Application for Automatic Extension of Time To File Certain  
Form  7004                        Business Income Tax, Information, and Other Returns                                         OMB No. 1545-0233 
(Rev. December 2017)                         ▶  File a separate application for each return. 
Department of the Treasury        ▶  Go to www.irs.gov/Form7004 for instructions and the latest information.
Internal Revenue Service 
             Name                                                                                                     Identifying number 
Print 
             Number, street, and room or suite no. (If P.O. box, see instructions.) 
or 
Type         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. See instructions before completing this form.
Part I    Automatic Extension for Certain Business Income Tax, Information, and Other Returns. See instructions.
1     Enter the form code for the return listed below that this application is for  .            . . .    .  .    . . . . . . .          . .
Application                                            Form                         Application                                             Form  
Is For:                                                Code                         Is For:                                                 Code 
Form 706-GS(D)                                         01                           Form 1120-ND                                             19
Form 706-GS(T)                                         02                           Form 1120-ND (section 4951 taxes)                        20
Form 1041 (bankruptcy estate only)                     03                           Form 1120-PC                                             21
Form 1041 (estate other than a bankruptcy estate)      04                           Form 1120-POL                                            22
Form 1041 (trust)                                      05                           Form 1120-REIT                                           23
Form 1041-N                                            06                           Form 1120-RIC                                            24
Form 1041-QFT                                          07                           Form 1120S                                               25
Form 1042                                              08                           Form 1120-SF                                             26
Form 1065                                              09                           Form 3520-A                                              27
Form 1065-B                                            10                           Form 8612                                                28
Form 1066                                              11                           Form 8613                                                29
Form 1120                                              12                           Form 8725                                                30
Form 1120-C                                            34                           Form 8804                                                31
Form 1120-F                                            15                           Form 8831                                                32
Form 1120-FSC                                          16                           Form 8876                                                33
Form 1120-H                                            17                           Form 8924                                                35
Form 1120-L                                            18                           Form 8928                                                36
Part II   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 
For Privacy Act and Paperwork Reduction Act Notice, see separate instructions.                     Cat. No. 13804A          Form 7004 (Rev. 12-2017)