Form Lxt - Application For Extension Of Time To File Lansing Income Tax Return - Michigan
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1Form LXT
APPLICATION FOR EXTENSION OF TIME
TO FILE LANSING INCOME TAX RETURN
Prepare this return in duplicate. File the original with the Lansing Income Tax Division on or before
the due date for filing a return. When the original is filed, it may be assumed that the extension is
automatically granted unless otherwise notified. Attach the duplicate to your Lansing Income Tax Return.
Your Social Security Number
Your First Name and Initial
Last Name
If Joint, Spouse's First Name and Initial
Last Name
Spouse's Social Security Number
Company Name (If Corporate or Partnership return)
Employer Identification Number
Address (Number and Street or Rural Route)
City, Town or Post Office
State
ZIP Code
Check type of return to be filed:
L-1040
L-1120
L-1065
The Uniform City Income Tax Ordinance limits the extension of time for filing annual returns to SIX months
from the original due date.
A ____-month extension of time until _______________, 20____, is hereby requested in which to file the Lansing Income
Tax Return of the above for the taxable year beginning ______________, 20____, and ending ______________,20____.
NOTE: This is NOT an extension of time for payment.
The tax tentatively determined to be due must be paid with this application. No late payment penalty will
be imposed if the tax paid through withholding, estimated tax payments or a payment accompanying this
extension is at least 70% of the total tax due with your Lansing Income Tax Return, and if the remaining
balance is paid with the return within the extension period.
TENTATIVE TAX
1.
Tentative City of Lansing Tax
1.
.00
2.
Less:
Payments of estimated Lansing Income Tax
.00
a.
2a.
b.
Lansing Income Tax withheld
2b.
.00
c.
Other credits
2c.
.00
3.
Balance due--subtract lines 2a. through 2c. from line 1
3.
.00
SIGNATURE OF TAXPAYER, OFFICER OR AGENT
DATE
Make check payable to: Lansing City Treasurer
Mail to: Lansing City Income Tax Division, P.O. Box 40752, Lansing, MI 48901
Rev. 4/08
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