Do I need a notary for the Gallipolis income tax extension request?

No. Sign and date the form without a notary. Include a copy of your federal extension with the request.

How long does the extension give me to file?

The form requests an automatic six-month extension from the return’s due date. It does not extend the time to pay tax.

What information does the extension form ask for?

It asks for taxpayer and contact information, expected Gallipolis tax liability, withholding, payments and credits, and any balance due.

Gallipolis, OH · Gallia County

No notary required

Request for Automatic Extension of Time to File an Income Tax Return

Gallipolis residents and businesses use this form to request an automatic six-month extension to file a city income tax return.

What this form is

This form requests an automatic six-month extension from the income tax return’s due date. It asks for taxpayer and contact information, expected tax liability, withholding, payments, credits, and any balance due; a copy of the federal extension must accompany it. The form says an extension to file is not an extension to pay, and payment must accompany the request to receive an extension.

Who needs it

Gallipolis residents or businesses seeking an automatic six-month extension to file a city income tax return should complete this form.

How to submit it

Mail the form to the City of Gallipolis Income Tax Department, PO Box 239, Gallipolis, OH 45831. Include a copy of your federal extension and any payment due.

About notarization

This document is signed and dated without a notary; a copy of your federal extension must accompany the form.

How to submit this form

1
Download The Form
Download the Gallipolis income tax extension request PDF.
2
Complete The Form
Enter taxpayer and contact information, expected tax liability, withholding, payments, credits, and any balance due.
3
Gather The Attachment
Include a copy of your federal extension and any payment due.
4
Mail The Request
Mail the completed form to the City of Gallipolis Income Tax Department at PO Box 239, Gallipolis, OH 45831.

Frequently asked questions

Do I need a notary for the Gallipolis income tax extension request?: No. Sign and date the form without a notary. Include a copy of your federal extension with the request.
How do I submit the Gallipolis extension request?: Mail it to the City of Gallipolis Income Tax Department, PO Box 239, Gallipolis, OH 45831. Include a copy of your federal extension and any payment due.
How long does the extension give me to file?: The form requests an automatic six-month extension from the return’s due date. It does not extend the time to pay tax.
What information does the extension form ask for?: It asks for taxpayer and contact information, expected Gallipolis tax liability, withholding, payments and credits, and any balance due.

Need something notarized?

This Request for Automatic Extension of Time to File an Income Tax Return doesn’t need a notary — but if you have another Gallipolis form that does, a commissioned online notary can help.