Form Inc 251 - Application For Extension Of Time To File Individual Income Tax Return

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TENNESSEE DEPARTMENT OF REVENUE
APPLICATION FOR EXTENSION OF TIME TO FILE INDIVIDUAL INCOME TAX RETURN
ACCOUNT NUMBER
YOUR SSN:
INC
251
SPOUSE'S SSN:
FEIN:
00
{
00
00
00
Under penalties of perjury, I declare that I have examined this request, and to the best of my knowledge and belief, it is true, correct and complete.
FOR OFFICE
Taxpayer's Signature
Spouse's Signature
Date
USE ONLY
(
)
Tax Preparer's Signature
Date
Telephone
Preparer's Address
City
State
Zip

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