2013 Ohio SD 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
SD 40P
Do NOT fold check or voucher.
School District Income Tax Payment Voucher
2013SP
DO NOT STAPLE
YOUR PAYMENT TO
THIS VOUCHER.
Please use UPPERCASE letters
DO NOT SEND CASH.
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
Your Social
Address
Security
number
Spouse’s Social
City, state, ZIP code
Security number
(only if joint fi ling)
If you are sending this voucher and paper check or money order (payable to School District
AMOUNT OF
$
0
0
Income Tax) with or separately from your school district income tax return, mail to: School
PAYMENT
District Income Tax, P.O. Box 182389, Columbus, OH 43218-2389. Write the last four
digits of the taxpayer’s Social Security number on the check or money order.
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