State of New Jersey

BFC-200-T        Tentative Return and Application for Extension of Time to File the New Jersey 
 12-19              Banking and Financial Corporation Tax Return (Form BFC-1)
                    (See instructions on reverse side. Type or print the requested information.)

 For accounting period beginning                    ,                 and ending                                                       ,       
Corporation Name                                                     Federal Employer Identification Number

Mailing Address                                                      NJ Corporation Number

City State ZIP Code                                                  State and Date of Incorporation

 Check One:          Banking Corporation      Financial Corporation

 Application is hereby made for an automatic extension of 6 months for filing the completed return of the above corporation 
                    under the Corporation Business Tax Act (N.J.S.A. 54:10A-1 et seq.)

 Remittance to cover the full amount of the net balance due, as per computation below, must accompany this application.
                    No extension will be granted in the absence of such remittance.

                                 Computation of Tentative Tax

1. Estimated BFC-1 Tax ............................................................................................................. 1.

2. Installment Payment (50% of line 1) ......................................................................................        2.

3. Tentative Professional Corporation Fee (See Schedule PC Instructions) .............................                               3.

4. Installment Payment for PC Fee (50% of Line 3) ..................................................................                 4.

5. Total Tax and Fee Due (Total of Lines 1 to 4) ........................................................................            5.

6. Less: Payments Made to Date ..............................................................................................        6.

7. Balance Due (Line 5 minus Line 6) .......................................................................................         7.
WARNING: Penalties may be assessed for underestimation of tax.
        Remittance should be made payable to “State of New Jersey-BFC” and forwarded with this return to: 
                 Division of Taxation - BFC, Revenue Processing Center, PO Box 247, Trenton, NJ 08646-0247
                                         Signature and Verification
I declare under the penalties of perjury that I have been authorized by the above-named corporation to make this application and that 
to the best of my knowledge and belief the statements made herein are true and correct.

 Date               Signature of Duly Authorized Officer of Taxpayer                                                                     Title

 Date               Tax Preparer’s Signature                         Address                                                           Preparer’s I.D. Number

                    Name of Tax Preparer’s Employer                  Address                                                           Employer’s I.D. Number

                          Instructions for Form BFC-200-T 
Extension of Time to File a New Jersey Banking and Financial Corporation Tax Return

If a tentative return and tax payment are timely and properly filed, it is the policy of the Division of Taxation to 
grant an extension of no more than six (6) months for filing the BFC-1. Approved extensions will not be con-
firmed in writing.

The return must include the computation of the tax liabilities. Report the estimated tax due on line 1, which 
must include any applicable surtax. If the amount on line 1 is less than $2,000, see minimum tax (below). If 
the amount on line 1 is $500 or less, the taxpayer may make a payment of 50% of Line 1 on Line 2 in lieu of 
making the installment payments. Taxpayers must report the Tentative Professional Fees on Lines 4 and 5. 
Any taxpayer with Professional Corporation Fee liabilities at Line 3 must pay an installment payment of 50% 
of Line 4 on Line 5. The completed BFC-200-T must be submitted with payment of the total amount due as 
reflected on Line 7. The application must be postmarked on or before the original due date of the tax return.

Request for extension of time for filing a return must be signed by an officer of the corporation, an accountant 
authorized to prepare this return, or any duly authorized agent of the taxpayer. Tax preparers who fail to sign 
the return and provide their assigned tax identification number shall be liable for a $25 penalty for each such 
failure. If the tax preparer is not self-employed, the name of the tax preparer’s employer and the employer’s tax 
identification number should also be provided.

Minimum Tax: If the amount computed for Line 1 is less than $2,000, enter the greater of the computed tax 
liability or the minimum tax assessed on the New Jersey Gross Receipts as follows:

New Jersey Gross Receipts                     Minimum Tax
Less than $100,000                            $500
$100,000 or more but less than $250,000       $750
$250,000 or more but less than $500,000       $1,000
$500,000 or more but less than $1,000,000     $1,500
$1,000,000 or more                            $2,000

Penalties and Interest: If the final return is not received by the extended due date, penalty and interest will be 
calculated as if the extension had not been granted. See instructions for the BFC-1 for information on penalties 
and interest.