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2013 Ohio SD 40P
2013SP
5703 05 5703 057 and 5747 08 authorize us to request
Address
AMOUNT OF
Because we require you to provide us with a Social Security
City state ZIP code
digits of the taxpayer s Social Security number on the check or money order
District Income Tax P O Box 182389 Columbus OH 43218 2389 Write the last four PAYMENT
DO NOT SEND CASH Please use UPPERCASE letters
Electronic Payment Available
Federal Privacy Act Notice
First name
If you are sending this voucher and paper check or money order (payable to School District
Income Tax) with or separately from your school district income tax return mail to: School
Last name
number is mandatory Ohio Revised Code sections
number last name (only if joint filing)
number the Federal Privacy Act of 1974 requires
order to administer this tax
our electronic payment methods Go to our Web site at
School district
School District Income Tax Payment Voucher DO NOT STAPLE
SD 40P Do NOT fold check or voucher
Security number(only if joint filing)
Securitynumber
Spouse s first name (only if joint filing)
Spouse s last name
Spouse s Social
tax ohio gov for all electronic payment options
Taxpayer s
this information We need your Social Security number in
THIS VOUCHER
to print the first three letters of
us to inform you that providing us with your Social Security
You can eliminate writing a paper check by using any of
YOUR PAYMENT TO
Your Social
