Form Fb-42 - Application For Extension Of Time To File

APPLICATION FOR EXTENSION OF TIME TO FILE (Form FB-42)

Account # _____________________________________

For Calendar Year Ending December 31, __________

Name: ________________________________________

Address: ______________________________________

For Fiscal Year Ending ________________________

I declare that an extension of__________days for filing the city income tax return for the year listed above and for the

declaration of estimated tax for the year is necessary for the reason listed below. I am authorized to sign this request.

REASON: ______________________________________________________________________________________

Payment of $________________included.

Approved: _________________________

Date: ___________

Signed: ______________________________

Disapproved: _______________________

Date: ___________

0 votes

Parent category: Financial