Form It 1041es - Ohio Estimated Income Tax Payment Coupon For Estates And Trusts - 2011

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2011 OHIO IT 1041ES
Ohio Estimated Income Tax
Payment Coupon For
Estates and Trusts
If you will be providing taxpayer information on a cartridge tape, please see “Cartridge
Tape Ohio IT 1041ES Filing Requirements Defi nition,” which follows the instructions
for this payment coupon.
DO NOT USE PENCIL
Please cut on the dotted line.
to complete this form.
OHIO IT 1041ES
Reset Form
Rev. 11/10
Ohio Estimated Income Tax
Do NOT fold
For Taxable Year Beginning In
For Payment Period (Check Only One)
Payment Coupon For Estates and Trusts
2011
check
1st Qtr
2nd Qtr
3rd Qtr
4th Qtr
Ext.
or coupon.
Federal Employer Identifi cation Number
TRUST
ESTATE
Social Security Number of Decedent (estates only)
Payment
.
$
0 0
Amount
Name of trust or estate
DO NOT STAPLE, PAPER CLIP OR OTHERWISE ATTACH YOUR CHECK
Fiduciary name and title
OR CHECK STUB TO THIS COUPON. DO NOT SEND CASH. Return this
coupon with check or money order made payable to OHIO TREASURER OF
Number, street, P.O. Box, suite or room number
STATE and mail to OHIO DEPARTMENT OF TAXATION, P.O. BOX 2619,
COLUMBUS, OH 43216-2619.
City, state, ZIP code
419

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