Form 8868 - Utah Application For Extension Of Time To File An Exempt Organization Return
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58868
Application for Extension of Time To File an
Form
Exempt Organization Return
OMB No. 1545-1709
(Rev. January 2014)
File a separate application for each return.
▶
Department of the Treasury
Information about Form 8868 and its instructions is at
▶
Internal Revenue Service
• If you are filing for an Automatic 3-Month Extension, complete only Part I and check this box .
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• If you are filing for an Additional (Not Automatic) 3-Month Extension, complete only Part II (on page 2 of this form).
Do not complete Part II unless you have already been granted an automatic 3-month extension on a previously filed Form 8868.
Electronic filing (e-file). You can electronically file Form 8868 if you need a 3-month automatic extension of time to file (6 months for
a corporation required to file Form 990-T), or an additional (not automatic) 3-month extension of time. You can electronically file Form
8868 to request an extension of time to file any of the forms listed in Part I or Part II with the exception of Form 8870, Information
Return for Transfers Associated With Certain Personal Benefit Contracts, which must be sent to the IRS in paper format (see
instructions). For more details on the electronic filing of this form, visit and click on e-file for Charities & Nonprofits.
Part I
Automatic 3-Month Extension of Time. Only submit original (no copies needed).
A corporation required to file Form 990-T and requesting an automatic 6-month extension—check this box and complete
Part I only .
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All other corporations (including 1120-C filers), partnerships, REMICs, and trusts must use Form 7004 to request an extension of time
to file income tax returns.
Enter filer's identifying number, see instructions
Name of exempt organization or other filer, see instructions.
Employer identification number (EIN) or
Type or
print
Number, street, and room or suite no. If a P.O. box, see instructions.
Social security number (SSN)
File by the
due date for
filing your
City, town or post office, state, and ZIP code. For a foreign address, see instructions.
return. See
instructions.
Enter the Return code for the return that this application is for (file a separate application for each return)
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Application
Return
Application
Return
Is For
Code
Is For
Code
Form 990 or Form 990-EZ
01
Form 990-T (corporation)
07
Form 990-BL
02
Form 1041-A
08
Form 4720 (individual)
03
Form 4720 (other than individual)
09
Form 990-PF
04
Form 5227
10
Form 990-T (sec. 401(a) or 408(a) trust)
05
Form 6069
11
Form 990-T (trust other than above)
06
Form 8870
12
• The books are in the care of
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Telephone No.
Fax No.
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• If the organization does not have an office or place of business in the United States, check this box .
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• If this is for a Group Return, enter the organization’s four digit Group Exemption Number (GEN)
. If this is
for the whole group, check this box
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. If it is for part of the group, check this box .
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and attach
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a list with the names and EINs of all members the extension is for.
1
I request an automatic 3-month (6 months for a corporation required to file Form 990-T) extension of time
until
, 20
, to file the exempt organization return for the organization named above. The extension is
for the organization’s return for:
calendar year 20
or
▶
tax year beginning
, 20
, and ending
, 20
.
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2
If the tax year entered in line 1 is for less than 12 months, check reason:
Initial return
Final return
Change in accounting period
3 a If this application is for Forms 990-BL, 990-PF, 990-T, 4720, or 6069, enter the tentative tax, less any
nonrefundable credits. See instructions.
3a $
b If this application is for Forms 990-PF, 990-T, 4720, or 6069, enter any refundable credits and
estimated tax payments made. Include any prior year overpayment allowed as a credit.
3b $
c Balance due. Subtract line 3b from line 3a. Include your payment with this form, if required, by using
EFTPS (Electronic Federal Tax Payment System). See instructions.
3c $
Caution. If you are going to make an electronic funds withdrawal (direct debit) with this Form 8868, see Form 8453-EO and Form 8879-EO for payment
instructions.
8868
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Form
(Rev. 1-2014)
Cat. No. 27916D
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