SECTION 3: EXTENSION OF TIME TO FILE
If you have a copy of your federal extension, you do NOT have to fill out this section.
Check this box if you have not requested or received a federal extension and you are requesting a 6 month
extension to file for the tax year 2020.
If you have requested or received an extension to file your federal income tax return, your municipal income tax
return is extended as well. It is not necessary to file a copy of your federal extension with RITA by the annual
filing due date. Attach a copy of the federal extension when filing your municipal income tax return on or before
the extended due date.
If you have not requested or received a federal income tax filing extension, you may receive a six-
month extension for filing your municipal income tax return by indicating your request in Section 3
above, and submitting this request on or before the filing due date of April 15, 2021.
An extension to file the annual return is not an extension to pay - the tax owed is still due by the annual
filing due date. Please complete Section 2 to pay the tax due for tax year 2020 and the first quarter of
estimated payments due for tax year 2021.
SECTION 4: VERIFICATION
Taxpayer – Under penalties of perjury, I declare that to the best of my knowledge and
belief, the statements
made herein are true and correct.
Your Signature:
Date:
Spouse’s Signature:
Date:
(If filing jointly, BOTH must sign)
Preparer other than taxpayer – Under penalties of perjury, I declare that to the best of my knowledge and
belief, the statements made herein are true and correct, that I am authorized by the taxpayer to prepare
this
Declaration and/or Extension.
Signature of Preparer: Date:
Pri
nted Name of Preparer:
May
RITA discuss this Declaration/Extension with the preparer above?
Mail
Declaration/Extension to:
With Payment made payable to RITA: Without Payment:
REGIONAL INCOME TAX AGENCY REGIONAL INCOME TAX AGENCY
P.O. BOX 6600
P.O. BOX 477900
CLEVELAND, OH 44101-2004 BROADVIEW HEIGHTS 44147-7900
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