Application For Extension Of Time To File - City Of Xenia, Ohio - 2011
Download a blank fillable Application For Extension Of Time To File - City Of Xenia, Ohio - 2011 in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Application For Extension Of Time To File - City Of Xenia, Ohio - 2011 with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1Print Form
Clear Form
CITY OF XENIA, OHIO
Income Tax Division
APPLICATION FOR EXTENSION OF TIME TO FILE
This application must be accompanied by a remittance of the net tax due, if any. An extension to
file is not an extension to pay. Estimated taxes due must be paid with the extension request to
avoid additional penalties and interest*.
For Calendar Year Ending December 31, 2011
or
For Fiscal Year Beginning ___________________ Ending ___________________
Account No.
File this form with the Division of Taxation, on or
before the due date of the return.
Name
See instructions on reverse side.
Address
Social Security Number(s)____________________
City
State
Zip
____________________
Fed. I D No.
*Non-payment penalty is 5% per month (or part thereof). Interest is 1.5% per month (or part thereof) compounded.
Estimated Total City Taxable Income
$______________________
Estimated Tax Due @ 2.25%
$______________________
Less Estimated Payments made previously, City Income Tax
$______________________
Withholding Credits, and/or Prior Year Overpayments
Net Tax Due – Tentative Amounts
$______________________
Payment Made with this Application for Extension to File
$______________________
□
An extension of six months for filing City Income Tax Return for the year stated above is hereby requested for the
following reason (or
see attached Federal extension):
I declare that the extension requested herein for filing of the Xenia City Income Tax Return for the taxable year
stated is necessary for the reason given above and that I am authorized to sign this request.
APPROVED
Signature (see instructions)
NOT APPROVED
By
Title
Date
Date
*Extension applications in excess of 6 months MUST have the
Input
by
federal extension attached.
NO EXTENSION WILL BE GRANTED IF RECEIVED AFTER THE DUE DATE
IT 1100 11/2010
ADVERTISEMENT
0 votes
Related Articles
Related forms
Application For Extension Of Time To File Income Tax Return And Statement In Lieu Of Tentative Tax Return - City Of Springdale, Ohio
Financial
Application For Extension Of Time To File Marysville City Income Tax Return Form - Ohio Income Tax Division
Financial
Application For Extension Of Time To File Income Tax Return - City Of Sharonville, Ohio Income Tax Office
Financial
Application For Extension Of Time To File U.s. Income Tax Return - Application For Extension Of Time To File U.s. Income Tax Return
Legal
Application For Extension Of Time To File Net Profit License Fee Return - City Of Owensboro And Daviess County Fiscal Court
Legal
Related Categories
Parent category: Financial