Select the appropriate form from the table below to determine where to send the Form 7004, Application for Automatic Extension of Time to File Certain Business Income Tax, Information, and Other Returns File Form 7004 based on the appropriate tax form shown below: IF the form is ... AND the settler is (or was at death) ... THEN file Form 7004 at: 706-GS(D) 706-GS(T) A resident U.S. citizen, resident alien, nonresident U.S. citizen, or alien Department of the Treasury Internal Revenue Service Kansas City, MO 64999-0019 IF the form is ... AND your principal business, office, or agency is located in ... THEN file Form 7004 at: 1041 1120-H Connecticut, Delaware, District of Columbia, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia, Wisconsin Department of the Treasury Internal Revenue Service Kansas City, MO 64999-0019 1041 1120-H Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, Wyoming Department of the Treasury Internal Revenue Service Ogden, UT 84201-0045 1041 1120-H A foreign country or U.S. possession Internal Revenue Service P.O. Box 409101 Ogden, UT 84409 1041-QFT 8725 8831 8876 8924 8928 Any Location Department of the Treasury Internal Revenue Service Kansas City, MO 64999-0019 1042 1120-F 1120-FSC 3520-A 8804 Any Location Internal Revenue Service P.O. Box 409101 Ogden, UT 84409 1066 1120-C 1120-PC The United States Department of the Treasury Internal Revenue Service Ogden, UT 84201-0045 1066 1120-C 1120-PC A foreign country or U.S. possession Internal Revenue Service P.O. Box 409101 Ogden, UT 84409 1041-N 1120-POL 1120-L 1120-ND 1120-SF Any location Department of the Treasury Internal Revenue Service Ogden, UT 84409-0045 1065 1120 1120-REIT 1120-RIC 1120-S 8612 8613 Connecticut, Delaware, District of Columbia, Georgia, Illinois, Indiana, Kentucky, Maine, Maryland, Massachusetts, Michigan, New Hampshire, New Jersey, New York, North Carolina, Ohio, Pennsylvania, Rhode Island, South Carolina, Tennessee, Vermont, Virginia, West Virginia, Wisconsin And the total assets at the end of the tax year are: Less than $10 million: Department of the Treasury Internal Revenue Service Kansas City, MO 64999-0019; $10 million or more: Department of the Treasury Internal Revenue Service Ogden, UT 84201-0045 1065 1120 1120-REIT 1120-RIC 1120-S 8612 8613 Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Hawaii, Idaho, Iowa, Kansas, Louisiana, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, New Mexico, North Dakota, Oklahoma, Oregon, South Dakota, Texas, Utah, Washington, Wyoming Department of the Treasury Internal Revenue Service Ogden, UT 84201-0045 1065 1120 1120-L 1120-ND 1120-REIT 1120-RIC 1120-S 1120-SF 8612 8613 A foreign country or U.S. possession Internal Revenue Service P.O. Box 409101 Ogden, UT 84409
