Michigan Department of Treasury - City Tax Administration
5463 (01-17)
Application for Extension of Time to File City Income Tax Estates and Trusts Return
address that will be used for correspondence regarding this
Important Information
extension request.
An extension of time to file is not an extension of time to pay.
Tax Year End: Enter the month, day and year your tax year ends,
The form and payment must be postmarked on or before the
NOT the date you are making the payment.
original due date of the return.
Federal Employer Identification Number (FEIN): Use the FEIN
City Income Tax Estates and Trusts filers must use this form to
used when filing Form 5462.
request an extension and must file it even if the Internal Revenue
Penalty and Interest
Service has approved a federal extension and/or the Michigan
Department of Treasury has approved a state business tax
If the tax due is underestimated and sufficient payment is not
extension.
paid with the application for extension, interest will be due on
the unpaid or underpaid amount.
Do not send a copy of the federal extension or state extension.
Retain a copy for your records.
The interest rate is 1 percent above the adjusted prime rate
An extension of time to file is not an extension of time to pay. If
and is adjusted on January 1 and July 1. Interest is charged
from the original due date of the return to the date the
there will be a tax liability, payment must be included with the
form or the extension request will be denied. Penalty and interest
balance of the tax is paid. For the current return rate, go
online to
will accrue on the unpaid tax from the original due date of the
return.
Submitting an Extension
If this form is property prepared, meeting all listed conditions,
Make the check payable to “State of Michigan - Detroit.”
and filed timely, the taxpayer will receive an extension of six
Print the taxpayer Federal Employer Identification Number
months beyond the original due date.
and “2017 Form 5463” on the check, and mail it, with the
Line-by-Line Instructions
completed form, to:
Name of Estate or Trust, Name of Fiduciary, and Address:
Michigan Department of Treasury
City Tax Administration
The name and title entered here should match the name that
will be filed with the City of Detroit Income Tax — Estates
PO Box 30813
Lansing MI 48909
and Trusts return (Form 5462). The address entered here is the
Reset Form
#
Detach here and mail with your payment.
Michigan Department of Treasury - City Tax Administration, 5463 (01-17)
Application for Extension of Time to File City Income Tax Estates and Trusts Return
Issued under authority of Public Act 284 of 1964,
Tax Year End (MM-DD-YYYY)
Payment is for the City of
City Code
as amended
DETROIT
170
Name of Estate or Trust
Federal Employer Identification Number
Name of Fiduciary
1. Tentative Annual Tax
00
Address
2. Total Payments Made to Date
00
City
State
ZIP Code
3. Payment Amount
00
Make check payable to “State of Michigan - Detroit.” Print the taxpayer FEIN and “2017 Form 5463” on the check.
Mail to: Michigan Department of Treasury, City Tax Administration, PO Box 30813, Lansing MI 48909.