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                                                                                                  2014 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.

                                 Please cut on the dotted line. – DO NOT USE PENCIL to complete this form.

OHIO IT 1140P                    Rev. 7/14                                                        Do NOT fold check or coupon.
Ohio Withholding Tax Payment Coupon           For Taxable Year Beginning In
for Pass-Through Entities and Trusts
                 Federal Employer I.D. Number                       2014
                                                                                                            Check here for 
                                                                                                      amended return payment.

Name                                                                1. Withholding Tax $              ,,.0 0

Address                                                             2. Entity Tax        $            ,,.0 0

City, state, ZIP code                                               3. TOTAL DUE       $              ,,,        ,             0 0
                                                                                                                              .
                                                                                          
                                                                              DO NOT STAPLE   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 TAXATION, P.O. BOX 
Signature of responsible party        Title      Date                         181140, COLUMBUS, OH  43218-1140.

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