see instructions) . . . . . . . . . . . . . 8 . . . . . . . . For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 13804A Form 7004 (Rev. 12-2017)
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