
Get the free 1139a form
Show details
STATE OF HAWAII Department Of Human Services Med-QUEST Division Health Care Services Branch P. O. Box 700190 Cupola, Hawaii 96709-0190 CONFIDENTIAL PLEASE PRINT OR TYPE PSYCHIATRY/PSYCHOLOGY CREDENTIALING
We are not affiliated with any brand or entity on this form
Get, Create, Make and Sign form 1139a

Edit your 1139a form form online
Type text, complete fillable fields, insert images, highlight or blackout data for discretion, add comments, and more.

Add your legally-binding signature
Draw or type your signature, upload a signature image, or capture it with your digital camera.

Share your form instantly
Email, fax, or share your 1139a form form via URL. You can also download, print, or export forms to your preferred cloud storage service.
Editing 1139a form online
To use our professional PDF editor, follow these steps:
1
Log in to account. Click on Start Free Trial and sign up a profile if you don't have one yet.
2
Prepare a file. Use the Add New button. Then upload your file to the system from your device, importing it from internal mail, the cloud, or by adding its URL.
3
Edit 1139a form. Text may be added and replaced, new objects can be included, pages can be rearranged, watermarks and page numbers can be added, and so on. When you're done editing, click Done and then go to the Documents tab to combine, divide, lock, or unlock the file.
4
Get your file. Select your file from the documents list and pick your export method. You may save it as a PDF, email it, or upload it to the cloud.
With pdfFiller, it's always easy to work with documents. Try it!
Uncompromising security for your PDF editing and eSignature needs
Your private information is safe with pdfFiller. We employ end-to-end encryption, secure cloud storage, and advanced access control to protect your documents and maintain regulatory compliance.
How to fill out 1139a form

How to fill out 1139a form:
01
Start by obtaining the 1139a form, which is also known as the Application for Automatic Extension of Time to File Certain Business Income Tax, Information, and Other Returns. You can download the form from the official website of the Internal Revenue Service (IRS).
02
Begin by filling out the top portion of the form, which requires basic identification information such as your name, address, taxpayer identification number, and the type of return for which you are requesting an extension.
03
Next, calculate the total tax liability you expect to owe for the tax year in question. This can be determined by referring to your records, previous tax returns, or consulting a tax professional if needed. Enter this estimated tax liability on Line 1 of the 1139a form.
04
On Line 2, indicate any payments and credits you have already made towards your tax liability. This includes withheld taxes, estimated tax payments, and any credits for which you qualify. Make sure to provide accurate information to ensure your extension request is processed correctly.
05
Subtract the total payments and credits (Line 2) from the estimated tax liability (Line 1) to determine the amount you owe. Enter this amount on Line 3.
06
If you are requesting an extension for a specific reason, such as being affected by a federally declared disaster, provide the necessary explanation and supporting documentation on Line 4. This is optional but may help expedite the approval process.
07
Proceed to sign and date the 1139a form. If you are filing on behalf of a corporation or partnership, include the title and capacity in which you are signing.
08
Once the form is completed, mail it to the appropriate IRS address as indicated in the instructions. Make sure to check the current mailing address, as it may change depending on your location or the type of return you are filing an extension for.
Who needs 1139a form:
The 1139a form is specifically designed for businesses that need to request an automatic extension of time to file certain income tax returns. This includes:
01
Corporations: C corporations and S corporations that are filing Form 1120, Form 1120-A, or Form 1120-S.
02
Partnerships: Partnerships filing Form 1065.
03
Trusts and estates: Fiduciary entities filing Form 1041.
It is important to note that individuals and sole proprietors are not eligible to use the 1139a form. They should instead file Form 4868 (Application for Automatic Extension of Time to File U.S. Individual Income Tax Return) for personal tax purposes.
Fill
form
: Try Risk Free
For pdfFiller’s FAQs
Below is a list of the most common customer questions. If you can’t find an answer to your question, please don’t hesitate to reach out to us.
What is 1139a form?
1139a form is a tax form used for carrying back Net Operating Losses (NOLs) for corporations.
Who is required to file 1139a form?
Corporations with Net Operating Losses (NOLs) that want to carry back those losses.
How to fill out 1139a form?
Fill out the form with the required information regarding the NOLs being carried back.
What is the purpose of 1139a form?
The purpose of 1139a form is to allow corporations to carry back NOLs to offset taxable income from previous years.
What information must be reported on 1139a form?
Information about the NOLs being carried back, calculation of the amount to be carried back, and any supporting documentation.
How can I manage my 1139a form directly from Gmail?
pdfFiller’s add-on for Gmail enables you to create, edit, fill out and eSign your 1139a form and any other documents you receive right in your inbox. Visit Google Workspace Marketplace and install pdfFiller for Gmail. Get rid of time-consuming steps and manage your documents and eSignatures effortlessly.
How do I fill out 1139a form using my mobile device?
You can quickly make and fill out legal forms with the help of the pdfFiller app on your phone. Complete and sign 1139a form and other documents on your mobile device using the application. If you want to learn more about how the PDF editor works, go to pdfFiller.com.
Can I edit 1139a form on an iOS device?
No, you can't. With the pdfFiller app for iOS, you can edit, share, and sign 1139a form right away. At the Apple Store, you can buy and install it in a matter of seconds. The app is free, but you will need to set up an account if you want to buy a subscription or start a free trial.
Fill out your 1139a form online with pdfFiller!
pdfFiller is an end-to-end solution for managing, creating, and editing documents and forms in the cloud. Save time and hassle by preparing your tax forms online.

1139a Form is not the form you're looking for?Search for another form here.
Relevant keywords
Related Forms
If you believe that this page should be taken down, please follow our DMCA take down process
here
.
This form may include fields for payment information. Data entered in these fields is not covered by PCI DSS compliance.