2017 FORM 1100-EXT DELAWARE DIVISION OF REVENUE CORPORATION INCOME TAX REQUEST FOR EXTENSION REV CODE 0042 25 05 Extension To Federal Identification Number Calendar or Fiscal Year Ending Due on or Before Name of Corporation Number, street and room or suite number or P.O. Box City State Zip Code 1. Income Tax Liability (8.7% x Total Delaware Apportioned + Non-Apportioned Income) $ 00 $ $ $ 00 00 00 2. Tentative Tax Due (100% of Line 1) 3. LessAmount of Tentative Tax Previously Paid 4. Balance Due (Line 2 minus Line 3) INSTRUCTIONS FOR FILING A REQUEST FOR EXTENSION An extension of six months for filing the annual Delaware Corporation Income Tax return may be made by filing Form 1100-EXT on or before the due date of the original return. Please note that timely filed extensions extend the period of time for filing a final return but DO NOT extend the period of time for making payment. Payment of the anticipated liability must be made with the extension request. Extensions without payment of the anticipated liability will not be granted. Please use the schedule below to determine the due date of the extension request and the period the Delaware corporate return is extended to and place this information in the appropriate boxes above: CONSOLIDATED DELAWARE CORPORATE INCOME TAX RETURNS Consolidated Corporate Income Tax returns are not permitted under Delaware Law. Each corporation which is a member of a consolidated group must file separate Delaware Corporate Income Tax returns and Extensions as if a separate Federal Income Tax return was filed. Authorized Signature Date Telephone Number Mail to: Delaware Division of Revenue, P.O. Box 8751, Wilmington, DE 19899-8751 or FAX (302) 577-8203 (Revised 02/23/1 8) *DF11514019999* DF11514019999 Tax Year Ending Extended To: 12/31/2017 01/31/2018 02/28/2018 03/31/2018 04/30/2018 05/31/2018 06/30/2018 07/31/2018 08/31/2018 09/30/2018 10/31/2018 11/30/2018 Due on or Before 04/17/2018 05/15/2018 06/15/2018 07/16/2018 08/15/2018 09/17/2018 10/15/2018 11/15/2018 12/17/2018 01/15/2019 02/15/2019 03/15/2019 10/15/2018 11/15/2018 12/17/2018 01/15/2019 02/15/2019 03/15/2019 04/15/2019 05/15/2019 06/17/2019 07/15/2019 08/15/2019 09/16/2019

DELAWARE DIVISION OF REVENUE REV CODE CORPORATION …FORM 1100-EXT DELAWARE DIVISION OF REVENUE CORPORATION INCOME TAX REQUEST FOR EXTENSION REV CODE 0042 25 05 Federal Identification

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Page 1: DELAWARE DIVISION OF REVENUE REV CODE CORPORATION …FORM 1100-EXT DELAWARE DIVISION OF REVENUE CORPORATION INCOME TAX REQUEST FOR EXTENSION REV CODE 0042 25 05 Federal Identification

2017FORM 1100-EXT DELAWARE DIVISION OF REVENUE

CORPORATION INCOME TAX REQUEST FOR EXTENSIONREV CODE0042 25 05

Extension ToFederal Identification Number Calendar or Fiscal Year Ending Due on or Before

Name of Corporation

Number, street and room or suite number or P.O. Box

City State Zip Code

1. Income Tax Liability (8.7% x Total Delaware Apportioned + Non-ApportionedIncome) $ 00

2. Tentative Tax Due (100% of Line 1)

3. Less Amount of Tentative Tax Previously Paid

4. Balance Due (Line 2 minus Line 3)

INSTRUCTIONS FOR FILING A REQUEST FOR EXTENSIONAn extension of six months for filing the annual Delaware Corporation Income Tax return may be made by filing Form1100-EXT on or before the due date of the original return. Please note that timely filed extensions extend the period oftime for filing a final return but DO NOT extend the period of time for making payment. Payment of the anticipatedliability must be made with the extension request. Extensions without payment of the anticipated liability willnot be granted.

Please use the schedule below to determine the due date of the extension request and the period the Delawarecorporate return is extended to and place this information in the appropriate boxes above:

CONSOLIDATED DELAWARE CORPORATE INCOME TAX RETURNSConsolidated Corporate Income Tax returns are not permitted under Delaware Law. Each corporation which is amember of a consolidated group must file separate Delaware Corporate Income Tax returns and Extensions as ifa separate Federal Income Tax return was filed.

Authorized Signature Date Telephone Number

Mail to: Delaware Division of Revenue, P.O. Box 8751, Wilmington, DE 19899-8751 or FAX (302) 577-8203

(Revised 02/23/18) *DF11514019999*DF11514019999

Tax Year Ending Extended To:12/31/201701/31/201802/28/201803/31/201804/30/201805/31/201806/30/201807/31/201808/31/201809/30/201810/31/201811/30/2018

Due on or Before 04/17/201805/15/201806/15/201807/16/201808/15/201809/17/201810/15/201811/15/201812/17/201801/15/201902/15/201903/15/2019

10/15/201811/15/201812/17/201801/15/201902/15/201903/15/201904/15/201905/15/201906/17/201907/15/201908/15/201909/16/2019