Fillable Louisville Metro Revenue OL-3EXT (Louisville Jefferson County Metro Government)

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Louisville Metro Revenue OL-3EXT (Louisville Jefferson County Metro Government)

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MAILING ADDRESS: P.O. BOX 35410, LOUISVILLE, KENTUCKY 40232-5410
Telephone: (502) 574-4860
Louisville Metro Revenue Commission
Louisville Metro Revenue
Commission Extension Request
Form
OL-3EXT
OL-3_E_2018_V1.0
▼
INDIVIDUAL/ SOLE PROPRIETOR
▼
Last name
First name
MI
▼
CORPORATION/ PARTNERSHIP
▼
Legal name/ Business name
CHECK IF CHANGE IN ADDRESS IS BELOW
Address (number and street)
Unit/Apt. no.
Account ID
City, town, or post office
State
Zip code
Tax Year Ending
Email
Phone no.
Ext.
Estimated Payment
.00
▲
A 90% estimated payment
of the final tax liability is
required to avoid penalty.
(See instructions)
▲
Corporations
and
Partnership
If this extension
request is for a tax
period of less than
twelve (12)
months, please
indicate the reason
in this section.
Tax year end changed to:
(enter month)
Final return - Business ceased
Corporate Merger - Short year return due to merger on
Corporate Acquisition - Short year return due to the acquisition on
After this short year return, our tax year end will be
(enter month)
MERGER/ACQUISITION DETAILS
Legal name/ Business name
Federal ID Number
Address (number and street)
Unit/Apt. no.
City, town or post office
State
Zip code
Email
Phone no.
Ext.
Other: (Please explain)
Sign
Here
I hereby certify, under penalty of perjury, that the information provided and the attached supporting schedules are true,
correct, and complete to the best of my knowledge.
Your signature
Date
Print/type your name
Your title
Daytime phone number
Preparer
Use Only
Print/Type preparer’s name
Preparer’s signature
Date
PTIN
Firm’s name
▶
Firm’s EIN
▶
Firm’s address
▶
Phone no.
▶
ELECTRONIC FILING
Register for electronic filing. It is an easy, secure, and convenient way to file and pay taxes on-line. For more information log on to
https://www.metrorevenue.org
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Louisville Metro Revenue OL-3EXT (Louisville Jefferson County Metro Government)

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Completed 3 August 2020

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