USE THIS FORM ONLY If you have received a notice of dismissal. Step 1: Make sure your form is titled "Motion to Extend Dismissal Date".Use this form to apply for an automatic six-month extension of time to file Arizona Forms 140, 140A, 140EZ, 140ET, 140PTC, 140PY, or 140NR. The following procedure outlines the process for plan review extensions. File a second Arizona Form. Applicant Name –Name of person completing form. 2. Individuals in Arizona need to file Form 204 with the state to request a 6-month extension of time to file their personal income tax return with the state. To be granted an extension ALL information must be filled in and. ALL required documentation attached. The courts listed in the table below allow schools to give extensions on their behalf.