Ohio Form It 1140p - Ohio Withholding Tax Payment Coupon For Pass-Through Entities And Trusts - 2012

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2012 Ohio IT 1140P
Ohio Withholding Tax
Payment Coupon for
Pass-Through Entities
and Trusts
Make your paper check or money order payable to Ohio Treasurer of State. Write
the taxpayer identifi cation number on your paper check or money order and include
Ohio form IT 1140P and your payment with Ohio form IT 1140.
Reset Form
DO NOT USE PENCIL
Please cut on the dotted line. –
to complete this form.
OHIO IT 1140P
Do NOT fold check or coupon.
Rev. 12/12
Ohio Withholding Tax Payment Coupon
For Taxable Year Beginning In
for Pass-Through Entities and Trusts
2012
Federal Employer Identifi cation Number
Check here for
amended return payment.
.
$
0 0
Name
1. Withholding Tax
.
$
0 0
2. Entity Tax
Address
$
.
0 0
3. TOTAL DUE
City, state, ZIP code
DO NOT STAPLE, PAPER CLIP OR OTHERWISE ATTACH YOUR
CHECK OR CHECK STUB TO THIS COUPON. DO NOT SEND CASH.
Return this coupon with check or money order made payable to OHIO
TREASURER OF STATE and mail to OHIO DEPARTMENT OF TAXA-
Signature of responsible party
Title
Date
TION, P.O. BOX 181140, COLUMBUS, OH 43218-1140.
436

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