Form D1-X - City Of Dayton, Ohio Business Income Tax Return Request For Extension printable pdf download

Form D1-X

City of Dayton, Ohio Business Income Tax Return Request For

Extension

For tax year

ending December or

Taxes are due and payable by the due dates. An extension is to file the return, NOT TO PAY TAXES OWED. If

a payment is required with this form, you must file a D-1 estimate for next year and make quarterly

estimated tax payments.

Will you be filing the return as a: Corporation

__ or Partnership __ ?

Name

Your Account # or FID#

Or DBA

Your Address

Your Telephone #

City/State/Zip

Your E-mail address

Did you file a Dayton Return last year? Yes

or No

. Did you file on a different Tax ID# last year? Yes

or No

1 ESTIMATED DAYTON Income subject to tax

2 ESTIMATED DAYTON Tax Due @ 2.25%

Tax Credits

A Credits from Prior Years

B Estimated Quarterly Payments Made

3 Total credits available

4 Balance of Dayton Tax Due (Line 2 Minus Line 3)

An extension of

days until

for filing a Dayton return is hereby requested.

READ BEFORE SIGNING: The undersigned declare this extension is necessary and adjusted to the requirements of the Dayton city tax

ordinances represented by this request. I understand that if I have not paid 90% of my final tax liability in the tax year the extension is

requested for and/or under withheld in the following year (by $200.00 or 10% of tax due) I will be charged Penalties and Interest if I fail to

make required estimated tax payments.

Tax Preparer Signature

Officer/Rep Signature ______________________

Tax Preparer Telephone #

Officer/Rep Title

Date __

A copy of this request must be submitted when you file your return.

Submit completed form with copy of your Federal Extension Request (if applicable) to:

Mail Extension with BALANCE DUE To:

City of Dayton

PO Box 643700

Cincinnati, Oh 45264-3700

7999

Akron, Oh 44306-0999

Mail Extension with ZERO BALANCE DUE To: City of Dayton

PO Box

If you should have any questions please E-mail us or Call:

taxquestions@daytonohio.gov

(937) 333-3500 (Phone)

(937) 333-4280 (Fax)

A request for a period of 120 days or less need not be filed if no balance is expected to be due. However, Federal form 4868 or 7004 must

be attached when you file your return. Form D1X must be filed for extension in excess of 120 days. You are considered to have "reasonable

cause" for the extended period only if at least 90% of your actual tax liability is paid before the regular due date of your return through

withholding or estimated quarterly tax payments. (Refer to tax instructions on Federal IRS extension forms 4868 and 7004).

Any taxpayer that has requested an extension for filing a federal income tax return shall be granted an extension for the filing of the city

income tax return for the same taxable year by filing a copy of the taxpayer's federal extension request for such taxable year with the Tax

Administrator. Any taxpayer not required to file a federal income tax return may make a written request for an extension to file a city income

tax return. The request for extension must be filed on or before the original due date for the city income tax return, as set forth in Section

36.104(A). If the request is granted, the extended due date of the city income tax return shall be the fifteenth (15th) day of the tenth (10th)

month after the last day of the taxable year to which the return relates.

As provided in Ohio Revised Code Section 718.05 and in the rules and regulations, a taxpayer who receives an extension for filing the

federal income tax return will receive an extension for filing the city income tax return for the same taxable year by complying with Ohio

Revised Code Section 718.05(G), but such taxpayer must pay any city income tax owed by the un-extended due date for filing the city

Income tax return, as provided in Section 36.104(F).

(Rev 2/2016)

Form D1-X - City Of Dayton, Ohio Business Income Tax Return Request For Extension

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