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                        CITY OF KETTERING – INCOME TAX DIVISION 
                        P.O. BOX 639409 • CINCINNATI, OHIO 45263-9409 
                                     PHONE: (937) 296-2502 • FAX: (937) 296-3242 
                                              www.ketteringoh.org 
                                                      
         Application For Extension of Time to File City of 

                       Kettering Income Tax Return 
                                                      
                       DUE ON OR BEFORE DUE DATE OF RETURN 
                                                      
For Tax Year Ending:                                               
 
Account Number:                                                    
 
Taxpayer:                                                         Taxpayer ID Number                                        
 
Spouse:                                                           Taxpayer ID Number                                        
 
Address:                                                                                                                    
 
City, ST, Zip Code:                                                                                                         
 
1.  Estimated Total Taxable Income                                $ 
2.  Tax Rate (2.25%)                                              X  .0225 
3.  Estimated Tax Due (Line 1 X Line 2)                           $ 
4.  Overpayment and/or Prior Payments                             $ 
5.  Net Tax Due (Line 3 Less Line 4)                              $ 
6.  Payment With This Application (Equal To Line 5)               $ 
 
PLEASE NOTE: THIS IS NOT AN EXTENSION OF TIME TO PAY YOUR TAX. Penalty and interest 
charges will apply to all tax remaining unpaid after the original due date of the return. 
 
                                             General Information 
                                                      
A Taxpayer that has not requested or received a six-month extension for filing their federal income tax return may request 
that the Tax Administrator grant a six-month extension of the date for filing their municipal income tax return. If the 
request is received by the Tax Administrator on or before the date the municipal income tax return is due, the Tax 
Administrator shall grant the Taxpayer’s requested extension. 
 
Any Taxpayer that has duly requested an automatic six-month extension for filing their federal income tax return shall 
automatically receive an extension for the filing of their municipal income tax return. 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. A copy of your federal extension must be attached to your return when it is filed.  
 
Any Taxpayer that qualifies for an automatic federal extension for a period other than six months for filing their federal 
income tax return shall automatically receive an extension for the filing of their municipal income tax return. The 
extended due date of the municipal income tax return shall be the same as that of the extended federal income tax return. 
A copy of your federal extension must be attached to your return when it is filed.  
 
No late filing fee will be charged in those cases in which the return is filed and the final tax paid within the extension 
period. Your income tax return may be filed anytime on or before the extended due date. 
                                                                                                         Revised 01/2018