Form 7004

(Rev. December 2012) 

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 5-Month Extension 

1a Enter the form code for the return that this application is for (see below) . . . . . . . . . . . . . . .

Application 

Is For: 

Form 

Code 

Form 1065 09 

Form 8804 31 

Application 

Is For: 

Form 

Code 

Form 1041 (estate other than a bankruptcy estate) 04 

Form 1041 (trust) 05 

Part II Automatic 6-Month Extension 

b Enter the form code for the return that this application is for (see below) . . . . . . . . . . . . . . .

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-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 8831 32

Form 8876 33

Form 8924 35

Form 8928 36

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. 

Part III All Filers Must Complete This Part 

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 

For Privacy Act and Paperwork Reduction Act Notice, see separate Instructions. Cat. No. 13804A Form 7004 (Rev. 12-2012)