Form Sd 100es - School District Estimated Income Tax Voucher - 2013

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2013 Ohio SD 100ES, Voucher 1 – Due April 15, 2013
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
DO NOT USE PENCIL
Please cut on the dotted lines.
to complete this form.
SD 100ES
Do NOT fold check or voucher.
Rev. 10/12
School District Estimated Income Tax
SD
2013
Please use UPPERCASE letters
(Voucher 1) Due April 15, 2013
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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