Form 40A102 Fillable Form 40A102 - Application for Extension of Time to File Individual, General Partnership, and Fiduciary Income Tax Returns for Kentucky
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(: Y) Unchecked (: Ye) Unchecked (: Yes) Unchecked (Cross Out comment revx003 (text) (text) (text) (text) (text) (text) (text) (text) (text) *1300030028* 12/23/2013 12:35:39 PM 40A102 (11 13) A six month extension is requested for filing the income tax return of the above named taxpayer(s) for the taxable year after the original due date of the return If the amount of tax paid by the APPLICATION FOR EXTENSION OF TIME avoid the late filing penalty a copy of this form must be attached to be met by attaching federal Form 4868 (automatic extension) to the blank) Check type of return: City town or post office State ZIP code Commonwealth of Kentucky COMPLETE ONLY IF MAKING PAYMENT FOR INDIVIDUAL OR FIDUCIARY INCOME TAX COMPLETE ONLY IF NOT FILING FEDERAL EXTENSION DENIED: DEPARTMENT OF REVENUE desire to make a payment prior to the due date (complete Sections I and ended Enter payment amount here EXTENSION PAYMENT VOUCHER Fiduciary (741) file (complete Section I); (2) are requesting a Kentucky extension and Frankfort KY 40602 1190 General Partnership (765 GP) II); or (3) have a federal extension and desire only to make a Kentucky Individual (740 or 740 NP) INSTRUCTIONS: Taxpayers who request a federal extension are not Interest at the annual rate of 6 percent applies to any income tax paid KENTUCKY Kentucky return Last name First name (joint or combined return give both names and initials) Your Social Security number Late (postmarked after return due date) Mail to: Kentucky Department of Revenue Mail to: Kentucky Department of Revenue P O Box 1190 Frankfort KY 40602 1190 Mailing address (Number and Street including Apartment Number Make check payable to: Kentucky State Treasurer or P O Box) Spouse s Social Security number original due date is less than 75 percent of the tax due a late payment Other: P O Box 1190 payment penalty charges can be avoided by remitting payment with payment prior to the due date (complete and submit Section II only) penalty may be assessed (minimum penalty is $10) Interest and late reason ) REASON FOR REQUEST (A reason must be given before any request can be considered Inability to pay tax liability is not a valid required to file a separate Kentucky extension The requirements may SECTION I (Please print or type name and address in block below ) SECTION II SEE INSTRUCTIONS FOR PAYMENT REQUIREMENTS FIDUCIARY INCOME TAX RETURNS FOR KENTUCKY Signature of taxpayer Date Preparer other than taxpayer Date Soc Sec No or Employer ID No the Extension Payment Voucher below by the due date To avoid the late filing penalty a copy of this form must be attached to your return when filed Keep a copy for yourself TO FILE INDIVIDUAL GENERAL PARTNERSHIP AND Use this form if you (1) are requesting a Kentucky extension of time to You will be notified only if the application for extension is denied To your return when filed Keep a copy for yourself