Form It 1140es - Ohio Estimated Withholding Tax Payment Coupon For Pass-Through Entities And Trusts - 2005

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OHIO IT 1140ES
Ohio Estimated Tax Payment Coupon
For Pass-Through Entities and
Certain Nonresident Trusts
please cut here
OHIO IT 1140ES
Rev. 12/04
Ohio Estimated Withholding Tax Payment Coupon
For Payment Period (Check Only One)
For Taxable Year Beginning In
For Pass-Through Entities And Trusts
YEAR
1st Qtr
2nd Qtr
3rd Qtr
4th Qtr
Ext
2005
Fed. Employer I.D. No.
1.
Withholding
$ $ $ $ $
,
,
.
0 0
Tax
Name
$ $ $ $ $
,
,
.
0 0
2.
Entity Tax
Address
,
,
$ $ $ $ $
0 0
,
,
.
3.
TOTAL DUE
City, state, ZIP code
DO NOT STAPLE CHECK TO COUPON. DO NOT SEND CASH.
Return this coupon with check or money order made payable to OHIO
TREASURER OF STATE and mail to: OHIO DEPT. OF TAXATION,
P.O. BOX 181140, COLUMBUS, OHIO 43218-1140
Signature of responsible party
Title
Date

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