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                                                                                       CITY OF CINCINNATI 
                                                                                       INCOME TAX DIVISION 
                                                                                       805 CENTRAL AVENUE SUITE 600 
                                                                                       CINCINNATI OH  45202-5799 

                             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 I understand an approved extension will be rescinded if the 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 ACCT #             TAXPAYER NAME                                                                        SSN/FID #  PAYMENT  AMT
       (FID # if no account#)                                                                                                               (if required)
     1)
     2)
     3)
     4)
     5)
     6)
     7)
    
       Account number format:
       1234567-B  Business account
       1234567-R  Individual Account
    
   FORM E-1 (December 2019)

 REGULATION 23 - EXTENSION OF TIME FOR FILING 
  
    A. Extensions may not be granted for filing declaration 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 Section 311-23 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).”   
    
    B. 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. 
       
    C. Where an active account number has not previously been 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 account number.  In such cases, extension requests shall  
  
 be treated as a notice of intention to file by a new taxpayer, and a temporary file without an  
  
 account will be established pending receipt of the completed return. 
  
    D.  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 E-1 
  
 obtained at the Tax Bureau office or by mail request.  Practitioners making multiple requests via 
  
 form E-1 or a listing of clients shall leave a space between names.