Form Sd 100es - School District Estimated Income Tax - 2012
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82012 Ohio SD 100ES, Voucher 1 – Due April 17, 2012
Ohio’s Tax Amnesties
Federal Privacy Act
For Businesses:
For All Taxpayers:
Notice
General Tax
Because we require you to provide
Sales, CAT, Estate,
us with a Social Security number, the
Income, Motor Fuel,
Corporation Franchise,
Federal Privacy Act of 1974 requires
and more...
us to inform you that providing us with
Oct. 1, 2011 - May 1, 2013
May 1, 2012 - June 15, 2012
your Social Security number is man-
datory. Ohio Revised Code sections
The Ohio Legislature recently created
5703.05, 5703.057 and 5747.08 au-
a General Tax Amnesty and a Use
thorize us to request this information.
Tax Amnesty program. For detailed
We need your Social Security number
information go to tax.ohio.gov or call
in order to administer this tax.
1-800-304-3211.
Reset Form
DO NOT USE PENCIL
Please cut on the dotted lines.
to complete this form.
SD 100ES
Do NOT fold check or voucher.
Rev. 6/11
School District Estimated Income Tax
SD
2012
Please use UPPERCASE letters
(Voucher 1) Due April 17, 2012
ES
to print the fi rst three letters of
First name
M.I.
Last name
School district
Taxpayer’s
Spouse’s last name
number
last name
(only if joint fi ling)
Spouse’s fi rst name (only if joint fi ling)
M.I.
Last name
Address
Your Social
Security
number
City, state, ZIP code
Spouse’s Social
Security number
(only if joint fi ling)
DO NOT STAPLE OR OTHERWISE ATTACH YOUR CHECK OR
CHECK STUB TO THIS COUPON. DO NOT SEND CASH. Return
Amount of
this coupon with check or money order made payable to School
0 0
$
District Income Tax and mail to School District Income Tax, P.O.
Payment
Box 182389, Columbus, Ohio 43218-2389.
100
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