2009 Business Extension Request Form

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2009 BUSINESS EXTENSION REQUEST FORM
Calendar Year Business due on or before April 15, 2010
th
th
Fiscal Year Due on or before 15
day of 4
month after year end
Purpose of Form:
This form can be used to request an extension of time to file your 2009 City of
Forest Park Income Tax Return and make a Declaration of Estimated Tax due for 2010.
BUSINESS NAME: ___________________________ FEDERAL ID NUMBER __________________
LOCAL ADDRESS: ________________________________________________________________
CORP. ADDRESS: _________________________________________________________________
BUSINESS PHONE NUMBER: _____________________
YEAR ENDING ___________________
DATE EXTENSION REQUESTED TO: ____________________________
ESTIMATE OF TAX DUE WITH 2009 EXTENSION REQUEST
1. TOTAL ESTIMATED FOREST PARK 2009 INCOME ...................................................................... $________________
2. MULTIPLY BY TAX RATE OF 1.50% = TOTAL 2009 ESTIMATED TAX ....................................... $________________
3. ESTIMATED TAX PAYMENTS AND CREDITS
A. 2009 ESTIMATED TAX PAYMENTS ......................................................... $________________
B. TAX OVERPAYMENT FROM PREVIOUS TAX YEAR .............................. $________________
C. TOTAL (TOTAL LINE A THROUGH D) ........................................................................................$________________
4. TOTAL ESTIMATED 2009 TAX DUE AND PAYABLE WITH THIS EXTENSION REQUEST ………$________________
PLEASE ATTACH A COPY OF THE FEDERAL EXTENSION REQUEST
_________________________________________________________________________________________________
_________________________________________________________________________________________________
DECLARATION OF ESTIMATED TAX FOR YEAR 2010
6. TOTAL ESTIMATED FOREST PARK 2010 INCOME ...................................................................... $________________
7. MULTIPLY BY TAX RATE OF 1.5% = TOTAL 2010 ESTIMATED TAX .......................................... $________________
8. ESTIMATED PAYMENTS AND CREDITS ….……………………………..……………………………. $________________
9. TOTAL ESTIMATED TAX DUE AND PAYABLE TO FOREST PARK DURING 2010.....……….…. $________________
10. AMOUNT TO BE PAID WITH THIS DECLARATION (1/4 OF LINE 9 DUE BY 4/15/2010) ……... $________________
11. AMOUNT ENCLOSED (ADD LINE 4 AND LINE 10)
AMOUNT SHOWN MUST ACCOMPANY EXTENSION REQUEST .........…............……............. $________________
__________________________________________
______________
_________________________________
Signature of Person Preparing Extension
Date
Phone Number

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