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AR1155-PET 2022
ARKANSAS CORPORATION INCOME TAX
REQUEST FOR ARKANSAS EXTENSION OF TIME FOR
FILING INCOME TAX RETURNS
Tax year beginning ___________________, 20______ and ending _________________, 20______. Software ID
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Name )HGHUDO (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU
Mailing Address 1XPEHU DQG 6WUHHW 3 2 %R[ RU 5XUDO 5RXWH
City State or Province Zip Check if address is outside U.S.
Foreign Country Name
FileFile onlyonly ifif youyou areare requestingrequesting aa 6060 oror 180180 dayday ArkansasArkansas extensionextension asas referencedreferenced inin ItemItem 22 belowbelow
(See Instructions for additional information)
NAICS Code Date of Incorporation Date Began Business Type of Corporation
&KHFN RQO\ RQH ER[
If you are a pass-through entity and are electing the ³&KHFN WKH %R[´ provision for state income tax purposes, check the type Domestic (in state)
RI HQWLW\ DQG FKHFN RQH RI WKH ¿OLQJ VWDWXV ER[HV LIMITED LIABILITY COMPANY PARTNERSHIP Foreign (out of state)
1. INDICATE TYPE OF RETURN FOR WHICH EXTENSION IS BEING REQUESTED:
S CORPORATION (AR1100S) - Electing Pass-Through Entity Status - If the entity is the Parent Corporation, the Parent must request the
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Partnerships (AR1050) - Electing Pass-Through Entity Status ,I UHTXHVWLQJ IRU D PHPEHU V RI D JURXS ¿OLQJ DQ $UNDQVDV
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LQ WKH $UNDQVDV FRQVROLGDWHG JURXS
COOPERATIVE ASSOCIATION (AR1100CT) EXEMPT ORGANIZATION (AR1100CT)
2. CHECK ONLY ONE BOX BELOW (BOX A OR %2; % 72 5(48(67 $1 $5.$16$6 (;7(16,21
A Check this box if requesting an additional60 day extension from the Federal Extended return due dateWR ¿OH WKH $UNDQVDV UHWXUQ
B Check this box if requesting an additional 180 day extension from the Arkansas original return due dateWR ¿OH WKH $UNDQVDV UHWXUQ
3. IF ELECTING PET STATUS USE EXTENSION FORM AR1155-PET FORM.
File this request by the original due date or, if applicable, the extended due date of the Arkansas return. A request for an extension which is postmarked AFTER the due date of
the tax return will NOT be considered. (This also applies to an additional extension).
Please mail the Pass-through Entity Tax Extensions to the following address: CORPORATION INCOME TAX SECTION
APPROVED %< BBBBBBBBBBBBBBB '(1,(' ([WHQVLRQ UHTXHVW QRW ¿OHG RQ WLPHP.O. Box 919
BBBBBBBBBBBBBBB Little Rock, AR 72203-0919
Make check or money order payable in U.S. Dollars to “Dept. of Finance and Administration” AR1155-PET (R 12/3/2021)
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AR1155-PET STATE of ARKANSAS Voucher
Pass-through Extension Tax Payment 5
Fiscal Year Ending BBBBBBBBBBBBBBBB12/31/2021
Software ID (MM/DD/YYYY)
DFA WEB
(PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU Due Date
Mail To:
04/15/2022 Department of Finance and Administration
Pass-through Entity Tax
P.O. Box 919
Little Rock, AR 72203-919
Name
Address Amount
of this $
City, State, Zip Payment
Include Cents
Telephone # (ex. 1,234,567.00)
PETEIN0000000000012312021EXTPYM00000000000000000000000
AR1155-PET (R 4/13/2022)