Estate Tax Form 17 - Ohio Estate And Additional Tax Estimated Payment Notice printable pdf download

Estate Tax Form 17 - Ohio Estate And Additional Tax Estimated Payment Notice

Estate Tax Form 17

Ohio Department of Taxation

Revised 3/99

Estate Tax Division

1880 E. Dublin-Granville Rd., Suite 200

Columbus, OH 43229-3529

1 (800) 977-7711

Ohio Estate and Additional Tax Estimated Payment Notice

(5731.23 O.R.C.)

Estate of: _________________________________________________ Case No. ______________

To the Auditor of ______________________________ County

I, _________________________________________________________________________

Executor, Administrator or Other Person

________________________________________ hereby make an estimated payment for the estate

of the above named decedent who died a resident of _____________________________________

City, Village or Township

________________________________________________________________________________

Address

on the ___________ day of ____________, _______, in the following amounts:

Month

Year

Estate Tax

________________________

Additional Tax

________________________

Other Deficiency

________________________

Date __________________ , _______

Signature _________________________________

Month and Day

Year

Title _____________________________________

Note to County Auditor: An Estate Tax Form 6 (charge) is required to be prepared, processed and

forwarded to the Estate Tax Division in Columbus together with a copy of

this Form 17 upon filing and payment.

Estate Tax Form 17 - Ohio Estate And Additional Tax Estimated Payment Notice