Form 7004 (Rev. December 2017) F7004
User Manual: 7004
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Form 7004
(Rev. December 2017)
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.
▶ Go to www.irs.gov/Form7004 for instructions and the latest information.
OMB No. 1545-0233
Print
or
Type
Name 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.
1Enter the form code for the return listed below that this application is for . . . . . . . . . . . . . . .
Application
Is For:
Form
Code
Form 706-GS(D) 01
Form 706-GS(T) 02
Form 1041 (bankruptcy estate only) 03
Form 1041 (estate other than a bankruptcy estate) 04
Form 1041 (trust) 05
Form 1041-N 06
Form 1041-QFT 07
Form 1042 08
Form 1065 09
Form 1065-B 10
Form 1066 11
Form 1120 12
Form 1120-C 34
Form 1120-F 15
Form 1120-FSC 16
Form 1120-H 17
Form 1120-L 18
Application
Is For:
Form
Code
Form 1120-ND 19
Form 1120-ND (section 4951 taxes) 20
Form 1120-PC 21
Form 1120-POL 22
Form 1120-REIT 23
Form 1120-RIC 24
Form 1120S 25
Form 1120-SF 26
Form 3520-A 27
Form 8612 28
Form 8613 29
Form 8725 30
Form 8804 31
Form 8831 32
Form 8876 33
Form 8924 35
Form 8928 36
Part II All Filers Must Complete This Part
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 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
b 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 Other (see instructions—attach explanation)
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)
