Form N-7-Ext - Extension Request - Net Profits Tax Return
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1EXTENSION REQUEST - NET PROFITS TAX RETURN
Form N-7:EXT
CITY OF CLEVELAND HEIGHTS
FILE BY: April 15
th
or within 3
months of Fiscal Year Ending
1
/
2
City of Cleveland Heights
Income Tax Division
Federal ID No.:
PO BOX 18850
Cleveland, Ohio 44118
(216) 291-3978 Office
(216) 291-3790 Fax
Extensions do not apply to following
tax year estimate. Anticipated tax due
ENTITY
must be paid with extension request.
NAME
ADDRESS
CITY
STATE
❏ Calendar Year
ZIP
❏ Fiscal Year Ending
/
/
❏
❏
❏
❏
Check type of Federal Return to be filed:
1120
1120S
1065
Other
DO NOT USE THIS FORM for SOLE PROPRIETORSHIP (File Schedule C)
/
/
I request an extension of time until
, to file the City of Cleveland Heights Net Profits Tax
❏
❏
Return for above named entity for
calendar year
, or
fiscal year beginning
/
/
, and
/
/
ending
. (Attach copy of Federal Extension to this Form.)
NOTE: AN EXTENSION IS FOR FILING ONLY, PAYMENT OF ALL TAX EXPECTED TO BE OWED
MUST BE INCLUDED WITH THIS REQUEST. COMPLETE THE TENTATIVE RETURN AND
DECLARATION BELOW.
TENTATIVE TAX RETURN
1. City of Cleveland Heights Tax Liability for Tax Year Extended (enter -0- if none expected)
1. $
(
)
2. Estimated Tax Payments / Prior Year Credit Carryforward
2. $
3. Anticipated Tax Due for Year Extended (line 1 less line 2)
3. $
DECLARATION OF ESTIMATED TAX
(Required if tax will exceed $100.00 - CANNOT BE EXTENDED)
4. Estimate Tax Due for Current Year (at the least: equal to Line 1 of tentative return)
4. $
5. First Quarter Payment Due (divide line 4 by 4)
5. $
(
)
6. Enter Credit Carried Forward From “Extended” Year Above
6. $
7. Balance Due on 1st Quarter Estimate (line 5 less line 6)
7. $
TOTAL DUE WITH EXTENSION REQUEST
(line 3 plus line 7)
3.
$
SIGNATURE AND VERIFICATION.
Under penalties of perjury, I declare that I have been authorized by the above-named entity to make this application, and to the best of
my knowledge and belief the statements made are true, correct, and complete.
Signature of Officer or Partner
Title
Date
Telephone Number where you can be reached for questions
FILE THIS RETURN WITH THE CITY OF CLEVELAND HEIGHTS ON OR BEFORE THE DUE DATE OF
***
THE RETURN AND PAY THE AMOUNT DUE, THIS IS NOT AN EXTENSION OF TIME TO PAY.
***
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