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4868 Form

4868

Step 1 of 2

- Email*
- Tax Year
- Do you want to apply extension for other tax year?
  - Yes
  - No
- Start Date
  DD dot MM dot YYYY
- End Date
  DD dot MM dot YYYY
- Part 1: Identification
- 1. Your Name (s)
- Address
- Address (Number and Street)
- City, town, or post office
- State
- ZIP code
- 2. Social Security Number
- 3. Spouse’s Social Security Number
- Part 2: Individual Income Tax
- 4. Estimate of total tax liability for this tax year
- 5. Total payments this tax year
- 7. Amount you’re paying
- - 8. Check here if you’re “out of the country” and a U.S. citizen or resident
- - 9. Check here if you file Form 1040-NR and didn’t receive wages as an employee subject to U.S. income tax withholding
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