Form 61a200(E) - Filing Extension Application
ADVERTISEMENT
1
261A200(E) (11-08)
FILING EXTENSION APPLICATION
E
Commonwealth of Kentucky
DEPARTMENT OF REVENUE
For Public Service Company Property Tax Return
APRIL 2009
s
m
t
w
t
f
s
1
2
3 4
5
6
7 8
9 10 11
12 13 14 15 16 17 18
19 20 21 22 23 24 25
30
GNC No.
26 27 28 29 30
Postmark
➤ File Before April 30, 2009
In accordance with KRS 136.130(5)(6), the Kentucky Department of Revenue may grant a 30-day extension for filing
the public service company property tax return when, in its judgment good cause exists and the request for extension is
postmarked before the due date of the return and includes a report of any increases or decreases in property of $50,000
or more in any taxing jurisdiction. No extension will be granted beyond May 30 or the next succeeding business day.
Extensions for tax year 2009 are due April 30, 2009.
Taxpayer
Name 1
Federal Identification No.
(
)
Name 2
Telephone No.
(
)
Address 1
Fax No.
Address 2
E-Mail
City
State
ZIP Code
Contact Person
IMPORTANT—
Complete the following form. Indicate any increases or decreases in property of $50,000 or
more in any taxing jurisdiction as of December 31, 2008. If no qualifying changes occurred, check here.
Real Estate
Tangible Personalty
County Name
Tax Jurisdiction Name
____________
____________
$
$
$
$
$
$
$
$
$
$
$
$
$
$
(continued on reverse)
I declare under penalties of perjury that this application, including any accompanying schedules and statements, has been examined
by me and to the best of my knowledge and belief is a true, correct and complete return
Signature
Title
Date
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial