City Of Wilmington
SUBMIT TO:
Tax Office
P O Box 786
Wilmington, OH 45177
REQUEST FOR EXTENSION OF TIME
TO FILE 2011 WILMINGTON INCOME TAX RETURN.
NAME:
_________________________________________________________________
SOCIAL SECURITY NO.: _________________________________________________
ADDRESS: _____________________________________________________________
________________________________________________________________________
A Federal extension does not automatically create a Wilmington extension. An
automatic extension to file the Wilmington Income tax return to November 30, 2012 is
granted if at least 80% of the estimated tax to be due has previously been paid or is paid
with this form no later than April 17, 2012.
If this form is submitted by taxpayer’s accountant or agent, please give name &
address:
________________________________________________________________________
________________________________________________________________________
________________________________________________________________________