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                                                                                                          Form WXT

                            APPLICATION FOR EXTENSION OF TIME
                            TO FILE WALKER INCOME TAX RETURN

Prepare this return in duplicate.  File the original with the Walker Income Tax Department on or before
the due date for filing a return.  When the original is filed, it may be assumed that the extension is
automatically granted unless otherwise notified.  Attach the duplicate to your Walker Income Tax Return.

Your First Name and Initial               Last Name                 Your Social Security Number

If Joint, Spouse's First Name and Initial Last Name
                                                                    Spouse's Social Security Number

Company Name (If Corporate or Partnership return)

                                                                    Employer Identification Number
Address (Number and Street or Rural Route)

City, Town or Post Office                        State ZIP Code Check type of return to be filed:
                                                                                W-1040R               W-1120
                                                                                W-1040NR              W-1065

The Uniform City Income Tax Ordinance limits the extension of time for filing annual returns to SIX months
from the original due date.

A ____-month extension of time until _______________, 20____, is hereby requested in which to file the Walker Income 

Tax Return of the above for the taxable year beginning ______________, 20____, and ending ______________,20____.

      FILE THIS FORM TO REQUEST AN EXTENSION OF TIME TO FILE--NOT AN EXTENSION OF TIME TO PAY
The tax tentatively determined to be due must be paid with this application.  No late payment penalty will
be imposed if the tax paid through withholding, timely quarterly estimated tax payments and/or credits
is at least 70% of the total tax due with your Walker Income Tax Return, and if the remaining balance is paid
with this extension request.  Failure to pay the tentative tax balance due invalidates the extension request.

                                                   TENTATIVE TAX

1. Tentative City of Walker Tax                                 1.                       .00

2. Less:
   a. Payments of estimated Walker Income Tax                   2a.                      .00
   b. Walker Income Tax withheld                                2b.                      .00
   c. Other credits                                             2c.                      .00

3. Balance due--subtract lines 2a. through 2c. from line 1      3.                       .00

        SIGNATURE OF TAXPAYER, OFFICER OR AGENT                                                       DATE

                                          Make check payable to:  City Treasurer

        Mail to:  Walker City Income Tax Department, P.O. Box 153, Grand Rapids, MI  49501-0153
                                                                                                          Rev. 10-2009






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