Form 4868N Application for Automatic Extension of Time to File a NE Individual Income Tax Return

Attach an explanation that you received an automatic federal extension electronically; and include your federal confirmation number City State Zip Code If Married Filing Jointly Spouse s Social Security Number Current Mailing Address (Number and Street or PO Box) Social Security Number If Married Filing Jointly Spouse s First Name and Initial Last Name It s secure easy and fast Please consider using the Department's e pay program found at www revenue ne gov to make this payment Send a copy of the Application for Automatic Extension of Time to File Federal Form 4868; or Taxable year beginning 20 and ending 20 Tentative tax payment (Enter the amount of payment remitted with this extension request) Your First Name and Initial Last Name 4868N 8 079 1968 Rev 12 2011 Supersedes 8 079 1968 Rev 11 2010 If a federal extension of time has been granted the filing date for Form 1040N is automatically extended for the same period INSTRUCTIONS Interest will be assessed from the due date to the payment date Mail this application to: NEBRASKA DEPARTMENT OF REVENUE PO BOX 94818 LINCOLN NEBRASKA 68509 4818 Nebraska Application for Automatic Extension of Time Note: You have up to six months from the original due date to file your return but earlier filing is encouraged This form is not necessary if a federal extension has been filed and you are not making a payment or if the return is being e filed by a paid tax preparer See instructions below for additional information PLEASE DO NOT WRITE IN THIS SPACE TAXPAYER NOTIFICATION The taxpayer will be notified if the requested Nebraska extension is denied All approved extension requests will be granted an automatic six month filing extension beyond the original due date Notification will only be sent when the extension application is not granted Taxpayers using an online software product or NebFile (the Department s free online e filing alternative) should mail the above information to the Nebraska Department of Revenue PO Box 94818 Lincoln Nebraska 68509 4818 after filing Paper filers must attach the extension information to the paper return TENTATIVE TAX PAYMENT Although an approved extension of time extends the date for filing the return interest is due from the original due date of the return to the date the tax is paid A tentative tax payment will stop interest from accruing on the paid amount This amount should be claimed as a credit on line 29 estimated payments of Form 1040N when the return is filed You can use the Department s e pay system to make your tentative tax payment It s fast secure and easy This application extends the time to file your return but does not extend the date to pay the tax that is due to File a Nebraska Individual Income Tax Return When you file your Nebraska income tax return if not e filing through a paid tax preparer you must: WHO MAY FILE Any individual making a tentative tax payment and/or wanting more time to file a Nebraska income tax return must file a Nebraska Application for Automatic Extension of Time Form 4868N The requirement to file Form 4868N is waived if the Nebraska tax return is e filed through a paid tax preparer Married couples who file married filing separately who both want an extension of time must each complete a separate Form 4868N Blanket extensions are not granted www revenue ne gov 800 742 7474 (NE and IA) 402 471 5729