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                              Application for Automatic Extension of Time To File Certain  
Form  7004                        Business Income Tax, Information, and Other Returns                                        OMB No. 1545-0233 
(Rev. December 2018) 
Department of the Treasury                    ▶ File a separate application for each return. 
Internal Revenue Service          ▶ Go to www.irs.gov/Form7004 for instructions and the latest information.
             Name                                                                                                    Identifying number 

Print        Number, street, and room or suite no. (If P.O. box, see instructions.) 
or 
Type         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                                            Form  
Is For:                                               Code                          Is For:                                                Code 
Form 706-GS(D)                                        01                            Form 1120-ND (section 4951 taxes)                       20
Form 706-GS(T)                                        02                            Form 1120-PC                                            21
Form 1041 (bankruptcy estate only)                    03                            Form 1120-POL                                           22
Form 1041 (estate other than a bankruptcy estate)     04                            Form 1120-REIT                                          23
Form 1041 (trust)                                     05                            Form 1120-RIC                                           24
Form 1041-N                                           06                            Form 1120S                                              25
Form 1041-QFT                                         07                            Form 1120-SF                                            26
Form 1042                                             08                            Form 3520-A                                             27
Form 1065                                             09                            Form 8612                                               28
Form 1066                                             11                            Form 8613                                               29
Form 1120                                             12                            Form 8725                                               30
Form 1120-C                                           34                            Form 8804                                               31
Form 1120-F                                           15                            Form 8831                                               32
Form 1120-FSC                                         16                            Form 8876                                               33
Form 1120-H                                           17                            Form 8924                                               35
Form 1120-L                                           18                            Form 8928                                               36
Form 1120-ND                                          19
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. 12-2018) 






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