Extension Request Form - City Of Geneva Municipal Income Tax

Extension Request Form - City Of Geneva Municipal Income Tax - 2016

2016 EXTENSION REQUEST FORM

CITY OF GENEVA

MUNICIPAL INCOME TAX

The City of Geneva will accept this extension request form in lieu of a copy of the Federal Extension.

It must be received by April 18, 2017 (Or by Federal Due Date), the due date of the municipal income tax

return. Any anticipated tax due must be paid with this extension request since extension of time to file does

NOT extend the time to pay the tax.

FOR MUNICIPALITY OF ____________________________ ACCOUNT NUMBER _________________

SSN __________________________________

EIN ____________________________________

NAME ________________________________________________________________________________

ADDRESS ____________________________________________________________________________

CITY __________________________________ STATE ________ ZIP CODE ____________________

I HEREBY REQUEST AN EXTENSION OF TIME FOR FILING THE MUNICIPAL INCOME

TAX RETURN FOR:

____ CALENDAR YEAR 2016 or ____ FISCAL YEAR ________

Please note: For taxable year 2016 the extended due date for filing the municipal income tax return is the

last day of the month following the month to which the due date of the federal income tax return has been

extended.

CHECK APPROPRIATE LINE AND COMPLETE IF NECESSARY:

_____ Calendar year 3 month Partnership extension to August 15, 2017.

_____ Calendar year 6 month Corporate extension to October 15, 2017.

_____ Fiscal year 6 month Corporate extension to ___________________ _______, __________

I UNDERSTAND THIS IS NOT AN EXTENSION FOR PAYING THE TAX OWED.

________________________________________

Taxpayer Signature

Preparer Signature if other than Taxpayer

Extension Request Form - City Of Geneva Municipal Income Tax - 2016