Form Sd 100e Es - School District Estate Estimated Income Tax Voucher

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SD 100E ES Voucher
Federal Privacy Act Notice
Due the 15th day of the
Because we require you to provide us with a Social Se-
fourth, sixth and ninth
curity number, the Federal Privacy Act of 1974 requires
us to inform you that providing us with your Social Secu-
months of the taxable year
rity number is mandatory. Ohio Revised Code sections
and the 15th day of the
5703.05, 5703.057 and 5747.08 authorize us to request
fi rst month following the
this information. We need your Social Security number in
order to administer this tax.
close of the taxable year
Note: If the due date is a weekend or holiday, then this voucher and payment are due
on the next business day.
Reset Form
Please detach here.
SD 100E ES
Do NOT fold check or voucher.
School District Estate Estimated
Taxable Year
Rev. 12/13
Income Tax Voucher #
Please use UPPERCASE letters
to print the fi rst three letters of...
Decedent’s
School district
Name of estate
last name
number
Name and title of fi duciary
Address of fi duciary
Estate’s FEIN
City, state, ZIP code
Decedent’s
Social Security
number
DO NOT STAPLE CHECK TO FORM OR ATTACH CHECK STUB.
DO NOT SEND CASH. Return this voucher with check or money
Amount of
0 0
order made payable to School District Income Tax and mail to Ohio
$
Department of Taxation, Attn: Personal and School District Income
Payment
Tax, 4485 Northland Ridge Blvd., Columbus, OH 43229-6596.

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