City of Stow 
                                                  Income Tax Division 
                                          P.O. Box 1668 • Stow, Ohio 44224 
                                                  (330) 689-2849 
                                                  FAX (330) 689-2847 
 
                            REQUEST FOR AUTOMATIC SIX MONTH EXTENSION 
                                                  TAX YEAR 2022 
  
 This is a request for an extension of time to file your Stow Income Tax Return. All requests for an automatic extension of 
 time to file must be received on or before April 15, 2023 or the IRS due date.  

        ESTIMATED TAX PAYMENTS ARE REQUIRED WITH ALL EXTENSION REQUESTS 
  
 COMPANY NAME                                                           FEDERAL I D #              
  
 ADDRESS                                                                                          
  
 CITY                                             STATE                 ZIP                       
  
                 ESTIMATED TAX PAYMENTS ARE REQUIRED WITH ALL EXTENSION REQUESTS 
  
 a) 2022 ESTIMATED TAX DUE                                                             a) $        
  
 b) 2022 ESTIMATED TAX PAID                                                            b) $        
  
 c) 2022 ESTIMATED BALANCE DUE (a - b)                                                 c) $         
  
 d) 2023 ESTIMATED TAX                                                                 d) $       
  
 e) FIRST QUARTER 2023 ESTIMATED TAX (25% of d)                                        e) $       
  
 f) AMOUNT DUE WITH THIS FORM (c + e)                                                  f)  $      
  
 DATE                                             YOUR SIGNATURE OR PREPARERS SIGNATURE 
  
 I REQUEST A SIX-MONTH EXTENSION OF TIME TO FILE MY ANNUAL STOW CITY INCOME TAX RETURN. UNDER PENALTY OF PERJURY, I 
 DECLARE THAT I HAVE EXAMINED THIS FORM AND TO THE BEST OF MY KNOWLEDGE AND BELIEF IT IS TRUE, CORRECT AND COMPLETE 
 AND IF PREPARED BY SOMEONE OTHER THAN THE TAXPAYER, I AM AUTHORIZED TO PREPARE THIS FORM. 
  
 The extended due date of the municipal income tax return shall be the fifteenth day of the tenth month after the 
 last day of the taxable year to which the return relates.        ORC 718.05(G)(2)(a)