Strong past                       Bright future

                  Application for Extension

Please grant an extension of time for filing 20_____ City of Ontario local Income Tax Return
until                                                                                                                    .

We understand that such an extension can, by Ordinance, be no longer than thirty (30) 
days beyond any extension granted by the Federal Government for filing taxes covering 
the same year.

The Federal Government has granted an extension until                                                .

**Enclose a self-addressed, stamped envelope if you wish to receive a copy of the 
granted extension.

Signature         Date

Account Name      Account Number