2011 ELECTRONIC FILING--CREDIT CARD WORKSHEET
When paying by credit card, please complete the following worksheet before calling Official Payments at 800-272-
This worksheet will not process with the taxpayer‟s Ohio e-Filed return.
9829 or connecting to
their web site.
1.
Enter your state code:
O
H
I
O
or
6
4
4
6
2.
Enter the amount of tax you are paying (rounded to the nearest whole dollar):
0
0
3.
Enter your social security number:
4.
Enter the first 3 letters of your last name:
5.
Enter your spouse's social security number (if joint return):
-
-
6.
Enter the first 3 letters of your spouse's last name (if joint return):
7.
Enter the taxable year for which you are paying:
2
0
1
1
8.
Enter your home telephone number:
-
-
9.
Enter your credit card number:
10.
Enter your credit card expiration date (MM/YY):
/
11. Enter the zip code for the credit card mailing address:
At the end of your call or Internet visit, you will receive a payment confirmation number. Write it here and keep
this worksheet for your records. Do not mail this form to the Ohio Department of Taxation.
18