Application For Extension - City Of Big Rapids

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CITY OF BIG RAPIDS
APPLICATION FOR EXTENSION
Name __________________________________________________________________________
Address (Number and Street) ________________________________________________________
City, State, Zip ____________________________________________________________________
Social Security # or
Federal I.D.#______________________________________________________________________
Check type of return to be filed and attach Federal extension
___________BR 1040 Individual
Attach Federal Form 4868
___________BR 1120 Corporation Attach Federal Form 7004
___________BR 1065 Partnership Attach Federal Form 8736
Calendar Year of _____________________ or Fiscal Year of______________ to ________________
Extension requested until_________________________________________, to file the Big Rapids
Income Tax Return (Not to exceed six months).
1.
Your Tax Liability $_____________________
2.
Your Record of Credits
(a) Overpayments credited from prior year ______________
(b) Estimated tax payments for the year
______________
(c) Withholding for the current year
______________
(d) Tentative tax paid with application
______________
TOTAL CREDITS
$______________
BALANCE =
$
-0-
CITY INCOME TAX ORDINANCE - Sec. 64 Paragraph 2
Penalty or Interest shall not be assessed if the return is filed and the final tax paid within the extended time and all
other filing and payment requirements of this ordinance are satisfied, and the estimated tax paid equals 70% or
more of the tax shown due on the final return, or 70% or more of the tax shown due on the return for the preceding
taxable year.
Taxpayer/Authorized Signature
Taxpayer/Authorized Signature
Date

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