Phone No. (270) 842-7168                                     EXTENSION APPLICATION                                            Fax No. (270) 842-3411 
                         For Years Beginning On or After January 1, 2008 
  WARREN COUNTY SCHOOLS ANNUAL OCCUPATIONAL NET PROFIT TAX RETURN 
                                     303 Lovers Lane, Bowling Green, KY 42103 
  
Please type complete name and address of                      Date 
applicant in space below.
                                                                   **THIS FORM MUST BE FILED ON 
                                                                   OR BEFORE THE ORIGINAL DUE 
                                                                                  DATE OF THE RETURN** 
                                                                   If you wish to have an approved copy for 
                                                                   your files, please include a duplicate. 
          
FEIN #                                                        SOCIAL SECURITY #
 
A_____________ month extension is requested for filing the Net Profit Return of the above named taxpayer for  
 
the year ending _________________________________. 
 
REASON FOR REQUEST: 
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_______________________________________________________________
_____________________________________________ 
 
Signature ___________________________________________ Title __________________________________ 
 
Print Name _____________________________________  Phone #:  __________________________________ 
 
Estimated Tax Due…………………………………….. $___________________________ 
 
NOTE:  This extension is granted subject to the provision that any balance outstanding when payment is due is subject to interest 
charges of (1%) one percent per month (12% per annum) of the unpaid balance until paid in full.  No penalty {equal to 5% per month 
(not to exceed 25%; Minimum $25.00)} shall be assessed in those cases in which all filing and payment requirements have in good faith 
been fulfilled and the final license tax and interest is paid with the filing of the Net Profit License Tax Return within the period as 
extended. The required estimated license tax payment is presumed to have been made in good faith provided that the taxpayer remits 
with the timely filed extension request 50% or more of the license tax liability as indicated on the extended Net Profit License Tax 
Return.  
 
Mail this completed form             FINANCE OFFICER 
and extension payment                WARREN COUNTY SCHOOLS NET PROFIT RETURN 
(if applicable) to:                  P. O. BOX 890944 
                                     CHARLOTTE, NC 28289-0944