Franchise Tax Extension Payment Form

Franchise Tax Extension Payment Form
Submit your business information and payment to request a franchise tax extension.
Business/Franchisee Name
Business Entity Type
Business Tax ID (EIN or State Tax ID)
Contact Person Full Name
First NameLast Name
Contact Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Business Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
Tax Year for Extension
Payment for Franchise Tax Extension
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Franchise Tax Extension Fee
Payment to request an extension for your franchise tax filing.
$75.00Tax Year

Total
$0.00
Payment Method
Last 4 Digits of Your Credit/Debit Card (if applicable)
Comments or Special Instructions (optional)
Should be Empty: