-
Notifications
You must be signed in to change notification settings - Fork 0
/
Copy pathIRS2350.xsl
656 lines (649 loc) · 34.5 KB
/
IRS2350.xsl
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
86
87
88
89
90
91
92
93
94
95
96
97
98
99
100
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
137
138
139
140
141
142
143
144
145
146
147
148
149
150
151
152
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
181
182
183
184
185
186
187
188
189
190
191
192
193
194
195
196
197
198
199
200
201
202
203
204
205
206
207
208
209
210
211
212
213
214
215
216
217
218
219
220
221
222
223
224
225
226
227
228
229
230
231
232
233
234
235
236
237
238
239
240
241
242
243
244
245
246
247
248
249
250
251
252
253
254
255
256
257
258
259
260
261
262
263
264
265
266
267
268
269
270
271
272
273
274
275
276
277
278
279
280
281
282
283
284
285
286
287
288
289
290
291
292
293
294
295
296
297
298
299
300
301
302
303
304
305
306
307
308
309
310
311
312
313
314
315
316
317
318
319
320
321
322
323
324
325
326
327
328
329
330
331
332
333
334
335
336
337
338
339
340
341
342
343
344
345
346
347
348
349
350
351
352
353
354
355
356
357
358
359
360
361
362
363
364
365
366
367
368
369
370
371
372
373
374
375
376
377
378
379
380
381
382
383
384
385
386
387
388
389
390
391
392
393
394
395
396
397
398
399
400
401
402
403
404
405
406
407
408
409
410
411
412
413
414
415
416
417
418
419
420
421
422
423
424
425
426
427
428
429
430
431
432
433
434
435
436
437
438
439
440
441
442
443
444
445
446
447
448
449
450
451
452
453
454
455
456
457
458
459
460
461
462
463
464
465
466
467
468
469
470
471
472
473
474
475
476
477
478
479
480
481
482
483
484
485
486
487
488
489
490
491
492
493
494
495
496
497
498
499
500
501
502
503
504
505
506
507
508
509
510
511
512
513
514
515
516
517
518
519
520
521
522
523
524
525
526
527
528
529
530
531
532
533
534
535
536
537
538
539
540
541
542
543
544
545
546
547
548
549
550
551
552
553
554
555
556
557
558
559
560
561
562
563
564
565
566
567
568
569
570
571
572
573
574
575
576
577
578
579
580
581
582
583
584
585
586
587
588
589
590
591
592
593
594
595
596
597
598
599
600
601
602
603
604
605
606
607
608
609
610
611
612
613
614
615
616
617
618
619
620
621
622
623
624
625
626
627
628
629
630
631
632
633
634
635
636
637
638
639
640
641
642
643
644
645
646
647
648
649
650
651
652
653
654
655
656
<?xml version="1.0" encoding="UTF-8"?>
<xsl:stylesheet xmlns:xsl="http://www.w3.org/1999/XSL/Transform" version="1.0">
<xsl:include href="PopulateTemplate.xsl"/>
<xsl:include href="CommonPathRef.xsl"/>
<xsl:include href="AddHeader.xsl"/>
<xsl:include href="AddOnTable.xsl"/>
<xsl:include href="IRS2350Style.xsl"/>
<xsl:output method="html" indent="yes"/>
<xsl:strip-space elements="*"/>
<!-- Defines the stage of the data, e.g. original or latest -->
<xsl:param name="FormData" select="$RtnDoc/IRS2350"/>
<xsl:template match="/">
<html>
<head>
<title>
<xsl:call-template name="FormTitle">
<xsl:with-param name="RootElement" select="local-name($FormData)"/>
</xsl:call-template>
</title>
<!-- No Browser Caching -->
<meta http-equiv="Pragma" content="no-cache"/>
<meta http-equiv="Cache-Control" content="no-cache"/>
<meta http-equiv="Expires" content="0"/>
<!-- No Proxy Caching -->
<meta http-equiv="Cache-Control" content="private"/>
<!-- Define Character Set -->
<meta http-equiv="Content-Type" content="text/html; charset=ISO-8859-1"/>
<meta name="Description" content="IRS Form 2350"/>
<script language="JavaScript" src="{$ScriptPath}/FormDisplay.js" type="text/javascript"/>
<xsl:call-template name="InitJS"/>
<style type="text/css">
<xsl:if test="not($Print) or $Print=''">
<xsl:call-template name="IRS2350Style"/>
<xsl:call-template name="AddOnStyle"/>
</xsl:if>
</style>
<xsl:call-template name="GlobalStylesForm"/>
</head>
<body class="styBodyClass">
<form name="Form2350">
<!--xsl:value-of select='$PageWatermark'/-->
<!-- BEGIN WARNING LINE -->
<xsl:call-template name="DocumentHeader"/>
<!-- END WARNING LINE -->
<!-- Begin Form Number and Name -->
<div class="styBB" style="width:187mm;border-bottom-width:2px;">
<div class="styFNBox" style="width:28mm;height:20mm;">
Form<span class="styFormNumber"> 2350</span><br/>
<xsl:call-template name="SetFormLinkInline">
<xsl:with-param name="TargetNode" select="$FormData"/>
</xsl:call-template>
<div class="styAgency" style="padding-top:1mm;">Department of the Treasury<br/>Internal Revenue Service</div>
</div>
<div class="styFTBox" style="width:128mm;height:20mm;">
<div class="styMainTitle" style="height:8mm;padding-top:2mm;">Application for Extension of Time<br/>
To File U.S. Income Tax Return</div>
<div class="styFST" style="height:5mm;font-size:6.5pt;">
For U.S. Citizens and Resident Aliens Abroad Who Expect To Qualify for Special Tax Treatment<br/>
<img src="{$ImagePath}/1310_Bullet.gif" width="9" height="9" alt="bullet image"/>See instructions on page 3.
</div>
</div>
<div class="styTYBox" style="width:30mm;height:20mm;">
<div class="styOMB" style="height:1mm;">OMB No. 1545-0074</div>
<div class="styTY">20<span class="styTYColor">12</span></div>
</div>
</div>
<!-- End Form Number and Name section -->
<div class="styBB" style="width:187mm;">
<div style="position:relative;top:0;left:0;height:58mm;width:15mm;float:left;font-weight:bold;font-size:7pt;padding:0mm 0mm;">
<div style="position:absolute;padding-top:1mm;">Please<br/>print<br/>or<br/>type.</div>
<div style="position:absolute;bottom:1mm;">File by<br/>the due<br/>date for<br/>filing<br/>your<br/>return.</div>
</div>
<div style="width:171mm;float:left;border-left:1px solid black;border-bottom:1px solid black;padding-left:2mm;">
<div class="styNameBox" style="width:62mm;height:12mm;font-size:7pt;">
<div>Your first name and initial</div>
<span>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/PrimaryName"/>
</xsl:call-template>
</span>
</div>
<div class="styNameBox" style="width:59mm;height:12mm;font-size:7pt;padding-left:2mm;">
<div>Last name</div>
<!-- No element definition exists in schema for this input field -->
</div>
<div class="styEINBox" style="width:47mm;height:12mm;padding-left:2mm;font-size:7pt;">
<div style="font-weight:bold;">Your social security number</div>
<span style="width:35mm;text-align:center;font-weight:normal;">
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">PrimarySSN</xsl:with-param>
<xsl:with-param name="EINChanged">true</xsl:with-param>
</xsl:call-template>
</span>
</div>
</div>
<div style="width:171mm;float:left;border-left:1px solid black;border-bottom:1px solid black;padding-left:2mm;">
<div class="styNameBox" style="width:62mm;height:12mm;font-size:7pt;">
<div>If a joint return, spouse's first name and initial</div>
<span>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/SpouseName"/>
</xsl:call-template>
</span>
</div>
<div class="styNameBox" style="width:59mm;height:12mm;font-size:7pt;padding-left:2mm;">
<div>Last name</div>
<!-- No element definition exists in schema for this input field -->
</div>
<div class="styEINBox" style="width:47mm;height:12mm;padding-left:2mm;font-size:7pt;">
<div style="font-weight:bold;">Spouse's social security number</div>
<span style="width:35mm;text-align:center;font-weight:normal;">
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">SpouseSSN</xsl:with-param>
<xsl:with-param name="EINChanged">true</xsl:with-param>
</xsl:call-template>
</span>
</div>
</div>
<div style="width:171mm;float:left;border-left:1px solid black;">
<div class="styNameBox" style="width:123mm;height:12mm;font-size:7pt;border-bottom:1px solid black;padding-left:2mm;">
<div>Home address (number and street). If you have a P.O. Box, see instructions.</div>
<span>
<xsl:choose>
<xsl:when test="$RtnHdrData/Filer/ForeignAddress">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/ForeignAddress/AddressLine1"/>
</xsl:call-template><br/>
<xsl:if test="$RtnHdrData/Filer/ForeignAddress/AddressLine2">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/ForeignAddress/AddressLine2"/>
</xsl:call-template>
</xsl:if>
</xsl:when>
<xsl:otherwise>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/USAddress/AddressLine1"/>
</xsl:call-template><br/>
<xsl:if test="$RtnHdrData/Filer/USAddress/AddressLine2">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/USAddress/AddressLine2"/>
</xsl:call-template>
</xsl:if>
</xsl:otherwise>
</xsl:choose>
</span>
</div>
<div class="styNameBox" style="width:47.5mm;height:12mm;border-right:none;background-color:lightgrey;"/>
</div>
<div style="width:171mm;float:left;border-left:1px solid black;">
<div class="styNameBox" style="width:123mm;height:12mm;font-size:7pt;padding-left:2mm;border-bottom:1px solid black">
<div>City,town, or post office, state, and ZIP code. If you have a foreign address, enter only
the city name on this line; then complete the spaces below (see instructions).</div>
<span>
<xsl:choose>
<xsl:when test="$RtnHdrData/Filer/ForeignAddress">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/ForeignAddress/City"/>
</xsl:call-template>
</xsl:when>
<xsl:otherwise>
<xsl:call-template name="PopulateCityStateInfo">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/USAddress"/>
</xsl:call-template>
</xsl:otherwise>
</xsl:choose>
</span>
</div>
<div class="styNameBox" style="width:47.5mm;height:12mm;border-right:none;background-color:lightgrey;"/>
</div>
<div style="width:171mm;float:left;border-left:1px solid black;">
<div class="styNameBox" style="width:123mm;height:12mm;font-size:7pt;padding-left:2mm;">
<div class="styNameBox" style="width:50mm;font-size:7pt;height:12mm;padding-left:1mm">
<span>
Foreign country name<br/>
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">Country</xsl:with-param>
<xsl:with-param name="MainForm">true</xsl:with-param>
</xsl:call-template>
</span>
</div>
<div class="styNameBox" style="width:40mm;height:12mm;font-size:7pt;padding-left:1mm">
Foreign province/county<br/>
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">ProvinceOrState</xsl:with-param>
</xsl:call-template>
</div>
<div class="styNameBox" style="width:30mm;height:12mm;font-size:7pt;border-right-width:0;padding-left:1mm">
<span style="font-family:arial;">Foreign postal code</span><br/>
<xsl:call-template name="PopulateReturnHeaderFiler">
<xsl:with-param name="TargetNode">PostalCode</xsl:with-param>
</xsl:call-template>
</div>
</div>
<div class="styNameBox" style="width:47.5mm;height:12mm;border-right:none;background-color:lightgrey;"/>
</div>
</div>
<div class="styBB" style="width:187mm;padding:1mm 0mm;text-align:center;">
<div class="styPartDesc">Please fill in the Return Label at the bottom of this page.</div>
</div>
<div style="width:187mm;margin-top:3mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">1</div>
<div style="float:left;width:4mm;font-weight:bold;"/>
<div style="float:right;width:177mm;">
I request an extension of time until <span style="width:25mm;text-align:center;border-bottom:1px dashed black;"><xsl:if test="$FormData/RequestedFilingExtensionDt">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/RequestedFilingExtensionDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/RequestedFilingExtensionDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/RequestedFilingExtensionDt"/>
</xsl:call-template>
</xsl:if></span>
to file my income tax return for the calendar year 2012, or other tax year ending <span style="width:25mm;text-align:center;border-bottom:1px dashed black;"><xsl:if test="$FormData/RequestedOtherTaxYrExtensionDt">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/RequestedOtherTaxYrExtensionDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/RequestedOtherTaxYrExtensionDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/RequestedOtherTaxYrExtensionDt"/>
</xsl:call-template>
</xsl:if></span>
, because my tax home is in a foreign country and <b>I expect to qualify for special tax treatment by meeting the "bona fide residence test" or the "physical presence test"</b> (see instructions).
</div>
</div>
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">2</div>
<div style="float:left;width:4mm;font-weight:bold;"/>
<div style="float:right;width:177mm;">
<span style="float:left;">
Were you previously granted an extension of time to file for this tax year?<span style="letter-spacing:3mm;">................</span>
</span>
<span style="float:right;padding-right:4mm;">
<xsl:call-template name="PopulateSpan">
<xsl:with-param name="TargetNode" select="$FormData/FilingExtensionPrevGrantedInd"/>
</xsl:call-template>
<input type="checkbox" style="height:3.5mm;">
<xsl:call-template name="PopulateYesCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/FilingExtensionPrevGrantedInd"/>
<xsl:with-param name="BackupName">IRS2350FilingExtensionPrevGrantedInd</xsl:with-param>
</xsl:call-template>
</input>
<label>
<xsl:call-template name="PopulateLabelYes">
<xsl:with-param name="TargetNode" select="$FormData/FilingExtensionPrevGrantedInd"/>
<xsl:with-param name="BackupName">IRS2350FilingExtensionPrevGrantedInd</xsl:with-param>
</xsl:call-template>
<b>Yes</b>
</label>
<input type="checkbox" style="height:3.5mm;">
<xsl:call-template name="PopulateNoCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/FilingExtensionPrevGrantedInd"/>
<xsl:with-param name="BackupName">IRS2350FilingExtensionPrevGrantedInd</xsl:with-param>
</xsl:call-template>
</input>
<label>
<xsl:call-template name="PopulateLabelNo">
<xsl:with-param name="TargetNode" select="$FormData/FilingExtensionPrevGrantedInd"/>
<xsl:with-param name="BackupName">IRS2350FilingExtensionPrevGrantedInd</xsl:with-param>
</xsl:call-template>
<b>No</b>
</label>
</span>
</div>
</div>
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">3</div>
<div style="float:left;width:4mm;font-weight:bold;"/>
<div style="float:right;width:177mm;">
<span style="float:left;">
Will you need additional time to allocate moving expenses?<span style="letter-spacing:3mm;">.....................</span>
</span>
<span style="float:right;padding-right:4mm;">
<xsl:call-template name="PopulateSpan">
<xsl:with-param name="TargetNode" select="$FormData/AdnlTimeToAllocateMoveExpnsInd"/>
</xsl:call-template>
<input type="checkbox" style="height:3.5mm;">
<xsl:call-template name="PopulateYesCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/AdnlTimeToAllocateMoveExpnsInd"/>
<xsl:with-param name="BackupName">IRS2350AdnlTimeToAllocateMoveExpnsInd</xsl:with-param>
</xsl:call-template>
</input>
<label>
<xsl:call-template name="PopulateLabelYes">
<xsl:with-param name="TargetNode" select="$FormData/AdnlTimeToAllocateMoveExpnsInd"/>
<xsl:with-param name="BackupName">IRS2350AdnlTimeToAllocateMoveExpnsInd</xsl:with-param>
</xsl:call-template>
<b>Yes</b>
</label>
<input type="checkbox" style="height:3.5mm;">
<xsl:call-template name="PopulateNoCheckbox">
<xsl:with-param name="TargetNode" select="$FormData/AdnlTimeToAllocateMoveExpnsInd"/>
<xsl:with-param name="BackupName">IRS2350AdnlTimeToAllocateMoveExpnsInd</xsl:with-param>
</xsl:call-template>
</input>
<label>
<xsl:call-template name="PopulateLabelNo">
<xsl:with-param name="TargetNode" select="$FormData/AdnlTimeToAllocateMoveExpnsInd"/>
<xsl:with-param name="BackupName">IRS2350AdnlTimeToAllocateMoveExpnsInd</xsl:with-param>
</xsl:call-template>
<b>No</b>
</label>
</span>
</div>
</div>
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">4</div>
<div style="float:left;width:4mm;font-weight:bold;">a</div>
<div style="float:right;width:177mm;">
Date you first arrived in the foreign country <span style="width:25mm;text-align:center;border-bottom:1px dashed black;">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/ForeignCountryFirstArrivalDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/ForeignCountryFirstArrivalDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/ForeignCountryFirstArrivalDt"/>
</xsl:call-template>
</span>
</div>
</div>
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:4mm;font-weight:bold;">b</div>
<div style="float:right;width:177mm;">
Date qualifying period begins <span style="width:25mm;text-align:center;border-bottom:1px dashed black;">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/QualifyingResidentPeriodBegDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/QualifyingResidentPeriodBegDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/QualifyingResidentPeriodBegDt"/>
</xsl:call-template>
</span>
; ends <span style="width:25mm;text-align:center;border-bottom:1px dashed black;">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/QualifyingResidentPeriodEndDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/QualifyingResidentPeriodEndDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/QualifyingResidentPeriodEndDt"/>
</xsl:call-template>
</span>
</div>
</div>
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:4mm;font-weight:bold;">c</div>
<div style="float:right;width:177mm;">
Your foreign home address
<span style="border-bottom:1px dotted black;width:137mm">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/ForeignAddress/AddressLine1"/>
</xsl:call-template>
<xsl:if test="$FormData/ForeignAddress/AddressLine2"><br/></xsl:if>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/ForeignAddress/AddressLine2"/>
</xsl:call-template>
<br/>
<xsl:call-template name="PopulateCityStateInfo">
<xsl:with-param name="TargetNode"/>
<xsl:with-param name="ForeignAddressTargetNode" select="$FormData/ForeignAddress"/>
</xsl:call-template>
<span style="width:7px;"/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$FormData/ForeignAddress/Country"/>
</xsl:call-template>
</span>
</div>
</div>
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:4mm;font-weight:bold;">d</div>
<div style="float:right;width:177mm;">
Date you expect to return to the United States <span style="width:25mm;text-align:center;border-bottom:1px dashed black;">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$FormData/ExpectedUSReturnDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$FormData/ExpectedUSReturnDt"/>
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$FormData/ExpectedUSReturnDt"/>
</xsl:call-template>
</span>
</div>
</div>
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;"/>
<div style="float:left;width:4mm;font-weight:bold;"/>
<div style="float:right;width:177mm;">
<b>Note. </b> <i>This is not an extension of time to pay tax. Full payment is required to avoid interest and late payment charges.</i>
</div>
</div>
<div style="width:187mm;margin-top:1mm;">
<div style="float:left;width:5mm;font-weight:bold;text-align:right;">5</div>
<div style="float:left;width:4mm;font-weight:bold;"/>
<div class="styLNDesc" style="width:127mm;float:left">
Enter the amount of income tax paid with this form
<span style="letter-spacing:3mm;font-weight:bold;">...............</span>
<img src="{$ImagePath}/2106EZ_Bullet.gif" width="9" height="9" alt="Bullet" style="margin:0mm 1mm;"/>
</div>
<div class="styLNRightNumBoxNBB" style="border-left:1px solid black;">
5
</div>
<div class="styLNAmountBox" style="height:4.5mm;width:42mm;border-bottom:none;">
<xsl:call-template name="PopulateAmount">
<xsl:with-param name="TargetNode" select="$FormData/ExtsnRequestIncomeTaxPaidAmt"/>
</xsl:call-template>
</div>
</div>
<div style="width:187mm;border-top:1px solid black;padding:1mm 0mm;text-align:center;">
<div class="styPartDesc">Signature and Verification</div>
</div>
<div style="width:187mm;font-size:7pt;height:16mm;">
Under penalties of perjury, I declare that I have examined this form, including accompanying schedules and statements, and to the best of my knowledge and belief, it is
true, correct, and complete; and, if prepared by someone other than the taxpayer, that I am authorized to prepare this form.
</div>
<div style="width:187mm;font-size:8pt;">
<div style="float:left;">Signature of taxpayer <img src="{$ImagePath}/1310_Bullet.gif" width="9" height="9" alt="bullet image"/>
<span style="width:95mm;margin-left:4px;border-bottom:1px solid black">
<xsl:text> </xsl:text><xsl:call-template name="PopulatePin">
<xsl:with-param name="TargetNode" select="$RtnHdrData/PrimarySignature" />
</xsl:call-template>
</span>
</div>
<div style="float:right;" >Date <img src="{$ImagePath}/1310_Bullet.gif" width="9" height="9" alt="bullet image"/>
<span style="width:35mm;border-bottom:1px solid black;margin-left:4px;">
<xsl:if test="$RtnHdrData/PrimarySignatureDate">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$RtnHdrData/PrimarySignatureDate" />
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$RtnHdrData/PrimarySignatureDate" />
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$RtnHdrData/PrimarySignatureDate" />
</xsl:call-template></xsl:if>
</span>
</div>
</div>
<div style="width:187mm;font-size:8pt;margin-top:5mm;margin-bottom:2mm;">
<div style="float:left;">Signature of spouse <img src="{$ImagePath}/1310_Bullet.gif" width="9" height="9" alt="bullet image"/>
<span style="width:95mm;border-bottom:1px solid black;margin-left:2mm;">
<xsl:text> </xsl:text><xsl:call-template name="PopulatePin">
<xsl:with-param name="TargetNode" select="$RtnHdrData/SpouseSignature" />
</xsl:call-template>
</span>
</div>
<div style="float:right;" >Date <img src="{$ImagePath}/1310_Bullet.gif" width="9" height="9" alt="bullet image"/>
<span style="width:35mm;margin-left:4px;border-bottom:1px solid black">
<xsl:if test="$RtnHdrData/SpouseSignatureDate">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$RtnHdrData/SpouseSignatureDate" />
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$RtnHdrData/SpouseSignatureDate" />
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$RtnHdrData/SpouseSignatureDate" />
</xsl:call-template></xsl:if>
</span>
</div>
</div>
<div style="width:187mm;font-size:8pt;border-bottom:1px solid black">
<div style="float:left;">
Signature of preparer<br/>other than taxpayer <img src="{$ImagePath}/1310_Bullet.gif" width="9" height="9" alt="bullet image"/>
<span style="width:4px;"/><xsl:text> </xsl:text>
<xsl:call-template name="PopulatePin">
<xsl:with-param name="TargetNode" select="$RtnHdrData/AgentSignature" />
</xsl:call-template>
</div>
<div style="float:right;width:46.5mm;">
<br/>
Date <img src="{$ImagePath}/1310_Bullet.gif" width="9" height="9" alt="bullet image"/>
<span style="width:35mm;margin-left:4px;">
<xsl:if test="$RtnHdrData/AgentSignatureDate">
<xsl:call-template name="PopulateMonth">
<xsl:with-param name="TargetNode" select="$RtnHdrData/AgentSignatureDate" />
</xsl:call-template>-<xsl:call-template name="PopulateDay">
<xsl:with-param name="TargetNode" select="$RtnHdrData/AgentSignatureDate" />
</xsl:call-template>-<xsl:call-template name="PopulateYear">
<xsl:with-param name="TargetNode" select="$RtnHdrData/AgentSignatureDate" />
</xsl:call-template></xsl:if>
</span>
</div>
</div>
<div class="styBB" style="width:187mm;padding:1mm 0mm;">
Please fill in the <b>Return Label</b> below. The IRS will complete the <b>Notice to Applicant</b> and return it to you. If you want it sent to another address or to an
agent acting for you, enter the other address and add the agent's name.
</div>
<div class="pageEnd" style="width:187mm;"/>
<div class="styBB" style="width:187mm;border-bottom:1px dashed;text-align:center;">
<div class="styPartDesc"></div>
</div>
<div class="styGenericDiv" style="width:187mm;text-align:right;">
<b>(Do not detach)</b>
</div>
<!-- notice to applicant section -->
<div class="styBB" style="width:187mm;">
<div style="position:relative;top:0;left:0;height:36mm;width:14mm;float:left;font-weight:bold;font-size:7pt;padding:1mm 0mm;">
<div style="position:absolute;top:1mm;text-align:center"><br/>Notice to<br/>Applicant</div>
<div style="position:absolute;bottom:1mm;text-align:center">To Be<br/>Completed<br/>by the IRS<br/><br/></div>
</div>
<div style="width:172mm;border-left:1px solid black;padding-left:2mm;padding-top:1mm;">
<span style="width:1mm;"/>
<input type="checkbox" class="styCkbox" title="approved application"></input>
<span style="width:2mm;"/>
We <b>have</b> approved your application.
</div>
<div style="width:172mm;border-left:1px solid black;padding-left:2mm;padding-top:1mm;">
<span style="width:1mm;"/>
<input type="checkbox" class="styCkbox" title="granted a 45-day grace period"></input>
<span style="width:2mm;"/>
We <b>have not</b> approved your application.<br/>
<span style="width:7mm;"/>However, we have granted a 45-day grace period to _ __ _ __ _ __ _ __ _ __ _ __ _. This grace period is<br/>
<span style="width:7mm;"/>considered a valid extension of time for elections otherwise required to be made on a timely return.
</div>
<div style="width:172mm;border-left:1px solid black;padding-left:2mm;padding-top:1mm;">
<span style="width:1mm;"/>
<input type="checkbox" class="styCkbox" title="Not granting a 45-day grace period"></input>
<span style="width:2mm;"/>
We <b>have not</b> approved your application. After considering the above information, we cannot grant your<br/>
<span style="width:7mm;"/>request for an extension of time to file. We are not granting a 45-day grace period.
</div>
<div style="width:172mm;border-left:1px solid black;padding-left:2mm;padding-top:1mm;">
<span style="width:1mm;"/>
<input type="checkbox" class="styCkbox" title="filed after the due date"></input>
<span style="width:2mm;"/>
We cannot consider your application because it was filed after the due date of your return.
</div>
<div style="width:172mm;border-left:1px solid black;padding-left:2mm;padding-top:1mm;">
<span style="width:1mm;"/>
<input type="checkbox" class="styCkbox" title="Other"></input>
<span style="width:2mm;"/>
Other _ __ _ __ _ __ _ __ _ __ _ __ __ __ _ __ _ __ _ __ _ __ _ __ __ __ _ __ _ __ _ __ _ __ _ __ _
</div>
<div style="width:172mm;border-left:1px solid black;padding-left:2mm;padding-top:1mm;">
_________________________________________________________________<span style="width:3mm;"/>_________________________________
</div>
<div style="width:172mm;border-left:1px solid black;padding-left:2mm;">
<span style="width:52mm;"/>Director<span style="width:62mm;"/>Date
</div>
</div>
<!-- return label section -->
<div class="styBB" style="width:187mm;">
<div class="styGenericDiv" style="height:36mm;width:8mm;font-weight:bold;padding:2mm 2px;">
<img alt="return label" src="{$ImagePath}/2350_ReturnLabel.gif" width="30" height="105"/>
</div>
<div class="styGenericDiv" style="width:178mm;border-left:1px solid black;">
<div class="styNameBox" style="width:118mm;height:12mm;font-size:7pt;border-bottom:1px solid black;padding-left:2mm;">
<div style="font-family:Arial;"><b>Taxpayer's Name</b> (and agent's name, if applicable). If a joint return, also give spouse's name.</div>
<span>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/PrimaryName"/>
</xsl:call-template>
</span>
<span style="width:17px"/>
<span>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/SpouseName"/>
</xsl:call-template>
</span>
<span style="width:17px"/>
<span>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/AgentName"/>
</xsl:call-template>
</span>
</div>
<div class="styNameBox" style="width:59.5mm;height:12mm;border-right:1px solid black;background-color:lightgrey;"/>
</div>
<div class="styGenericDiv" style="width:178mm;border-left:1px solid black;">
<div class="styNameBox" style="width:118mm;height:12mm;font-size:7pt;border-bottom:1px solid black;padding-left:2mm;">
<div>Address (number and street, include suite, room, or apt. no., or P.O. box number)</div>
<xsl:choose>
<xsl:when test="$RtnHdrData/Filer/USAddress">
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/USAddress/AddressLine1"/>
</xsl:call-template>
<xsl:if test="$RtnHdrData/Filer/USAddress/AddressLine2">
<br/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/USAddress/AddressLine2"/>
</xsl:call-template>
</xsl:if>
</xsl:when>
<xsl:otherwise>
<span>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/ForeignAddress/AddressLine1"/>
</xsl:call-template>
<xsl:if test="$RtnHdrData/Filer/ForeignAddress/AddressLine2">
<br/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/ForeignAddress/AddressLine2"/>
</xsl:call-template>
</xsl:if>
</span>
</xsl:otherwise>
</xsl:choose>
</div>
<div class="styNameBox" style="width:59.5mm;height:12mm;border-right:1px solid black;border-bottom:1px solid black;background-color:lightgrey;"/>
</div>
<div class="styGenericDiv" style="width:178mm;border-left:1px solid black;">
<div class="styNameBox" style="width:118mm;height:12mm;font-size:7pt;padding-left:2mm;">
<div>City or town, province or state, and country (including postal or ZIP code)</div>
<xsl:call-template name="PopulateCityStateInfo">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/USAddress"/>
<xsl:with-param name="ForeignAddressTargetNode" select="$RtnHdrData/Filer/ForeignAddress"/>
</xsl:call-template>
<xsl:if test="$RtnHdrData/Filer/ForeignAddress/Country">
<span style="width:7px;"/>
<xsl:call-template name="PopulateText">
<xsl:with-param name="TargetNode" select="$RtnHdrData/Filer/ForeignAddress/Country"/>
</xsl:call-template>
</xsl:if>
</div>
<div class="styNameBox" style="width:59.5mm;border-right:none;font-size:6pt;text-align:center;"/>
<div style="vertical-align:text-top;text-align:center">Agents:<br/>
Always include taxpayer's name on Return Label.
</div>
</div>
</div>
<!-- capturing the page bottom info -->
<div class="pageEnd" style="width:187mm; font-size:7pt; border-top:1 solid black; padding-top:0.5mm">
<div style="float:left; font-size:8pt">
<b>For Privacy Act and Paperwork Reduction Act Notice, see page 4.</b>
</div>
<div style="float:right">
Cat. No. 11780H
<span style="width:15mm"/>
Form <b style="font-size:9pt">2350</b> (2012)
</div>
</div>
<!--</div>-->
<!-- Additonal Data Title Bar and Button -->
<div class="styLeftOverTitleLine" id="LeftoverData">
<div class="styLeftOverTitle">
Additional Data
</div>
<div class="styLeftOverButtonContainer">
<input class="styLeftoverTableBtn" type="button" TabIndex="-1" value="Return to Form" onclick="javascript:returnToWriteInImage();"/>
</div>
</div>
<!-- Additional Data Table -->
<table class="styLeftOverTbl">
<xsl:call-template name="PopulateCommonLeftover">
<xsl:with-param name="TargetNode" select="$FormData"/>
<xsl:with-param name="DescWidth" select="100"/>
</xsl:call-template>
</table>
</form>
</body>
</html>
</xsl:template>
</xsl:stylesheet>