Business Tax Return - City Of Forest Park - 2016 Page 5
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52016 BUSINESS EXTENSION REQUEST FORM
Calendar Year Business due on or before April 18, 2017
th
th
Fiscal Year Due on or before 15
day of 4
month after year end
PLEASE COMPLETE A SEPARATE FORM FOR EACH BUSINESS ACCOUNT ON FILE
Purpose of Form:
This form can be used to request an extension of time to file your 2016 City of
Forest Park Income Tax Return and make a Declaration of Estimated Tax due for 2017.
BUSINESS NAME: ___________________________ FEDERAL ID NUMBER: _________________
LOCAL ADDRESS: ________________________________________________________________
CORP. ADDRESS: _________________________________________________________________
BUSINESS PHONE NUMBER: _____________________
YEAR ENDING:___________________
DATE EXTENSION REQUESTED TO: ____________________________
ESTIMATE OF TAX DUE WITH 2016 EXTENSION REQUEST
1. TOTAL ESTIMATED FOREST PARK 2016 INCOME ...................................................................... $________________
2. MULTIPLY BY TAX RATE OF 1.50% = TOTAL 2016 ESTIMATED TAX ....................................... $________________
3. ESTIMATED TAX PAYMENTS AND CREDITS
A. 2016 ESTIMATED TAX PAYMENTS ......................................................... $________________
B. TAX OVERPAYMENT FROM PREVIOUS TAX YEAR .............................. $________________
C. TOTAL (TOTAL LINE 3A THROUGH 3B) ....................................................................................$________________
4. TOTAL ESTIMATED 2016 TAX DUE AND PAYABLE WITH THIS EXTENSION REQUEST ………$________________
(SUBTRACT LINE 3C FROM LINE 2). IF LINE 3C IS GREATER THAN LINE 2, ENTER ZERO ON LINE 4 AND SHOW
AMOUNT ON LINE 4 AS AN OVERPAYMENT OF PRIOR YEAR TAX ON THE 2016 TAX DECLARATION BELOW
(LINE 10).
PLEASE ATTACH A COPY OF THE FEDERAL EXTENSION REQUEST
_________________________________________________________________________________________________
_________________________________________________________________________________________________
DECLARATION OF ESTIMATED TAX FOR YEAR 2017
(Declaration is required if tax due will exceed $200.)
5. TOTAL ESTIMATED FOREST PARK 2017 INCOME ..................................................................... $________________
6. MULTIPLY BY TAX RATE OF 1.5% = TOTAL 2017 ESTIMATED TAX ......................................... $________________
7. ESTIMATED PAYMENTS AND CREDITS ….…………………………..……………………………… $________________
8. TOTAL ESTIMATED TAX DUE AND PAYABLE TO FOREST PARK FOR 2017....…….…………. $________________
(SUBTRACT LINE 7 FROM LINE 6)
9. AMOUNT DUE WITH THIS DECLARATION (1/4 OF LINE 8 DUE BY 4/18/2017) ………………... $________________
10. TAX DUE OR OVERPAYMENT FROM 2016 (ENTER AMOUNT FROM LINE 4 ABOVE)……….. $________________
11. AMOUNT ENCLOSED (ADD LINE 4 AND LINE 10)……………………………………………………..$_______________
AMOUNT SHOWN MUST ACCOMPANY EXTENSION REQUEST
__________________________________________
______________
_________________________________
Signature of Person Preparing Extension
Date
Phone Number
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