AR1055
2008O1
ARKANSAS INDIVIDUAL INCOME TAX
REQUEST FOR EXTENSION OF TIME FOR
FILING INCOME TAX RETURNS
Do not file this extension request if you have received an extension of time to file your
Federal Income Tax Return
(See instructions for additional information)
APPROVED EXTENSION TO BE RETURNED TO:
NAME AND ADDRESS OF TAXPAYER:
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
___________________________________________________
CONTACT TELEPHONE NUMBER: ______________________
SSN/FEIN: __________________________________________
1.
Indicate type of return for which extension is being requested:
INDIVIDUAL
PARTNERSHIP
FIDUCIARY
2.
Extension requested for the tax year beginning _________________________,20 ___ and ending _____________________ ,20 ___ .
3.
State reason for requesting extension of time to file: (REQUIRED)
________________________________________________________________________________________________________
________________________________________________________________________________________________________
File this request in triplicate ON OR BEFORE THE DUE DATE OF RETURN. The original copy of the approved request must be attached to the
face of the return when filed. A request for an extension which is postmarked AFTER the due date of the tax return will NOT be considered.
NOTE:
th
th
Individual income tax returns must be filed and the tax paid on or before the fifteenth (15
) day of the fourth (4
) month following the close of
the Tax Year (April 15 for Calendar Year). This extension is an agreement by the Commissioner of Revenue to waive the statutory penalty
for delinquency if the return is filed and the tax, with interest, is paid by the extension date.
Mail to the following address:
INDIVIDUAL INCOME TAX SECTION
P.O. Box 3628
Little Rock, AR 72203-3628
FOR TAX SECTION USE
APPROVED:
Your payment has been credited to your account.
INCOMPLETE: Please complete and return to address above.
DENIED: Extension request not filed on time.
DENIED: Inability to pay is not valid reason for requesting extension.
DENIED: Other ___________________________________________________________
AR1055 (R 10/19/07)