Staple attachments here. Do not staple check.
SD 100E
Reset Form
Rev. 10/12
School District Estate Income Tax Return
For period beginning
, 20
, and ending
, 20
.
Name of estate
Amended Return
Name of fi duciary and title
Final Return
Address of fi duciary
Due date: See “When Is Ohio
Form SD 100E Due?” on page 2.
City, state, ZIP code
Make your check payable to
Federal employer identifi cation number for estate
Social Security number of decedent
School District Income Tax and
enclose Ohio voucher form SD
Decedent’s school district of residence
School district number (see general instructions on page 2)
40EP (see page 3).
Instructions are on page 2 of the return.
If you have a federal extension of time to fi le form 1041, please staple to this return either a copy of the federal extension form or the
federal extension number.
00
1. Ohio taxable income (Ohio form IT 1041, line 3) ........................................................................................ 1.
%
2. School district income tax rate (see general instructions on page 2).......................................................... 2.
00
3. School district income tax (line 1 times line 2) and other payments, if any.................................................3.
4. Interest and penalty on late-paid tax and/or late-fi led return and interest penalty on underpayment
of estimated income tax. Check
if Ohio form IT/SD 2210 is included (may be required; see line
00
instructions on page 2)................................................................................................................................4.
00
5. Line 3 plus line 4 ......................................................................................................................................... 5.
6. Estimated payments, extension payments and W-2 withholding, net of refunds, if any, previously
received. Attach W-2s. Note: If the amount on this line is greater than the amount on line 5, skip
00
to line 8 ....................................................................................................................................................... 6.
7. Amount due (if line 6 is less than line 5, subtract line 6 from line 5 and enter here). Make your check
payable to School District Income Tax and enclose (but do not attach) Ohio voucher form SD 40EP
00
(see page 3)
7.
.....................................................................................................................................AMOUNT DUE
00
8. Refund (if line 5 is less than line 6, subtract line 5 from line 6 and enter here) ........................
8.
REFUND
I have read this return. Under penalties of perjury, I declare that, to the best of my knowledge and belief, the return and all enclosures
are true, correct and complete.
Fiduciary’s signature
Date
Preparer’s name (please print and see note on page 2)
Phone number
Do you authorize your preparer to contact us regarding this return?
Yes
No
Mail to:
Ohio Department of Taxation
Attn: Personal and School District Income Tax Technical
4485 Northland Ridge Blvd.
Columbus, OH 43229-6596.
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