Form It 1040es - Individual Estimated Income Tax - 2017
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42017 Ohio IT 1040ES, Voucher 1 – Due April 18, 2017
Electronic Payment Available
You can eliminate writing a paper check by using any of
our electronic payment methods. Go to our Web site at
tax.ohio.gov for all electronic payment options.
Federal Privacy Act Notice
Because we require you to provide us with a Social Se-
curity number, the Federal Privacy Act of 1974 requires
us to inform you that providing us with your Social Secu-
rity number is mandatory. Ohio Revised Code sections
5703.05, 5703.057 and 5747.08 authorize us to request
this information. We need your Social Security number in
order to administer this tax.
Reset Form
DO NOT USE PENCIL
Cut on the dotted lines.
to complete this form.
OHIO IT 1040ES
Do NOT fold check or voucher.
Individual Estimated Income Tax
2017ES
Rev. 12/16
Use UPPERCASE letters
(Voucher 1) Due April 18, 2017
to print the first three letters of
Taxpayer’s
Spouse’s last name
First name
M.I.
Last name
last name
(only if joint filing)
Spouse’s first name (only if joint filing)
M.I.
Last name
Address
Your SSN
Spouse’s SSN
City, state, ZIP code
(only if joint filing)
DO NOT STAPLE OR OTHERWISE ATTACH YOUR PAYMENT TO THIS
0 0
Amount of
VOUCHER. DO NOT SEND CASH. Return this voucher with check or money
order made payable to OHIO TREASURER OF STATE and mail to OHIO
$
Payment
DEPARTMENT OF TAXATION, P.O. BOX 1460, Columbus, Ohio 43216-1460.
400
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