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                                                                                                                                    PEEX231
 AR1155-PET                                                                                                                                                                                                                                             2023

                                                                                ARKANSAS PASS-THROUGH ENTITY TAX
                                                             REQUEST FOR ARKANSAS EXTENSION OF TIME FOR
                                                                                FILING INCOME TAX RETURNS
 Tax year beginning ___________________, 20______ and ending _________________, 20______.                                                                                                                                                               Software ID
                                                 7D[ \HDU EHJLQQLQJ DQG HQGLQJ GDWHV DUH UHTXLUHG ÀHOGV                                                                                                                                                 DFA WEB
 Name                                                                                                                                                                                 )HGHUDO (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU

 Mailing Address  1XPEHU DQG 6WUHHW  3 2  %R[ RU 5XUDO 5RXWH 

 City                                                                           State or Province                                     Zip                                                    Check if address is outside U.S.                                               
                                                                                                                                                                                      Foreign Country Name                                             

                                           FileFile onlyonly ifif youyou areare requestingrequesting aa 6060 oror 180180 dayday ArkansasArkansas extensionextension asas referencedreferenced inin ItemItem 22 belowbelow
                                                                                (See Instructions for additional information)
 NAICS Code                                                                                                Date of Incorporation                                                                                               Type of Entity
                                                                                                                                                                                                               &KHFN RQO\ RQH ER[ 
                                                                                                                                                                                                                               Domestic (in state)
                                                                                                                                                                                                                               Foreign (out of state)

 1.    INDICATE TYPE OF ENTITY FOR WHICH EXTENSION IS BEING REQUESTED:
                                           S CORPORATION - Electing Pass-Through Entity Status - If the entity is the Parent Corporation, the Parent must request the extension, 
                                           LQFOXGH D VFKHGXOH RI 4 6XEV XQGHU WKH 3DUHQW DQG WKH 3DUHQW PXVW ¿OH WKH $UNDQVDV 5HWXUQ 
                                           Partnerships - Electing Pass-Through Entity Status 
                                           LIMITED LIABILITY COMPANY (LLC) THAT DOES NOT FILE A FEDERAL SUB S OR PARTNERSHIP RETURN

 2.    CHECK ONLY ONE BOX BELOW (BOX A OR %2; %  72 5(48(67 $1 $5.$16$6 (;7(16,21 
       A        Check this box if requesting an additional60 day extension from the Federal                                                                                 Extended return due dateWR ¿OH WKH $UNDQVDV UHWXUQ 
       B       Check this box if requesting an additional                                                      180 day extension from the Arkansas                          original return due dateWR ¿OH WKH $UNDQVDV UHWXUQ 
 File this request by the original due date or, if applicable, the extended due date of the Arkansas return. A request for an extension which is postmarked AFTER the due date of 
 the tax return will NOT be considered.  (This also applies to an additional extension).
 Please mail the Pass-through Entity Tax Extensions to the following address:                                                                                               CORPORATION INCOME TAX SECTION 
                                                                                                                                                                            P.O. Box 919
   APPROVED BY:_______________                                                  '(1,('   ([WHQVLRQ UHTXHVW QRW ¿OHG RQ WLPH 
                                                                                                                                                                            Little Rock, AR 72203-0919
                                                    _______________                                                                                                                                                             
 Make check or money order payable in U.S. Dollars to “Dept. of Finance and Administration”
                                                                                                                                    cut here
 AR1155-PET                                                                                                                         STATE of ARKANSAS                                                          Voucher
                                                                                Pass-through Extension Tax Payment                                                                                                             5
                                                                                                                            Fiscal Year Ending ________________                       
       Software ID  DFA WEB                                                                                                           (MM/DD/YYYY)

                                           (PSOR\HU ,GHQWL¿FDWLRQ 1XPEHU                                                    Due Date
                                                                                                                                                                                                                               Mail To:
                                                                                                           04/15/2024                                                                        Department of Finance and Administration
                                                                                                                                                                                                   Pass-through Entity Tax
                                                                                                                                                                                                               P.O. Box 919
                                                                                                                                                                                                Little Rock, AR 72203-919
       Name
       Address                                                                                                                                                                       Amount
                                                                                                                                                                                     of this $
       City, State, Zip                                                                                                                                                              Payment
                                                                                                                                                                                                                               Include Cents
       Telephone #                                                                                                                                                                                             (ex. 1,234,567.00)

                                                                         PETEIN0000000000012312023EXTPYM00000000000000000000000
 AR1155-PET (R 6/8/2023)