(: 1) Unchecked
(: 2) Unchecked
(: 3) Unchecked
(: 4) Unchecked
(15th)
(4th)
(and ending)
(Approved extension to be returned to [2])
(Approved extension to be returned to [3])
(April
(Clear Form of all entries) CLICK HERE TO CLEAR FORM
(Extension requested for the tax year beginning)
(Form
(Name and address of taxpayer [3])
(REQUIRED)
(State reason for requesting extension of time to file: (REQUIRED [1])
1 Indicate type of return for which extension is being requested:
15th using IRS Form 4868
2 Extension requested for the tax year beginning 20 and ending 20
2007):
4868 be attached to your state tax return as long as the appropriate
Address
agreement
Allows the
An extension can be requested in one of two ways:
AR1055
AR1055 (R 10/14/13)
AR1055)
Arkansas
ARKANSAS INDIVIDUAL INCOME TAX
Automatic
before
box is checked on the front of the Arkansas return
calendar
calendaryear
Caution:
check the appropriate box on the front of your Arkansas return
close
Commissioner
complete
Composite
Director to grant an extension of time of 180 days from the origi
duedate
extension
extension
extension
Extension
Extension
extensions
failure
federal
Fiduciary
fifteenth
File this request on or before the due date of your return Keep a copy for your records
file:
filed
filed
filers
filers)
filing
Filing an Arkansas (only) extension to October 15th
Filing an Automatic Federal Extension to October
FILING INCOME TAX RETURNS
following
fourth
honored
if any tax due is not paid by the original due date April 15th
If you request an extension using Form AR1055 you must also
income
individual
Individual
Instructions
Little Rock AR 72203 3628
Mail to the following address: Individual Income Tax Section
month
Name of Taxpayer
necessary
NOTE:
original
P O Box 3628
Partnership
pay Interest and failure to pay penalty will be assessed
penalty
Primary SSN/FEIN
reason
request
REQUEST FOR EXTENSION OF TIME FOR
requesting
return
return
returns
Revenue
Spouse s SSN
state
statutory
The date of the postmark stamped by the U S Postal Service
The Department no longer requires that a copy of federal Form
timely
using Form AR1055
valid
waivethe
yearfilers)
