CITY OF CINCINNATI  
                                               INCOME TAX DIVISION 
                                               805 CENTRAL AVENUE SUITE 600 
                                               CINCINNATI OH  45202-5799 
                                               www.cincinnati-oh.gov/citytax 
  
                       EXTENSION REQUEST FORM 
                          (Due on the Return Due Date) 
  
                            TAX YEAR                             TAX YEAR END DATE                    RETURN DUE DATE 
  
  The undersigned or duly authorized agent hereby requests an extension of time as indicated above within which to file 
  the annual Cincinnati Income Tax Return for the taxpayer account name(s) and account number(s) listed below. To the 
  best  of  my  knowledge  and  belief,  all  other  filing  and  payment  requirements  have  been  fulfilled. I  understand  an 
  approved extension will be rescinded if the taxpayer’s account is later found to be in arrears.   

  The taxpayer(s) has (have) complied with all filing and payment requirements of CMC Section 311  

  Signature ____________________________________________  Date  _____________ 

  IMPORTANT: To insure proper processing, type or print each taxpayer’s Cincinnati tax account number, name, SSN/FID, 
  and  the  amount  paid  with  this  extension  request  in  the  format  indicated  below.  Mailed  requests  are  to  be  marked 
  “EXTENSION” in the lower left corner of the envelope.  When filing the return as extended, indicate in the top margin of 
  the return “EXTENSION GRANTED UNTIL (DATE)”. 
  
          CINCINNATI ACCOUNT #                        TAXPAYER NAME                                   SSN/FID #                    PAYMENT AMOUNT  
                                                                                                                                                                                            (If required) 
   
  1. _________________________      _______________________________________          ________________                 _________________ 

  2. _________________________      _______________________________________          ________________                 _________________ 

  3. _________________________      _______________________________________          ________________                 _________________ 

  4. _________________________      _______________________________________          ________________                 _________________ 

  5. _________________________      _______________________________________          ________________                 _________________ 

  6. _________________________      _______________________________________          ________________                 _________________ 

  7. _________________________      _______________________________________          ________________                 _________________ 

          Cincinnati Account Number Format: 
          1234567-B  Business Account 
          1234567-R  Individual Account 

                              EXTENSION OF TIME FOR FILING 

 1.  Extensions  may  not  be  granted  for  filing  declarations  or  withholding  tax  forms, 

 however, the tax commissioner will extend the time for filing the annual return for a 

 period not to exceed that indicated by CMC Section 311-55 upon receipt of a copy of 

 the taxpayer’s request. At the time of filing any return for which an extension has been 

 granted, the taxpayer shall enter in the top margin on the face of the return form the 

 words “Extension Granted To (date).” 

 2.  Requests shall set out the taxpayer’s name and account number, Social Security or 

 Federal Identification Number, the taxable period for which extension of time for filing 

 is  desired,  the  length  of  the  extension  and  the  reason  therefore,  and  whether 

 declaration filing and payment requirements have been fulfilled. 

 3.  Where an active account number has not been previously established for a taxpayer, 

 an  extension  request  shall  so  indicate  and  include  taxpayer  address  and  Social 

 Security  number  or  Federal  Identification  Number  in  lieu  of  an  account  number.  In 

 such cases, extension requests shall be treated as a notification of intention to file by 

 a new taxpayer and an account number will be established. 

 4.  Single requests by or for only one taxpayer may be in the form of a copy of the federal 

 extension, a letter including the information described above, or an Extension Request 

 Form  obtained  from  the  Cincinnati  Income  Tax  Division  website  or  by  mail/e-mail 

 request. Practitioners making multiple requests via the Extension Request Form or a 

 listing of clients shall leave a space between names for clarity.