5
REGIONAL INCOME TAX AGENCY
Net Profit Estimated Income Tax and/or
20-EXT
Extension of Time to File
Fed. ID #:
Name:
Address #:
Street:
Suite:
City:
__
State:
Zip:
Phone #:
Check this box if you are updating your Net Profit Annual Estimated Income Tax Liability and complete Section
1 below. Do NOT check this box if you are only making an Estimated Tax payment.
SECTION 1: ESTIMATED INCOME TAX COMPUTATION and ESTIMATED PAYMENT
Use this section to report or update Net Profit Estimated Income Tax Liabilities and/or make an estimated
payment. If your business anticipates owing $200 or more in municipal income tax, you must estimate your taxes
and make quarterly payments. If your estimated payments are either less than 90% of the tax due, or not equal
to or greater than your prior year's total tax liability, you will be subject to penalty and interest.
Tax Year Ending _____________
1. Total Estim ated Tax (distribute to each applicable m unicipality in Line 5)
$
.00
Note: Line 1 m ust equal Line 6
2. Less Prior Year Credit
$
.00
3. Total Estim ated Tax Due
$
.00
4. Estim ated Paym ent (not less than 1/4 of Line 3)
$
.00
Note: Make check payable to RITA. See below for m ailing address
5. Distribute Estim ated Tax from Line 1 above (if additional space is needed, attach a schedule)
►
Municipality:
Am ount:
$
.00
$
.00
$
.00
$
.00
$
.00
$
.00
$
.00
6. Total Estim ated Tax distribution from Line 5 (Line 6 m ust equal Line 1)
$
.00
Mail to:
REGIONAL INCOME TAX AGENCY
P.O. BOX 94582
CLEVELAND, OH 44101-4582