Rev. 10/02
Form M-990T-7004
Massachusetts
Unrelated Business Income Tax
Department of
Extension Worksheet
Revenue
Tentative Return
1 Estimated amount of tax for the taxable year . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2 Advance and/or estimated payments made (if any) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3 Tax due with this application. Subtract line 2 from line 1. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Payment in full of the tax due must be made with the extension request for it to be considered valid. If at least 50% of the tax due for the taxable year is not
paid, the extension is null and void. Penalties for a late return will be assessed from the original due date of the return.
General Information
Why Is an Eight-Month Extension Allowed?
How Long Is the Period of Extension?
In lieu of a six-month automatic extension request, an eight-month
An automatic eight-month extension is granted upon the proper filing
automatic extension for exempt organizations filing Form M-990T is
of this form. An extension for a period longer than eight months may
allowed. The eight-month extension will make Form M-990T and
be granted if good cause exists; it requires the written approval of the
U.S. Form 990-T due on the same date. For further information, see
Commissioner before it becomes effective. The Commissioner may
Department Directive 07-3, Notice to Corporate UBIT Filers.
terminate this extension at any time by mailing a notice of termination
to the corporation or to the person who requested the extension for
Who May File Form M-990T-7004?
the corporation. The notice will be mailed at least 10 days prior to the
Any company eligible to file Form M-990T may use this application
termination date designated in the notice.
to request either an automatic eight-month extension of time to file
Who May Sign?
their return or an extension of time to file for more than eight months.
Form M-990T-7004 also acts as the required tentative return.
Form M-990T-7004 must be signed by the treasurer or assistant trea-
surer of the company or by a person authorized by the company to do
When Should Form M-990T-7004 Be Filed?
so. An application signed by an unauthorized person will be consid-
This application must be filed on or before the 15th day of the third
ered null and void. If a return is filed after the original due date based
month after the close of the taxable year, calendar or fiscal.
on a void extension, interest and penalties will be assessed back to
the original due date.
Must a Payment Be Submitted with This Form?
Yes. The full payment of tax reasonably estimated to be due must
Keep this worksheet with your records. Do not submit it with Form
accompany this form. If at least 50% of the tax due for the taxable
M-990T-7004. Mail the completed application to: Massachusetts
year is not paid, the extension is null and void.
Department of Revenue, PO Box 7025, Boston, MA 02204.
Will Interest and Penalties Be Due?
An extension of time to file a corporation tax return does not extend
the due date for payment of the tax. Interest will be charged on any
tax not paid on or before the original due date. Any tax not paid within
the extended period is subject to a penalty of 1% per month, up to a
maximum of 25%, from the extended due date.
DETACH HERE
Massachusetts
Form M-990T-7004
Application for UBIT Extension — 2013
Department of Revenue
Federal Identification number
Is the corporation incorporated in Massachusetts?
Period end date
Amount enclosed
Yes
No
Business name
Type of extension being applied for
a. Automatic eight-month
b. Extension until:
Mailing address
City/Town
State
Zip
Sign here. Under penalties of perjury, I declare that to the best of my knowledge and belief this return and enclosures are true, correct and complete.
Signature of officer or agent
Signature of paid preparer
Date
Employer Identification number of paid preparer
Social Security number or PTIN of paid preparer