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Michigan Department of Treasury - City Tax Administration 
5463 (11-20) 

Application for Extension of Time to File City Income Tax Estates and Trusts Return 

                                                                                    address that will be used for correspondence regarding this 
Important Information                                                               extension request. 
An extension of time to file is not an extension of time to pay.                    Tax Year End:   Enter the month, day and year your tax year ends, 
The form and payment must be postmarked on or before the                            NOT the date you are making the payment. 
original due date of the return. 
                                                                                    Federal Employer  Identification Number (FEIN):    Use the FEIN 
City Income Tax Estates and Trusts filers must use this form to                     used when filing Form 5462. 
request an extension and must file it even if the Internal Revenue 
Service  has  approved  a  federal  extension  and/or  the  Michigan                Penalty and Interest 
Department  of  Treasury  has  approved  a  state  business  tax 
                                                                                    If the tax due is underestimated and sufficient payment is not 
extension. 
                                                                                    paid with the application for extension, interest will be due on 
Do not send a copy of the federal extension or state extension.                     the unpaid or underpaid amount. 
Retain a copy for your records. 
                                                                                    The interest rate is 1 percent above the adjusted prime rate 
An extension of time to file is not an extension of time to pay. If                 and is adjusted on January 1 and July 1. Interest is charged 
there will be a tax liability, payment must be included with the                    from the original  due  date  of the  return to the  date  the 
form or the extension request will be denied. Penalty and interest                  balance  of the  tax  is paid.  For  the  current  return  rate,  go 
will accrue on the unpaid tax from the original due date of the                     online to www.michigan.gov/citytax. 
return. 
                                                                                    Submitting an Extension 
If this form is property prepared, meeting all listed conditions, 
and  filed  timely,  the  taxpayer  will  receive  an  extension  of  six           Make  the  check  payable  to  “State  of  Michigan  - Detroit.” 
months beyond the original due date.                                                Print  the  taxpayer  Federal  Employer  Identification  Number, 
                                                                                    tax year, and “Form 5463” on the check, and mail it, with the 
Line-by-Line Instructions                                                           completed form, to: 
Name  of  Estate  or  Trust,  Name  of  Fiduciary,  and  Address:                       Michigan Department of Treasury 
The name and title entered here should match the name that                              City Tax Administration 
will  be  filed  with  the City of Detroit Income Tax — Estates                         PO Box 30813 
and Trusts return (Form 5462). The address entered here is the                          Lansing MI 48909 

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#                                                 Detach here and mail with your payment.
Michigan Department of Treasury - City Tax Administration, 5463 (11-20) 

Application for Extension of Time to File City Income Tax Estates and Trusts Return 
Issued under authority of Public Act 284 of 1964,         Tax Year End (MM-DD-YYYY)                Payment is for the City of City Code 
as amended 
                                                                                                   DETROIT                    170 
Name of Estate or Trust                                                                               Federal Employer Identification Number 

Name of Fiduciary                                                                                     1. Tentative Annual Tax 
                                                                                                                                                00 
Address                                                                                               2. Total Payments Made to Date 
                                                                                                                                                00 
City                                                      State           ZIP Code                    3. Payment Amount 
                                                                                                                                                00 
Make check payable to “State of Michigan - Detroit.” Print the taxpayer FEIN, tax year, and “Form 5463” on the check. 
Mail to: Michigan Department of Treasury, City Tax Administration, PO Box 30813, Lansing MI 48909. 






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