Form F-7004 "Florida Tentative Income / Franchise Tax Return and Application for Extension of Time to File Return" - Florida

What Is Form F-7004?

This is a legal form that was released by the Florida Department of Revenue - a government authority operating within Florida. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2017;
  • The latest edition provided by the Florida Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;

Download a printable version of Form F-7004 by clicking the link below or browse more documents and templates provided by the Florida Department of Revenue.

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Download Form F-7004 "Florida Tentative Income / Franchise Tax Return and Application for Extension of Time to File Return" - Florida

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Rule 12C-1.051
Florida Department of Revenue - Corporate Income Tax
F-7004
Florida Administrative Code
Effective 01/17
R. 01/17
Florida Tentative Income / Franchise Tax
TC
Return and Application for Extension of Time to File Return
0123456789
0 1 2 3 4 5 6 7 8 9
If typing, type through the boxes.
You must write within the boxes.
(example)
(example)
F-7004
Write your numbers as shown and enter one number per box.
FEIN
Name
Taxable year end:
1065
1120S
Type of federal
Address
return to be filed
M
M
D
D Y
Y
(Mark “X” in
City/St
one box only)
All other federal
ZIP
returns to be filed
Under penalties of perjury, I declare that I have been authorized by the above-named taxpayer to make this
US DOLLARS
CENTS
application, and that to the best of my knowledge and belief the statements herein are true and correct:
Tentative tax due
Sign here: __________________________________________Date: _______________
(See reverse side)
Make checks payable to and mail to:
Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135
9200 0 20169999 0002005030 0 3999999999 0000 2
Rule 12C-1.051
Florida Department of Revenue - Corporate Income Tax
Florida Administrative Code
F-7004
Effective 01/17
R. 01/17
Florida Tentative Income / Franchise Tax
TC
Return and Application for Extension of Time to File Return
0123456789
0 1 2 3 4 5 6 7 8 9
If typing, type through the boxes.
You must write within the boxes.
(example)
(example)
Write your numbers as shown and enter one number per box.
F-7004
FEIN
Name
Taxable year end:
1065
1120S
Type of federal
Address
return to be filed
M
M
D
D Y
Y
(Mark “X” in
City/St
one box only)
All other federal
ZIP
returns to be filed
Under penalties of perjury, I declare that I have been authorized by the above-named taxpayer to make this
US DOLLARS
CENTS
application, and that to the best of my knowledge and belief the statements herein are true and correct:
Tentative tax due
Sign here: __________________________________________Date: _______________
(See reverse side)
Make checks payable to and mail to:
Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135
9200 0 20169999 0002005030 0 3999999999 0000 2
Rule 12C-1.051
Florida Department of Revenue - Corporate Income Tax
F-7004
Florida Administrative Code
Effective 01/17
R. 01/17
Florida Tentative Income / Franchise Tax
TC
Return and Application for Extension of Time to File Return
0123456789
0 1 2 3 4 5 6 7 8 9
If typing, type through the boxes.
You must write within the boxes.
(example)
(example)
Write your numbers as shown and enter one number per box.
F-7004
FEIN
Name
Taxable year end:
1065
1120S
Type of federal
Address
return to be filed
M
M
D
D Y
Y
(Mark “X” in
City/St
one box only)
ZIP
All other federal
returns to be filed
Under penalties of perjury, I declare that I have been authorized by the above-named taxpayer to make this
US DOLLARS
CENTS
application, and that to the best of my knowledge and belief the statements herein are true and correct:
Tentative tax due
Sign here: __________________________________________Date: _______________
(See reverse side)
Make checks payable to and mail to:
Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135
9200 0 20169999 0002005030 0 3999999999 0000 2
Rule 12C-1.051
Florida Department of Revenue - Corporate Income Tax
F-7004
Florida Administrative Code
Effective 01/17
R. 01/17
Florida Tentative Income / Franchise Tax
TC
Return and Application for Extension of Time to File Return
0123456789
0 1 2 3 4 5 6 7 8 9
If typing, type through the boxes.
You must write within the boxes.
(example)
(example)
F-7004
Write your numbers as shown and enter one number per box.
FEIN
Name
Taxable year end:
1065
1120S
Type of federal
Address
return to be filed
M
M
D
D Y
Y
(Mark “X” in
City/St
one box only)
All other federal
ZIP
returns to be filed
Under penalties of perjury, I declare that I have been authorized by the above-named taxpayer to make this
US DOLLARS
CENTS
application, and that to the best of my knowledge and belief the statements herein are true and correct:
Tentative tax due
Sign here: __________________________________________Date: _______________
(See reverse side)
Make checks payable to and mail to:
Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135
9200 0 20169999 0002005030 0 3999999999 0000 2
Rule 12C-1.051
Florida Department of Revenue - Corporate Income Tax
Florida Administrative Code
F-7004
Effective 01/17
R. 01/17
Florida Tentative Income / Franchise Tax
TC
Return and Application for Extension of Time to File Return
0123456789
0 1 2 3 4 5 6 7 8 9
If typing, type through the boxes.
You must write within the boxes.
(example)
(example)
Write your numbers as shown and enter one number per box.
F-7004
FEIN
Name
Taxable year end:
1065
1120S
Type of federal
Address
return to be filed
M
M
D
D Y
Y
(Mark “X” in
City/St
one box only)
All other federal
ZIP
returns to be filed
Under penalties of perjury, I declare that I have been authorized by the above-named taxpayer to make this
US DOLLARS
CENTS
application, and that to the best of my knowledge and belief the statements herein are true and correct:
Tentative tax due
Sign here: __________________________________________Date: _______________
(See reverse side)
Make checks payable to and mail to:
Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135
9200 0 20169999 0002005030 0 3999999999 0000 2
Rule 12C-1.051
Florida Department of Revenue - Corporate Income Tax
F-7004
Florida Administrative Code
Effective 01/17
R. 01/17
Florida Tentative Income / Franchise Tax
TC
Return and Application for Extension of Time to File Return
0123456789
0 1 2 3 4 5 6 7 8 9
If typing, type through the boxes.
You must write within the boxes.
(example)
(example)
Write your numbers as shown and enter one number per box.
F-7004
FEIN
Name
Taxable year end:
1065
1120S
Type of federal
Address
return to be filed
M
M
D
D Y
Y
(Mark “X” in
City/St
one box only)
ZIP
All other federal
returns to be filed
Under penalties of perjury, I declare that I have been authorized by the above-named taxpayer to make this
US DOLLARS
CENTS
application, and that to the best of my knowledge and belief the statements herein are true and correct:
Tentative tax due
Sign here: __________________________________________Date: _______________
(See reverse side)
Make checks payable to and mail to:
Florida Department of Revenue, 5050 W Tennessee St, Tallahassee FL 32399-0135
9200 0 20169999 0002005030 0 3999999999 0000 2
Information for Filing Florida Form F-7004
F-7004
R. 01/17
When to file — File this application on or before the original due date of the
A. If applicable, state the reason you need the extension:
taxpayer’s corporate income tax or partnership return. Do not file before the end
____________________________________________________________
of the tax year.
____________________________________________________________
B. Type of federal return filed:_____________________________________
To file online go to www.floridarevenue.com
Contact person for questions: __________________________________
Penalties —If you are required to pay tax with this application, failure to pay all
Telephone number: (________) _________________________________
taxes due will void any extension of time and subject the taxpayer to penalties
Contact person email address: _________________________________
and interest. There is also a penalty for a late-filed return when no tax is due.
Signature — A person authorized by the taxpayer must sign Florida Form F-7004.
They must be: an officer or partner of the taxpayer; a person currently enrolled
to practice before the Internal Revenue Service (IRS); or an attorney or Certified
Public Accountant qualified to practice before the IRS under Public Law 89-332.
Florida Income/
Extension of Time Request
Franchise Tax Due
The Florida Form F-7004 must be filed – To receive an extension of time to file
1.
your Florida return, Florida Form F-7004 must be timely filed, even if you have
1. Tentative amount of Florida tax for the taxable year
already filed a federal extension request. A federal extension by itself does not
2.
extend the time to file a Florida return.
2. LESS: Estimated tax payments for the taxable year
An extension for Florida tax purposes may be granted, even though no federal
3. Balance due — You must pay 100% of the tax
3.
extension was granted. See Rule 12C-1.0222, F.A.C., for information on the
tentatively determined due with this extension request.
requirements that must be met for your request for an extension of time to be valid.
Transfer the amount on Line 3 to Tentative tax due on reverse side.
Information for Filing Florida Form F-7004
F-7004
R. 01/17
A. If applicable, state the reason you need the extension:
When to file — File this application on or before the original due date of the
taxpayer’s corporate income tax or partnership return. Do not file before the end
____________________________________________________________
of the tax year.
____________________________________________________________
To file online go to www.floridarevenue.com
B. Type of federal return filed:_____________________________________
Contact person for questions: __________________________________
Penalties —If you are required to pay tax with this application, failure to pay all
taxes due will void any extension of time and subject the taxpayer to penalties
Telephone number: (________) _________________________________
and interest. There is also a penalty for a late-filed return when no tax is due.
Contact person email address: _________________________________
Signature — A person authorized by the taxpayer must sign Florida Form F-7004.
They must be: an officer or partner of the taxpayer; a person currently enrolled
to practice before the Internal Revenue Service (IRS); or an attorney or Certified
Public Accountant qualified to practice before the IRS under Public Law 89-332.
Florida Income/
Extension of Time Request
The Florida Form F-7004 must be filed – To receive an extension of time to file
Franchise Tax Due
your Florida return, Florida Form F-7004 must be timely filed, even if you have
1.
1. Tentative amount of Florida tax for the taxable year
already filed a federal extension request. A federal extension by itself does not
extend the time to file a Florida return.
2.
2. LESS: Estimated tax payments for the taxable year
An extension for Florida tax purposes may be granted, even though no federal
3. Balance due — You must pay 100% of the tax
3.
extension was granted. See Rule 12C-1.0222, F.A.C., for information on the
tentatively determined due with this extension request.
requirements that must be met for your request for an extension of time to be valid.
Transfer the amount on Line 3 to Tentative tax due on reverse side.
Information for Filing Florida Form F-7004
F-7004
R. 01/17
A. If applicable, state the reason you need the extension:
When to file — File this application on or before the original due date of the
taxpayer’s corporate income tax or partnership return. Do not file before the end
____________________________________________________________
of the tax year.
____________________________________________________________
To file online go to www.floridarevenue.com
B. Type of federal return filed:_____________________________________
Contact person for questions: __________________________________
Penalties —If you are required to pay tax with this application, failure to pay all
taxes due will void any extension of time and subject the taxpayer to penalties
Telephone number: (________) _________________________________
and interest. There is also a penalty for a late-filed return when no tax is due.
Contact person email address: _________________________________
Signature — A person authorized by the taxpayer must sign Florida Form F-7004.
They must be: an officer or partner of the taxpayer; a person currently enrolled
to practice before the Internal Revenue Service (IRS); or an attorney or Certified
Public Accountant qualified to practice before the IRS under Public Law 89-332.
Florida Income/
Extension of Time Request
The Florida Form F-7004 must be filed – To receive an extension of time to file
Franchise Tax Due
your Florida return, Florida Form F-7004 must be timely filed, even if you have
1.
1. Tentative amount of Florida tax for the taxable year
already filed a federal extension request. A federal extension by itself does not
extend the time to file a Florida return.
2.
2. LESS: Estimated tax payments for the taxable year
An extension for Florida tax purposes may be granted, even though no federal
3. Balance due — You must pay 100% of the tax
3.
extension was granted. See Rule 12C-1.0222, F.A.C., for information on the
tentatively determined due with this extension request.
requirements that must be met for your request for an extension of time to be valid.
Transfer the amount on Line 3 to Tentative tax due on reverse side.
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