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4 (Rev. 03-21) 
Form 4, Instructions for Application for Extension of Time to File Michigan Tax Returns 
Important Information                                                                   CIT and MBT 
An extension of time to file is not an extension of time to pay.                        Business tax filers must use this form to request an extension and 
                                                                                        must file it even if the Internal Revenue Service has approved a 
Read the Line-by-Line Instructions before completing Form 4. The             
                                                                                        federal extension. 
form and payment must be postmarked on or before the original due  
date of the return.                                                                     •     If this form is properly prepared, meeting all listed conditions, 
NOTE:   Do not use this form for City of Detroit extensions. Use                            and  filed  timely,  Treasury  will  grant  you  an  extension  to  the 
Form 5209 for individual city filing extensions or Form 5301 for city                       last day of the eighth month beyond the original due date 
corporate extensions.                                                                       regardless of whether you are granted a federal extension. 
Income Tax (Individual, Composite and Fiduciary)                                        •     Do not send a copy of the federal extension to Treasury. Retain 
Individual  and  Fiduciary  filers  submit  Form  4  or  a  copy  of  your                  a copy for your records. 
federal  extension.  An  extension  of  time  to  file  the  federal  return              An  extension  of  time  to  file  is  not  an  extension  of  time  to  
automatically  extends  the  time  to  file  the  Michigan  return  to  the                 pay. If there will be a business tax liability, payment must  
new  federal  due  date.  Composite  filers  must  submit  Form  4  even                    be included with this form and/or appropriate estimated  
if a federal extension was filed. An extension of time to file is not                       tax payments must have been made during the tax year,  
an extension of time to pay. If you have not been granted a federal                         or the               extension  request  will  be  denied.   Late filing penalty and  
extension,  the  Michigan  Department  of  Treasury  (Treasury)  will                       interest will accrue on the unpaid tax from the original due date of  
grant  a  6  month  extension  for  Individual  Income  Tax  (IIT)  and                     the return. 
composite returns, or a 5.5 month extension for fiduciary returns.                      NOTE:   Public  Act  38  of  2011  established  the  Michigan  
  •   Do  not  file  this  form  if  you  are  not  submitting  a  required             Corporate                   Income  Tax       (CIT).      The    CIT     took            effect   
    extension payment with this form.                                                   January 1, 2012, and replaced the Michigan Business Tax (MBT),  
  •   If, at the time the extension is filed, it is determined additional               except for certain businesses that opt to continue claiming  
    Michigan  tax  is  due,  send  the  amount  due  and  a  completed                  certificated credits.               Fiscal Filers  of the CIT or MBT must consult                     
    Form  4  or  a  copy  of  your  federal  extension  form.  If  filing               either the “Supplemental Instructions for Standard Fiscal CIT Filers”  
    Form 4, do not send a copy of the federal extension to Treasury.                    section in the              CIT Forms and Instructions for Standard Taxpayers  
    Retain  a  copy  for  your  records.  Extension  requests  received                 (Form  4890)  or  the  “Supplemental  Instructions  for  Standard  
    without  required  payment  will  be  denied.  Late  filing  penalty                Fiscal  MBT  Filers”  section  in  the                 MBT Forms and Instructions  
    and interest will accrue on the unpaid tax from the original due                    for Standard Taxpayers (Form 4600), for additional details on                                         
    date of the return.                                                                 completing Form 4. 
                                                                                        NOTE:  Business tax filers should check the box for CIT or MBT  
  •  Payments made to date include withholding, estimated tax                           based on the business tax they plan to file. However, this form will  
    payments, a credit forward from the previous tax year, and any                      extend  both  business  taxes  for  the  2021  tax  year  if  it  is  properly  
    other  payments  previously  made  for  this  tax  year.  IIT  filers               prepared, meets all listed conditions, and is filed timely. This form  
    should include any Michigan withholding.                                                                                                                   
                                                                                        does not make the election to remain under the MBT.
•     An extension is not  necessary when you expect  to claim  a 
                                                                                        Unitary Business Group (UBG) 
    refund.  Late  filing  penalty  may  not  apply  as  refunds  can  be 
    claimed up to 4 years from the original due date without an                         A UBG must file a combined return for its business taxes under 
    extension.                                                                          the  name  and  Federal  Employer  Identification  Number  (FEIN) 
                                                                                        or  Michigan  Treasury  (TR)  assigned  number  of  the  Designated 
                                                                                        Member  (DM)  of  the  group.  Only  the  DM  may  submit  a  valid 

                                                                                                                                                              Reset Form
#                              Detach here and mail with your payment. Do not fold or staple the application. 
Michigan Department of Treasury, Form 4 (Rev. 03-21)                                                                                              Issued under the authority of Public 
                                                                                                                                                  Acts 281 of 1967, as amended
Application for Extension of Time to File Michigan Tax Returns                                                                                    and 36 of 2007.
Make check payable to “State of Michigan.” Print “Michigan Extension” and  last four digits of filer’s Social Security number or full account number on the 
check. Mail to: Michigan Department of Treasury, PO Box 30774, Lansing, MI 48909 
    1.  Extension request is for the following tax          2.  Month and Year Your Tax Year Ends (MM-YYYY)                        3. Full Federal Employer Identification or TR No. 
    Check ONLY ONE    
        Income Tax (excludes   Fiduciary Tax                                                                                       5. Filer’s Full Social Security No. (9 digits) 
        Home Heating Credit)   (includes Composite Filers)  4. causeCheck(seeif extensioninstructions).is requested for good
        Michigan Business      Corporate Income 
                                                                                                                                   7. Spouse’s Full Social Security No. (if filing jointly) 
        Tax                    Tax                          6. filer’sCheckfederalif an extensiontax return.was granted for
    8.  Business or Trust Name                                                                                                     9.  Tentative Annual Tax 

    10. Filer’s Name (first name, middle initial, last name) or Fiduciary/Trustee Name                                            11.  Total Payments Made to Date 

    12. Mailing Address (Address, City, State and ZIP Code)                                                                       13.  Payment Amount 
                                                                                                                                                                                  .00 
DO NOT WRITE IN      THIS SPACE 



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Form 4, Page 2 
Form 4 for the UBG. If any other member submits Form 4, it will                Lines       8 and  10: If applicable, these lines must both be 
not extend the time for filing the combined return. Any payment                completed to avoid delays in processing. 
included with such a request will be applied to the UBG. If a UBG              Line 13: Enter the amount of your extension payment. 
includes standard members and financial institutions, it will have 
two DMs and file two combined returns. In that case, a separate                IIT  Filers:    This payment should be claimed, in addition to any 
extension must be requested (if desired) for each combined return,             estimates or credit forward, on the corresponding line of your  
through the DM designated on that return. For more information,                MI-1040.  You may make your IIT extension payment electronically 
see  the  “Supplemental  Instructions  for  Standard  Members  in              using  Michigan’s  e-Payments  service.  Payment  options  include 
UBGs” section in Form 4890 or Form 4600.                                       direct debit (eCheck) from your checking or savings account, or 
                                                                               payment by credit or debit card. Visit                        www.michigan.gov/iit for  
Line-by-Line Instructions                                                      more information. 
Lines not listed are explained on the form.                                    Penalty and Interest 
Line 1:   File  a separate  application  for each  tax  type.  Check           If  the  tax  due  is  underestimated  and  sufficient  payment  is  not 
the box next to the appropriate tax. If filing a Composite Income              paid with the application for extension, interest will be due on the 
Tax  return  (for  nonresident  partners  or  shareholders),  check  the       unpaid or underpaid amount. 
“Fiduciary Tax” box. If requesting an Individual Income Tax (IIT)              The  interest  rate  is  1  percent  above  the  adjusted  prime  rate  and   is
extension, note the extension does not apply to a Home Heating                 adjusted on January 1 and July 1. Interest is charged from the original  
Credit Claim or City of Detroit extensions.                                    due date of the return to the date the balance of the tax is paid. 
Line  2: Enter the month and year your tax year ends, NOT  the date            Any one of the following penalties may also apply to the unpaid tax: 
you are making the payment. For most IIT filers, this date is 12-2021.             The initial penalty is 5 percent of tax due. Penalty increases by 
                                                                               • 
Fiscal Year Filers (CIT): See the “Supplemental Instructions for                   an additional 5 percent per month or fraction thereof, after the 
Standard  Fiscal  CIT  Filers”  section  in  the Corporate Income Tax              second month, to a maximum of 25 percent for failure to pay; 
Forms and Instructions for a Standard Taxpayer (Form 4890).                      •                                                           
                                                                                   10 percent for negligence;
Lines          3, 5, and  7:CIT, MBT, Fiduciary, and Composite filers, enter     •  25 percent for intentional disregard of the law. 
your  FEIN  or  TR  number  on  line  3.  IIT  filers  only,  enter  yourfull  
Social Security number (9 digits) on line 5 (and line 7 if filing jointly).  
                                                                               When You Have Finished 
Line 4:   Composite  filers  or  filers  who  have  not  been  granted 
a  federal  extension  may  request  an  extension  for  good  cause.          Detach Form 4 from the instructions and mail to the address on the  
Examples of good cause include, but are not limited to:                        form. CIT and MBT filers that submit a properly completed request  
(a) taxpayer’s initial return, (b) taxpayer’s final return, (c) a change       will  receive  a  written  response  at  the  legal  address  on  file  with  
in accounting period, and (d) taxpayer’s books and records are not             Treasury. IIT, Composite and Fiduciary Tax filers will not receive a  
available or complete.      NOTE:     The inability to pay a tax due is        response. 
not good cause.                                                                IIT Filers 
Line 6:   Check the box if you have been granted a federal                     If you choose to make your extension payment electronically, 
extension. Retain a copy of your federal extension for your files.             you do not need to mail Form 4 to Treasury. 
By checking the box on line 6, you are affirming that you have a 
federal extension in your possession. You must be able to produce 
a copy for verification, if requested. 

                                               Computation and Payment of Tax Due 
Estimate tax liability for the year and pay any unpaid portion of the estimate with the application for extension. 

A.  Tax before credits .............................................................................................................  A. 
B.    Credits (if any) ................................................................................................................. B. 
C.    Total annual tax liability. Subtract line B from line A.  
      Enter here and carry to Form 4, line 9  .............................................................................              C. 
D.    Payments made to date. Enter here and carry to Form 4, line 11 *  .................................  D. 
E.    Estimated balance due. Subtract line D from line C ........................................................                        E. 
F.    Amount paid with Form 4. Enter here and carry to Form 4, line 13 ...............................                                   F. 
* Payments made to date include withholding, estimated tax payments, a credit forward from the previous tax year, and any other payments 
   previously made for this tax year. 






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