Form 8809 2016

Socialsecurity. gov/employer. Cat. No. 10322N www.irs.gov/form8809 Form 8809 Rev. 9-2016 Page 2 When to file. Form Rev* September 2016 Department of the Treasury Internal Revenue Service Application for Extension of Time To File Information Returns OMB No* 1545-1081 For Forms W-2 W-2G 1042-S 1094-C 1095 1097 1098 1099 3921 3922 5498 and 8027 This form may be filled out online. See How to file below. Do not use this form to request an extension of time to 1 file Form 1040 use Form 4868 2 file Form 1042 use Form 7004 or 3 furnish statements to recipients see Extensions under part M in the General Instructions for Certain Information Returns. 2 Taxpayer identification number TIN Enter the payer/filer nine-digit number. Do not enter hyphens. 1 Payer s/filer s information* Type or print clearly in black ink. Address City State Contact name ZIP Code Telephone number Email address 3 Check your method of filing information returns check only one box. Use a separate Form 8809 for each method. electronic paper 4 If you are requesting an extension for more than one payer/filer enter the total number of payers/ filers and attach a list of names and taxpayer identification numbers. See How to file below for details. Check this box only if you already requested the automatic extension and you now need an additional extension* See instructions. Check only the box es that apply. Do not enter the number of returns. here 1097 1098 1099 3921 3922 W-2G 5498-ESA 1094-C 1095-C 1099-MISC NEC reporting only 5498-QA 1095-B 1042-S W-2 explanation of why you need an extension or an additional extension of time. If you need more space attach additional sheets. Include the filer name and taxpayer identification number on each additional page. Under penalties of perjury I declare that I have examined this form including any accompanying statements and to the best of my knowledge and belief it is true correct and complete. Signature Date Title General Instructions Purpose of form* Use Form 8809 to request an initial or additional extension of time to file only the forms shown in line 6 for the current tax year. Note Extension requests for Forms 1099-QA and 5498-QA must be submitted only on paper. Who should file. Payers/filers who need more time to file information returns with the IRS should file this form before the filing due date. See When to file later. How to file. Extensions may be requested* There are no automatic extension requests for Form W-2. Requests must be in writing and signed by the filer/transmitter or a person who is duly authorized to CAUTION sign a return* Online by completing a fill-in Form 8809 through the FIRE system at https //fire. irs. gov for an automatic 30-day extension not available for Form W-2. Acknowledgements are automatically displayed online if the request is made by the due date of the return* Electronically through the FIRE system in a file formatted according to the specifications in Pub. 1220. For Privacy Act and Paperwork Reduction Act Notice see page 2. On paper Form 8809. Mail the form to the address shown in Where to file later or fax it to 1-877-477-0572 toll free.