Form 7004
(Rev. December 2016)
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.
▶
Information about Form 7004 and its separate instructions is at www.irs.gov/form7004.
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 for which the extension is granted. See instructions before completing this form.
Part I Automatic Extension for C Corporations With Tax Years Ending December 31. See instructions.
1a Enter the form code for the return listed below that this application is for . . . . . . . . . . . . . . .
Application
Is For:
Form
Code
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
Application
Is For:
Form
Code
Form 1120-ND (section 4951 taxes) 20
Form 1120-PC 21
Form 1120-POL 22
Form 1120-REIT 23
Form 1120-RIC 24
Form 1120-SF 26
Part II Automatic Extension for Certain Estates and Trusts. See instructions.
b Enter the form code for the return listed below that this application is for . . . . . . . . . . . . . . .
Application
Is For:
Form
Code
Form 1041 (estate other than a bankruptcy estate)
04
Application
Is For:
Form
Code
Form 1041 (trust) 05
Part III Automatic Extension for Entities Not Using Part I, II, or IV. See instructions.
c
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-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
Form 1120-ND 19
Application
Is For:
Form
Code
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 IV Automatic Extension for C Corporations With Tax Years Ending June 30. See instructions.
d Enter the form code for the return listed below that this application is for . . . . . . . . . . . . . . .
Application
Is For:
Form
Code
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
Application
Is For:
Form
Code
Form 1120-ND (section 4951 taxes) 20
Form 1120-PC 21
Form 1120-POL 22
Form 1120-REIT 23
Form 1120-RIC 24
Form 1120-SF 26
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.
Cat. No. 13804A
Form 7004 (Rev. 12-2016)