Reset Form
Do not use staples.
IT 1140
Rev. 12/12
2012
Pass-Through Entity
12170106
and Trust Withholding
Check here if amended return
Tax Return
Use only black ink.
Federal employer I.D. number (FEIN)
For taxable year beginning on
Entity Type:
S corporation
Partnership
Check only one
/
M M
2
0
1 2
Limited liability corporation
Trust
Use UPPERCASE letters.
Name of pass-through entity
Address (if address change, check box)
City
State
ZIP code
E-mail address
Number of investors
Apportionment ratio, page 3, line 8
1. File this form with the Ohio Department of Taxation by the 15th
day of the fourth month following the last day of the entity’s tax-
able year. See general instructions for automatic extensions of
Schedule B, line 1 – total of columns A and B
time to fi le this return. The due date for payment of tax cannot
00
.
be extended.
Do not use staples, tape or glue. Place any supporting
2. Attach (i) Ohio Schedules B and C or Schedules D and E and
documents, including K-1’s, after the last page of this return.
(ii) the investor information as indicated on page 10 of the in-
structions and (iii) Ohio form IT/SD 2210.
Mail to:
Ohio Dept. of Taxation
Instructions for this form are on our Web site at tax.ohio.gov.
P.O. Box 181140
Columbus, OH 43218-1140
SCHEDULE A – RECONCILIATION TAX AND PAYMENTS
Column (II) – Entity Tax
Column (I) – Withholding Tax
1. Tax for each column (from Schedule B, line 11,
00
00
.
.
columns A and B or from Schedule D, line 5)
........ 1.
2. Interest penalty on underpayment of tax if the
sum of columns A and B on line 9 on page
3 exceeds $10,000 (attach Ohio form IT/SD
00
00
.
.
2210)
...................................................................... 2.
.
00
.
00
2a. Add lines 1 and 2
................................................. 2a.
3. Ohio IT 1140ES and IT 1140EXT payments the
entity or trust made and/or 2011 overpayment
00
00
.
.
credited to 2012 (see Note 1 on page 7)
............... 3.
3a. Payments transferred from Ohio forms IT
4708ES and IT 4708EXT (attach schedule if
required; see instructions) and other payments
00
.
previously made for this taxable year
.................. 3a.
3b. Payments transferred to Ohio form IT 4708
and refunds, if any, previously claimed for this
00
.
taxable year
.......................................................... 3b.
3c. Net payments (sum of lines 3 and 3a minus
00
00
.
.
line 3b)
..................................................................3c.
4. For each column, subtract line 3c from line 2a
(if the amount is negative, type a negative sign
00
00
.
.
(“-”) before the fi gure)
............................................. 4.
2012 IT 1140
2012 IT 1140
pg. 1 of 6