Form 1127 - General Instructions (Page 2 of 2) in pdf

Form 1127 (Rev. 02-2010)

Page

Interest. You will owe interest on any tax not paid by the due date

Signature and Verification

of the return, or the due date of any amount determined to be a

deficiency, regardless of whether an extension of time to pay the

This form must be signed and dated.

tax has been obtained. The interest runs until you pay the tax.

Individuals. If this application is for the tax shown on a joint return

Penalties. Penalties may be imposed if you fail to pay the tax

or a joint tax liability for an amount determined as a deficiency,

within the extension period granted.

both you and your spouse must sign and date this form. If your

spouse cannot sign, see Pub. 501, Exemptions, Standard

Specific Instructions

Deduction, and Filing Information.

Name, Address, and Identification Number

Privacy Act and Paperwork Reduction Act Notice. We ask for

Individuals. Enter your name, address, and social security

the information on this form to carry out the Internal Revenue laws

number (SSN) or individual taxpayer identification number (ITIN). If

of the United States. We need this information to ensure

this application is for the tax shown on a joint return or a joint tax

compliance with these laws and to properly grant extensions of

liability for an amount determined as a deficiency, include both

time to pay tax. Applying for an extension of time for the payment

spouses’ names in the order in which they appear or will appear

of tax is voluntary. However, providing the requested information

on your return, and enter the SSN or ITIN of the spouse whose

is mandatory if you apply for the extension. Our legal right to ask

name appears first.

for the information requested on this form is based in sections

6001, 6011, 6109, and 6161 and their regulations. If you fail to

Corporations. Enter your company’s name, address, and

provide all or part of the information requested, your application

employer identification number.

may be denied. If you provide false or fraudulent information, you

P.O. box. Enter your box number only if your post office does not

may be subject to penalties.

deliver to your street address.

You are not required to provide the information requested on a

Foreign address. Enter the information in the following order:

form that is subject to the Paperwork Reduction Act unless the

city, province or state, and country. Follow the country’s practice

form displays a valid OMB control number. Books or records

for entering the postal code. Do not abbreviate the country name.

relating to a form or its instructions must be retained as long as

their contents may become material in the administration of any

Part I

Internal Revenue law. Generally, tax returns and return information

are confidential, as required by section 6103. However, section

Request for extension. Enter the due date of your return (not

6103 allows or requires the Internal Revenue Service to disclose

including extensions) or the due date for paying the amount

the information to others as described in the Code. For example,

determined as a deficiency. Enter the date you propose to pay the

we may disclose this information to the Department of Justice for

tax and the amount of tax you owe. The date you propose to pay

enforcement of civil or criminal tax laws; to cities, states, the

the tax can be up to:

District of Columbia, and U.S. commonwealths or possessions to

● 6 months from the due date of your return (not including

administer their tax laws; to other countries under a tax treaty; to

extensions), if your request is for payment of the tax shown on

federal and state agencies to enforce non-tax criminal laws; or to

your return (the date you propose can be more than 6 months if

federal law enforcement and intelligence agencies to combat

you are out of the country), or

terrorism.

● 18 months from the date payment is due, if your request is for

The time needed to complete and file this form will vary

payment of an amount determined as a deficiency (an additional

depending on individual circumstances. The estimated burden for

12 months can be requested for a deficiency in exceptional

individual taxpayers filing this form is approved under OMB

circumstances).

control number 1545-0074 and is included in the estimates shown

in the instructions for their individual income tax return. The

Check the applicable box and enter the form number to which the

estimated burden for all other taxpayers who file this form is

tax you owe relates. Enter the tax year, if the tax you owe is

shown below.

figured on a calendar year; if the tax you owe is figured on a fiscal

year, enter the ending month, day, and year.

Recordkeeping

3 hr., 35 min.

Learning about the

Part II

law or the form

55 min.

Reason for extension. In order for your application to be

Preparing and sending

considered, you must provide a detailed explanation of the undue

the form to the IRS

3 hr., 25 min.

hardship that will result if you pay the tax on or before the due

If you have comments concerning the accuracy of these time

date. An extension will not be granted if you provide only a

estimates or suggestions for making this form simpler, we would

general statement of hardship.

be happy to hear from you. See the instructions for the tax return

with which this form is filed.

Part III

Supporting documentation. You must attach:

● A statement(s) of your assets and liabilities, and

● An itemized list of your income and expenses for each of the 3

months prior to the due date of the tax.

Note. Once your request has been reviewed, additional

conditions may have to be met.

Form 1127 - General Instructions Page 2

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