Application For Automatic Extension Of Time To File City Of Ionia Income Tax Return
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1City of Ionia
P.O. Box 512
Income Tax Division
Ionia, MI 48846
616-523-0142
APPLICATION FOR AUTOMATIC EXTENSION OF TIME
TO FILE CITY OF IONIA INCOME TAX RETURN
Prepare this form in duplicate. File the original with the City of Ionia Income Tax Division on or
before the due date for filing a return. When the original is filed, it may be assumed that the
extension is automatically granted unless otherwise notified. Attach the duplicate to your City of
Ionia Income Tax Return. Please attach a copy of your Federal extension application.
Name
Social Security Number or Employer ID number
Number and Street
Check type of return to be filed
Form I-1040
Form I-1120
Form I-1165
City, State & Zip Code
Reason for request
The Uniform City Income Tax Ordinance limits the extension of time for filing annual returns to six
months from the original due date.
A ___ month extension of time until ______________________20__ is hereby requested in which
to file the Ionia Income Tax Return of the above for the taxable year beginning_______20___ and
ending___________20____.
TENTATIVE TAX
THE TAX TENTATIVELY DETERMINED TO BE DUE MUST BE PAID WITH THIS
EXTENSION.
1. Tentative City of Ionia Tax
___________
2. Less a) Estimated tax payments made
___________
b) withholdings
___________
c) other credits ______________
___________
3. Balance Due
___________
Signature of taxpayer, officer or agent
Date
Mail to: City of Ionia, Income Tax Division, PO Box 512, Ionia, MI 48846
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