Springboro Individual Income Tax Return - 2007 Page 5

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2007 EXTENSION REQUEST
CITY OF SPRINGBORO
INDIVIDUAL INCOME TAX RETURN
• Submit copy of Federal Extension with this form.
• Payment of tax due for 2007 (if applicable):
$_________________________________________
• Payment for the first quarter estimate of 2008 (if applicable):
$_________________________________________
• An extension of time to file extends the due date for filing the return only. Payment in full must be made or
extension may be disallowed.
• Please Complete:
Taxpayer Name:_______________________________________________________________
Account Number:______________________________________________________________
Address:_____________________________________________________________________
Social Security Number:_________________________________________________________
Signature of Taxpayer:__________________________________________________________
Date:________________________________________________________________________
EXTENSION FORM MUST BE COMPLETED AND RETURNED BY APRIL 15, 2008, FOR AN
EXTENSION TO BE GRANTED. BE SURE TO INCLUDE FULL PAYMENT OF TENTATIVE
TAX DUE, COPY OF FEDERAL EXTENSION REQUEST AND/OR THIS FORM.

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