8892
Payment of Gift/GST Tax and/or Application
Form
OMB No. 1545-1913
(January 2005)
for Extension of Time To File Form 709
Department of the Treasury
Internal Revenue Service
If you complete Part III, file in duplicate.
Part I
Identification
Please type or
1
Your first name and initial
Last name
2
Social security number
print.
File
the original
Street address (or P.O. box if mail is not delivered to street address)
(and one copy
if you complete
Part
III) by the
due date for
City, town or post office, state, and ZIP code
filing your return.
See instructions.
Part II
Payment of Gift (and/or Generation-Skipping Transfer) Tax
3
Tax year
4
Amount of gift tax paid
5
Amount of GST tax paid (from Form 709)
20
$
$
Application for Extension of Time To File Form 709 (If you complete Part III, file the original and one
Part III
copy of the form.) The IRS will show below whether or not your application is approved and will return
the copy.
6
I request an extension of time until October
, 20
, (or, if donor died during the year, until
,
20
, (see instructions)) to file my Form 709, United States Gift (and Generation-Skipping Transfer) Tax Return, for tax
/
/
year 20
. If the donor died during the year, enter the date of death (mo., day, year)
.
7
Explain why you need an extension. You must give an adequate explanation
Signature and Verification
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and
belief, it is true, correct, and complete; and, if prepared by someone other than the taxpayer, that I am authorized to prepare this form.
Signature of taxpayer
Date
Signature of preparer
other than taxpayer
Date
(Do not detach)
We have approved your application.
We have not approved your application.
However, we have granted a 10-day grace period to
. This grace period is
Notice to
considered a valid extension of time for elections otherwise required to be made on a timely return.
Applicant
We have not approved your application. After considering the information you provided in line 7 above, we
To Be
cannot grant your request for an extension of time to file. We are not granting a 10-day grace period.
Completed
We cannot consider your application because it was filed after the due date of your return.
by the IRS
We cannot consider your application because it was not signed.
Other
Director
Date
Taxpayer’s name (and agent’s name, if applicable)
Taxpayer’s social security number
Number and street (include suite, room, or apt. no.) or P.O. box number
City, town or post office, state, and ZIP code
Agents:
Always include taxpayer’s name on Return Label.
8892
For Privacy Act and Paperwork Reduction Act Notice, see page 3.
Cat. No. 37700N
Form
(1-2005)