Form 7004

(Rev. December 2016) 

Department of the Treasury 

Internal Revenue Service 

Application for Automatic Extension of Time To File Certain 

Business Income Tax, Information, and Other Returns

▶ File a separate application for each return.

▶ Information about Form 7004 and its separate instructions is at www.irs.gov/form7004.

OMB No. 1545-0233 

Print 

or 

Type 

Name Identifying number 

Number, street, and room or suite no. (If P.O. box, see instructions.) 

City, town, state, and ZIP code (If a foreign address, enter city, province or state, and country (follow the country’s practice for entering postal code)).

Note: File request for extension by the due date of the return for which the extension is granted. See instructions before completing this form.

Part I Automatic Extension for C Corporations With Tax Years Ending December 31. See instructions.

1a Enter the form code for the return listed below that this application is for . . . . . . . . . . . . . . .

Application 

Is For: 

Form 

Code 

Form 1120 12

Form 1120-C 34

Form 1120-F 15

Form 1120-FSC 16

Form 1120-H 17

Form 1120-L 18

Form 1120-ND 19

Application 

Is For: 

Form 

Code 

Form 1120-ND (section 4951 taxes) 20

Form 1120-PC 21

Form 1120-POL 22

Form 1120-REIT 23

Form 1120-RIC 24

Form 1120-SF 26

Part II Automatic Extension for Certain Estates and Trusts. See instructions.

b Enter the form code for the return listed below that this application is for . . . . . . . . . . . . . . .

Application 

Is For: 

Form 

Code 

Form 1041 (estate other than a bankruptcy estate) 04

Application 

Is For: 

Form 

Code 

Form 1041 (trust) 05

Part III Automatic Extension for Entities Not Using Part I, II, or IV. See instructions.

c Enter the form code for the return listed below that this application is for . . . . . . . . . . . . . . .

Application 

Is For: 

Form 

Code 

Form 706-GS(D) 01 

Form 706-GS(T) 02 

Form 1041 (bankruptcy estate only) 03

Form 1041-N 06

Form 1041-QFT 07 

Form 1042 08

Form 1065 09

Form 1065-B 10

Form 1066 11

Form 1120 12

Form 1120-C 34

Form 1120-F 15

Form 1120-FSC 16

Form 1120-H 17

Form 1120-L 18

Form 1120-ND 19

Application 

Is For: 

Form 

Code 

Form 1120-ND (section 4951 taxes) 20

Form 1120-PC 21

Form 1120-POL 22

Form 1120-REIT 23

Form 1120-RIC 24

Form 1120S 25

Form 1120-SF 26

Form 3520-A 27

Form 8612 28

Form 8613 29

Form 8725 30

Form 8804 31

Form 8831 32

Form 8876 33

Form 8924 35

Form 8928 36

Part IV Automatic Extension for C Corporations With Tax Years Ending June 30. See instructions.

d Enter the form code for the return listed below that this application is for . . . . . . . . . . . . . . .

Application 

Is For: 

Form 

Code 

Form 1120 12

Form 1120-C 34

Form 1120-F 15

Form 1120-FSC 16

Form 1120-H 17

Form 1120-L 18

Form 1120-ND 19

Application 

Is For: 

Form 

Code 

Form 1120-ND (section 4951 taxes) 20

Form 1120-PC 21

Form 1120-POL 22

Form 1120-REIT 23

Form 1120-RIC 24

Form 1120-SF 26

For Privacy Act and Paperwork Reduction Act Notice, see separate instructions. Cat. No. 13804A Form 7004 (Rev. 12-2016) 
Form 7004 (Rev. 12-2016) Page 2 

Part V All Filers Must Complete This Part 

2 If the organization is a foreign corporation that does not have an office or place of business in the United States, 

check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶

3 If the organization is a corporation and is the common parent of a group that intends to file a consolidated return, 

check here . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ▶

If checked, attach a statement listing the name, address, and Employer Identification Number (EIN) for each member 

covered by this application. 

4 If the organization is a corporation or partnership that qualifies under Regulations section 1.6081-5, check here . ▶

5a The application is for calendar year 20 , or tax year beginning , 20 , and ending , 20 

b Short tax year. If this tax year is less than 12 months, check the reason: Initial return Final return 

Change in accounting period Consolidated return to be filed Other (see instructions—attach explanation)

6 Tentative total tax . . . . . . . . . . . . . . . . . . . . . . . . . . 6 

7 Total payments and credits (see instructions) . . . . . . . . . . . . . . . . . 7 

8 Balance due. Subtract line 7 from line 6 (see instructions) . . . . . . . . . . . . . 8 

Form 7004 (Rev. 12-2016)