Modelo Sc 2777 Form As - Request For Extension Of Time To File The Estate Or Gift Tax Return - Commonwealth Of Puerto Rico Department Of The Treasury (Spanish - English)

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Modelo SC 2777
Número de Serie
ESTADO LlBRE ASOCIADO DE PUERTO RICO - COMMONWEALTH OF PUERTO RICO
Departamento de Hacienda - Department of the Treasury
Form AS
Rev. 4 dic 07
SOLICITUD DE PRORROGA PARA RENDIR
LA PLANILLA DE CONTRIBUCION SOBRE CAUDAL RELICTO O DONACION
Request for Extension of Time to File the Estate or Gift Tax Return
Sello de Recibido
Año comienza el ___ de_________ de ___ y termina el ___ de _________ de ___
Year beginning on ________ of____ and ending on ________ of ____
1 Planilla Caudal Relicto - Estate Tax Return
2 Planilla Donación - Gift Tax Return
Parte I - Información sobre
Causante
Donante
Entidad Donante
Part I - Information regarding
Decedent
Donor
Donor Entity
Nombre
Name
-
Número de Seguro Social
Número de ldentificación Patronal
Social Security Number
Employer Identification Number
............................
....................
.........................................
................. ......................................................................
............................
....................
.........................................
................. ......................................................................
Nombre del Administrador o Representante Autorizado
Fecha de Solicitud - Date of Application:
Name of the Administrator or Duly Authorized Agent
................................................................................
.................................................................................
Día - Day Mes - Month
Año - Year
Dirección Postal del Administrador, Donante o Representante Autorizado
Fecha de - Date of:
1 Fallecimiento - Death
Postal Address of the Administrator, Donor or Duly Authorized Agent
2 Donación - Donation
................................................................................
.................................................................................
Día - Day Mes - Month
Año - Year
Teléfono Residencia - Residence Telephone
Teléfono Oficina - Office Telephone
.............................
..............................
.....................................
.............................
..............................
......................................
.............................
..............................
.....................................
............................. ................................ .......................................
Parte II - Prórroga Solicitada por:
3 meses
6 meses (Sólo aplica si el solicitante está fuera de Puerto Rico)
Part II - Extension of Time Requested for:
3 months
6 months (Only apply if the applicant is outside Puerto Rico)
Parte III - Razones
Part III - Reasons
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
_________________________________________________________________________________________________
Juramento - Oath
Declaro bajo penalidad de perjurio, que la información aquí suministrada ha sido examinada por mí y que según mi mejor información y creencia es cierta, correcta
y completa.
I hereby declare under penalty of perjury, that the information provided herein has been examined by me and to the best of my knowledge and belief is true, correct and complete.
Firma del Administrador, Donante o Representante Autorizado
Fecha - Date
Signature of the Administrator, Donor or Duly Authorized Agent
USO OFICIAL - OFFICIAL USE
_______________________________________________________________________________________
Comentarios:
Aprobado
_________________________________________________________________________________________________
Denegado
_________________________________________________________________________________________________
ESTA PRORROGA NO EXTIENDE EL PAGO DE LA CONTRIBUCION O CUALQUIER PLAZO DE LA MISMA. ES IMPORTANTE QUE COMPLETE TODAS LAS PARTES, SEGUN APLIQUE, Y EL JURAMENTO.
THIS EXTENSION DOES NOT EXTEND THE TIME FOR PAYMENT OF THE TAX OR ANY INSTALLMENT THEREOF. IT IS IMPORTANT THAT YOU COMPLETE ALL PARTS, AS APPLICABLE, AND THE OATH.
Conservación: Diez (10) años - Retention: Ten (10) years / VEANSE INSTRUCCIONES AL DORSO - SEE INSTRUCTIONS ON BACK

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