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Application For Extension Request Form - Ohio 2001 Public Utility Personal Property Tax Report

Application for Extension Request

Ohio 2001 Public Utility Personal Property Tax Report*

(Call (614) 466-7371 with any questions)

Company Name:

Company FEIN:

Person Req. Ext.

Date:

Fax Number:

(must provide for confirmation)

The above referenced public utility desires an extension of filing its annual public utility personal property

tax return for a period of:

15 Days

30 Days

45 Days***

60 Days***

***An extension beyond 30 days must provide an extenuating reason in the space provided below.

Extenuating Reason(s):

An extension can only be granted if our office receives the request by March 1, 2001. Confirmation of the

extension will be sent via the fax number provided above within two business days of receipt (mailed if a fax

number is not provided.)

Fax the extension request to the Public Utility Tax Division at (614) 752-2496 or mail your extension to:

Ohio Department of Taxation

Public Utility Tax Division - PUPPEXT

PO Box 530

Columbus, OH 43216-0503

Confirmation of Extension - For use by Public Utility Division Only

Your extension request has been approved for ______ Days;

**Due by: ______________

Your extension request has been denied because

Tax Agent/Supervisor Signature

Date

*As used for this extension request, "Public Utility Personal Property" includes interexchange telecommunication and railroad companies.

**"Due by" or "receives" means actual receipt of the document by the Department of Taxation on or before that date (not a mailing date).

Application For Extension Request Form - Ohio 2001 Public Utility Personal Property Tax Report