Request An Efile Extension TAXPAYER INFORMATION TAXPAYERS NAME * (FIRST,MIDDLE INITIAL,LAST) Filing Status * Married Filing Joint Married Filing Separate Single Head Of Household (only for single parents with kids) STREET ADDRESS * STREET ADDRESS STREET ADDRESS STREET ADDRESS City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal EMAIL ADDRESS * CELL PHONE * SSN * OCCUPATION * If not working or retired please indicate Date Of Birth * must match IRS Date Of Death SPOUSES NAME (IF MARRIED) FIRST, MIDDLE INITIAL, LAST (must match Social Security or TIN number) SPOUSE OCCUPATION If not working or retired please indicate SSN Date Of Birth Date Of Death Are You A Family Member or Representative Filing For A Deseased or Incapacitated Taxpayer? * Yes No If Yes) First & Last Name Of Representative If Yes) Cell Phone Number If Yes) Email Address Who Prepared Your Taxes Last Year? * Lois Wagner Russell Landon Self Prepared New To Wagner Check Only One Do You Expect To Owe Taxes? If So You May Want To Make A Payment With Your Extension. * Yes I Normally Owe. No I Don't Normally Owe. Need Help Figuring This & Would Like To Speak To Someone. Most people use the amount due from the previous year as a guide when deciding what to pay in with their extension. If your income is similar to last year and you normally owe you can use that which will at least reduce any interest or fees later when we file your return. $50 Extension Deposit This non-refundable $50 Deposit goes toward your final Invoice with the intention that we are going to complete your taxes. If later you decide not to use our service the $50 deposit is not refundable. Name Of Authorized Person As It Appears On Card Or Bank Account * Card Number or Bank Account Number (ACH Bank Acct no Fee) * Please be sure this information is correct. Type Of Bank Account (If Using ACH Echeck/Bank Account) Personal Checking/Savings Consumer Business Account Bank Routing Number (If Using ACH E-Check) Make sure to use the correct bank routing number for payments Expiration Date (If Paying With Card) Billing Zip Code (If Paying With Card) 3 Digit Code (CVV) If Paying With Card 3 or 4 digit code on back of card ELECTRONIC SIGNATURE * Please Type Your Your Signature — An "electronic signature" is a method of signing an electronic form that— (A) identifies and authenticates a particular person as the source of the electronic signature; and (B) indicates such person's authorization and approval. NOTES By submitting this form you are requesting us to file an "electronic extension of time to file". An extension doesn’t avoid interest & fees on the amount you might end up owing. The Extension will keep you from receiving a failure to file on time penalty and complies with the government's procedure for requesting more time. By submitting this form you are requesting us to file an "electronic extension of time to file". An extension doesn’t avoid interest & fees on the amount you might end up owing. The Extension will keep you from receiving a failure to file on time penalty and complies with the government's procedure for requesting more time. Fees Associated with FTB or IRS for making an electronic payment are not the responsibility of Wagner Tax and by this authorization, you approve and agree to pay any and all governmental fees required to file and Pay online. If you are human, leave this field blank.