Form 7004

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 https://www.irs.gov/forms-pubs/about-form-7004 for instructions and the latest information.
Name
Identifying number
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip 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.
Enter 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 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
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.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
5b. Short tax year. If this tax year is less than 12 months, check the reason

Initial returnFinal returnChange in accounting periodConsolidated return to be filedOther (See instructions—attach explanation)
6. Tentative total tax
7. Total payments and credits. See instructions
8. Balance due. Subtract line 7 from line 6. See instructions.
Disclaimer
These tax forms are provided as a courtesy to our Jotform users. It is up to you to make sure you are filing the right form with the IRS and to fill out the form correctly. Jotform does not file tax forms for you - that is your responsibility. If you have any questions or need any legal or tax advice about which form is appropriate or how to fill in the form, or whether the form is required by the IRS, consult your tax preparer, adviser, and/or attorney.
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