Form It 40p - Income Tax Payment Voucher - 2014

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2014 Ohio IT 40P
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
OHIO IT 40P
Taxable Year
Do NOT fold check or voucher.
2014
DO NOT STAPLE
Income Tax Payment Voucher
YOUR PAYMENT TO
Please use UPPERCASE letters
THIS VOUCHER.
to print the fi rst three letters of
DO NOT SEND CASH.
Taxpayer’s
Spouse’s last name
First name
M.I.
Last name
last name
(only if joint fi ling)
Spouse’s fi rst name (only if joint fi ling)
M.I.
Last name
Your Social
Security
Address
number
Spouse’s Social
Security number
(only if joint fi ling)
City, state, ZIP code
If you are sending this voucher and paper check or money order (payable to Ohio Treasurer
AMOUNT OF
.
0
0
$
of State) with your income tax return, mail to the address shown on page 2 of Ohio form IT
PAYMENT
1040EZ or IT 1040. If you are sending ONLY this voucher and paper check or money order
separately from the return, then mail this voucher and payment to Ohio Department of Taxation,
P.O. Box 182131, Columbus, OH 43218-2131.
402

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