Form 40a102 - Application For Extension Of Time To File Individual, General Partnership And Fiduciary Income Tax Returns For Kentucky - 2013
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140A102 (11-13)
*1300030028*
Commonwealth of Kentucky
2013
DEPARTMENT OF REVENUE
A
PPLICATION
F
OR
E
XTENSION
O
F
T
IME
➤ COMPLETE ONLY IF NOT FILING FEDERAL EXTENSION
T
F
I
, G
P
A
O
ILE
NDIVIDUAL
ENERAL
ARTNERSHIP
ND
F
I
T
R
F
K
IDUCIARY
NCOME
AX
ETURNS
OR
ENTUCKY
➤ SEE INSTRUCTIONS FOR PAYMENT REQUIREMENTS
INSTRUCTIONS: Taxpayers who request a federal extension are not
Use this form if you (1) are requesting a Kentucky extension of time to
required to file a separate Kentucky extension. The requirements may
file (complete Section I); (2) are requesting a Kentucky extension and
be met by attaching federal Form 4868 (automatic extension) to the
desire to make a payment prior to the due date (complete Sections I and
Kentucky return.
II); or (3) have a federal extension and desire only to make a Kentucky
payment prior to the due date (complete and submit Section II only).
Interest at the annual rate of 6 percent applies to any income tax paid
after the original due date of the return. If the amount of tax paid by the
original due date is less than 75 percent of the tax due, a late payment
You will be notified only if the application for extension is denied. To
penalty may be assessed (minimum penalty is $10). Interest and late
avoid the late filing penalty, a copy of this form must be attached to
payment penalty charges can be avoided by remitting payment with
your return when filed. Keep a copy for yourself.
the Extension Payment Voucher below by the due date.
SECTION I (Please print or type name and address in block below.)
:
Check type of return
Individual (740 or 740-NP)
General Partnership (765-GP)
Fiduciary (741)
Soc. Sec. No. or Employer ID No.
A six-month extension is requested for filing the income tax return of the above-named taxpayer(s) for the taxable year
ended
.
REASON FOR REQUEST (A reason must be given before any request can be considered. Inability to pay tax liability is not a valid
reason.)
Signature of taxpayer
Date
Preparer other than taxpayer
Date
➤ Mail to: Kentucky Department of Revenue, P.O. Box 1190, Frankfort, KY 40602-1190
DENIED:
Late (postmarked after return due date)
Other:
To avoid the late filing penalty, a copy of this form must be attached to your return when filed. Keep a copy for yourself.
COMPLETE ONLY IF MAKING PAYMENT FOR INDIVIDUAL OR FIDUCIARY INCOME TAX
2013
40A102 (11-13)
SECTION II
*1300030028*
KENTUCKY
EXTENSION PAYMENT VOUCHER
Last name
First name (joint or combined return, give both names and initials)
Your Social Security number
Mailing address (Number and Street including Apartment Number or P.O. Box)
Spouse’s Social Security number
City, town or post office
State
ZIP code
Make check payable to: Kentucky State Treasurer
Enter payment amount here ............... ➤ $
Mail to: Kentucky Department of Revenue
P.O. Box 1190
Frankfort, KY 40602-1190
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