Form It 1140 - Pass-Through Entity And Trust Withholding Tax Return - 2011

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IT 1140
Rev. 6/11
2011 IT 1140 Pass-Through Entity and Trust Withholding Tax Return
Month
Year
Federal Employer I.D. Number (FEIN)
Check box if amended return
2
0 1 1
For the entity’s taxable year beginning
Entity Type –
Name
Schedule C, line 4 – apportionment ratio
Check only one

S corporation
Address (if address change, check box
)
Schedule B, line 1 – total of columns A and B

Limited liability corporation

Partnership
City, state and ZIP code
Total assets

Trust
1. File this form with the Ohio Department of Taxation by the 15th
2. Attach (i) Ohio Schedules B and C or Schedules D and E and (ii)
day of the fourth month following the last day of the entity’s tax-
the investor information as indicated on page 10 of the instruc-
able year. Please see general instructions for automatic exten-
tions and (iii) Ohio form IT/SD 2210.
sions of time to fi le this return. The due date for payment of tax
Instructions for this form are on our Web site at tax.ohio.gov.
cannot be extended.
Column (I)
Column (II)
Withholding Tax
Entity Tax
Whole dollars only
Whole dollars only
Schedule A – Reconciliation Tax and Payments
1. Tax for each column (from Schedule B, line 11, Columns A and B or
00
00
from Schedule D, line 5)......................................................................
1.
2. Interest penalty on underpayment of tax if the sum of Columns A and
B on line 9 on page 2 exceeds $10,000 (attach Ohio form IT/SD
00
00
2210) ...................................................................................................
2.
00
00
2a. Add lines 1 and 2 ................................................................................
2a.
3. Ohio IT 1140ES and IT 1140EXT payments the entity or trust made
00
00
and/or 2010 overpayment credited to 2011 (see Note #1 on page 5) .
3.
3a. Payments transferred from Ohio forms IT 4708ES and IT 4708EXT
(attach schedule if required; see instructions) and other payments
00
previously made for this taxable year. ................................................
3a.
3b. Payments transferred to Ohio form IT 4708 and refunds, if any,
<
>
00
previously claimed for this taxable year ..............................................
3b.
00
00
3c. Net payments (sum of lines 3 and 3a minus line 3b)...........................
3c.
4. For each column, subtract line 3c from line 2a (show negative
00
00
amounts if needed) .............................................................................
4.
00
5. If the sum of line 4, Columns (I) and (II), is an overpayment, enter this sum here........ OVERPAYMENT
00
6. Amount of line 5 to be CREDITED to year 2012 .........................................................................CREDIT
00
7. Amount of line 5 to be REFUNDED (line 5 minus line 6) .......................................................... REFUND
00
8. If the sum of line 4, Columns (I) and (II) above is a balance due or zero, enter here the amount you owe
00
9. Interest and penalty due on late-paid tax and/or late-fi led return, if any .......................................................
10. Total amount owed (sum of lines 8 and 9). Make check payable to Ohio Treasurer of State and place
00
FEIN on check) .................................................................................................TOTAL AMOUNT OWED
If you owe less than $1.01, no payment is necessary. If your refund is less than $1.01, no refund will be issued.
Processing Code
I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and belief,
the return is true, correct and complete.
Check Amount
Signature of offi cer or agent of pass-through entity or trust
Date
Preparer’s name (please print)
Mail to:
Title of offi cer or agent
Preparer’s address (including ZIP code)
Ohio Dept. of Taxation
P.O. Box 181140
Telephone number
Preparer’s telephone number
Columbus, OH
43218-1140
Do you authorize your preparer to contact us regarding this return?
Yes
No
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