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DELAWARE DIVISION OF REVENUE
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FORM 1100-T-EXT – DELAWARE CORPORATE INCOME TAX REQUEST FOR EXTENSION
ACCOUNT NUMBER
VERIFY BUSINESS FEIN
CALENDAR OR FISCAL YEAR ENDING
DUE ON OR BEFORE
VOUCHER
EXTENSION TO
0-000000000-000
12-31-14
04-01-15
T-5
10-01-15
00422505000000000000012311404011500000000000000000000
FILE THIS FORM IF EXTENSION IS REQUESTED
Check Here If A
BALANCE DUE FROM LINE 5 OF WORKSHEET
Request For
Change Form Is
(BALANCE OF TAX DUE FOR THE YEAR)
Being Filed
.
$
0 0
*DF62414019999*
Mail This Form With Remittance Payable To:
Delaware Division of Revenue
CHANGES MUST BE MADE ON THE REQUEST FOR CHANGE FORM.
P.O. Box 8751, Wilmington, DE 19899-8751
CHECK THE BOX IF YOU ARE FILING A CHANGE FORM.
TELEPHONE NUMBER
DATE
X
EMAIL ADDRESS
AUTHORIZED SIGNATURE I declare under penalties of perjury that this is
a true, correct and complete return.
(Cut Coupon on Line Above)
TAXPAYERS WORKSHEET AND RECORD OF PAYMENTS
1. Estimate Delaware taxable income for the year.
$
.00
2. Multiply Line 1 by Corporate Income Tax Rate.
x
.087
3. Enter result on Line 3.
$
.00
4. Actual Tax Liability for Year.
$
.00
5. Tentative Tax Paid.
$
.00
6. Subtract Line 2 from Line 1.
$
.00
7. Less Credit Carryover.
$
.00
8. Amount Due with Extension.
$
.00
9. Check No.
10. Date Paid.
Please fill in the federal identification number, business name and address in the
spaces provided. Sign and date the return and supply a telephone number where
we may contact someone regarding this information.
PLEASE NOTE: Voucher 1 (T-1) is due the 1st day of the 4th month following the end of the year.
Voucher 2 (T-2) is due the 15th day of the 6th month following the end of the year.
Voucher 3 (T-3) is due the 15th day of the 9th month following the end of the year.
Voucher 4 (T-4) is due the 15th day of the 12th month following the end of the year.