Arizona Application for Filing Extension For Fiduciary Returns Only

Application for Filing Extension For Fiduciary Returns Only
Arizona Form 141AZ EXT
DO NOT STAPLE ANY ITEMS TO THE FORM.

Arizona Form

141AZ EXT

Application for Filing Extension

FOR CALENDAR YEAR

2023

For Fiduciary Returns Only

For the calendar year 2023 or fiscal year beginning M M D D 2 0 2 3 and ending M M D D Y Y Y Y .
Name of Estate or Trust

66

EIN (If this is a Grantor Trust, see instructions)

1
Name and Title of Fiduciary
2
Address of Fiduciary - number and street, or rural route

REVENUE USE ONLY. DO NOT MARK IN THIS AREA.

88

3
City, Town or Post Office

State

ZIP Code

4
Daytime Phone Number of Fiduciary/Representative – include area code

81 PM

All extension requests must be postmarked on or before
the original due date of the return, unless the original due
date falls on a weekend or legal holiday. In that case, your
request must be postmarked on or before the business
day following the weekend or legal holiday. If you are a
calendar year filer, your request for a 2023 filing extension
must be postmarked on or before April 15, 2024.

Arizona will grant an automatic 5½-month extension to
fiduciaries filing Form 141AZ. Arizona will accept a valid
federal extension for the period covered by the federal
extension. This includes the automatic 5½-month fiduciary
federal filing extension.

Fiscal Tax Year Ending

CHECK ONE BOX:
 Fiduciary Calendar Year Filers:
This is a request for an automatic 5½-month filing extension*.............................
 Fiduciary Fiscal Year Filers:
Enter taxable year-end date and 5½-month extended due date...........................

 A federal extension will be used to file this tax return.

80 RCVD

Return Due Date*

September 30, 2024

MM D D Y Y Y Y MM D D Y Y Y Y

This form is being used to transmit the Arizona extension payment.

*NOTE: A Qualified Funeral Trust using a federal extension (Form 7004) will be allowed the same extension period (6-months)

to file Form 141AZ. For calendar year filers, the return due date will be October 15, 2024.

1 Tax liability for 2023. You may estimate this amount...................................................................... 1

00

2 Arizona estimated tax payments for 2023....................................................................................... 2

00

3 Balance of Tax: Subtract line 2 from line 1................................................................................... 3

00

4 Enter the amount of payment. Round your payment to the nearest dollar..................................... 4
	 •	 Make check payable to Arizona Department of Revenue.
	•	
Write the estate or trust’s name, EIN and 2023 141AZ extension on the payment.
	 •	Include the payment with Form 141AZ EXT.

00

	 •	If you are sending a payment with this request, mail to:
		 Arizona Department of Revenue, PO Box 29085, Phoenix, AZ 85038-9085.
	 •	If you are not sending a payment with this request, mail to:
		 Arizona Department of Revenue, PO Box 52138, Phoenix, AZ 85072-2138.
ADOR 11136 (23)

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