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        Federal Privacy Act Notice                                                                      2013 Ohio IT 1041EXT 
Because we require you to provide us with a Social Se-
                                                                                                        Ohio Income Tax 
curity number, the       Federal Privacy Act of 1974 requires 
us to inform you that providing us with your Social Secu-                                               Extension Payment 
rity number is mandatory. Ohio Revised Code sections 
5703.05, 5703.057 and 5747.08 authorize us to request                                                   Coupon for Estates 
this information. We need your Social Security number in                                                and Trusts 
order to administer this tax. 

                      If you will be providing taxpayer information on a cartridge tape, please see “Cartridge  
                      Tape Ohio IT 1041ES Filing Requirements Defi nition,” which follows the instructions 
                      for this payment coupon. 

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

OHIO IT 1041EXT                                Rev. 1/14 
Ohio Income Tax Extension                                               For Taxable Year Beginning In                Extension Payment 
Payment Coupon For Estates and Trusts                    Do NOT fold 
                                                         check            2013 
Federal Employer Identifi cation Number                   or coupon. 
                                                                        F TRUST 

Social Security Number of Decedent (estates only)                       F ESTATE 

                                                                                         Payment 
Name of trust or estate                                                                  Amount         $          ,          ,              . 0 0
Fiduciary name and title                                                                 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 
Number, street, P.O. Box, suite or room number                                           STATE and mail to OHIO DEPARTMENT OF TAXATION, P.O. BOX 2619,  
                                                                                         COLUMBUS, OH  43216-2619. 
City, state, ZIP code 

                                                         419



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            Cartridge Tape Filing: IT 1041ES Payments Requirements Definition
Overview                                                           Send Test Cartridge Tape To: 
The Ohio Department of Taxation is providing a “Fast Tax”          Ohio Dept. of Taxation – Information Services Division 
option to replace the manual paper          filing with a cartridge S.O.C.C. – 1320 Arthur E. Adams Drive 
tape(s) for all third-party vendors that fi le Ohio form IT 1041ES  Room 224 – Tape Library 
on behalf of their clients. This process will not only eliminate   Columbus, Ohio 43221 
paper and manual processing functions, but also increase 
the accuracy of the information updated to the taxpayer’s          Approval Process 
  file. This requirement’s definition will define the requirements    Fast Tax will be advised of the test results and informed of changes 
and specifi cations. These same requirements apply to the           (if any) that are required before live production begins. 
IT 1041EXT. The Department of Taxation can revoke this             Cartridge Tape Requirements 
option if the user tax is not fully complying with the Fast Tax    A fi le will be required to be sent to the Ohio Department of 
requirements.                                                      Taxation as follows. 
Department of Taxation Contacts                                        Ohio form IT 1041ES documents 
Contact Russell Strope at (614) 752-1987 if you have any               3490 cartridge tape 

questions about the Ohio form IT 1041ES information or                              Tape File Specification 
the cartridge tape. The user must provide the Department 
of Taxation with a contact person and phone number for              Medium              3490 cartridge tape 
reporting production transmittal discrepancies.                     File name           Ohio form IT I041ES data file
Test Cartridge Tape                                                                     Label: “ODT.IT1041ES.INPUT”
Two tapes must be run with the information required. One            Record length       260 characters 
tape will be sent with documentation and the second tape 
will be retained by the vendor as a backup. If the production       Block size          32760 
tape is corrupt, the vendor must supply the backup tape within      Record format       Fixed block (FB) 
three days. This process should also be continued when 
production begins.The external label must indicate that this       Cartridge Tape Layout 
is a test tape of Ohio form lT 1041ES test data.                   See chart below. 

                                         Record Layout – Ohio IT 1041ES Detail Record 
                                    (Supplied by Department of Taxation to Vendor) 
                                                                        Data                   Position 
            Field Name                             Length               Type            Start            End 
            FEIN                                   9                    N                   1               9 
            Tax Year                               4                    N                10              13 
            Batch Number                           11                   N                14              24 
            Trust Name – 1                         35                   A/N              25              59 
            Trust Name – 2                         35                   AJN              60              94 
            Fiduciary Name – 1                     35                   A/N              95              129 
            Fiduciary Name – 2                     35                   A/N             130              164 
            Address                                35                   A/N             165              199 
            City                                   20                   A               200              219 
            State                                  2                    A               220              221 
            ZIP Code                               5                    N               222              226 
            Check Amount                           11                   N               227              237 
            Receive Date                           8                    N               238              245 
            Processing Code                        1                    A               246              246 
            Document Type                          1                    A               247              247 
            Form Type                              2                    A/N             248              249 
            Source ID                              2                    N               250              251 
            Filler                                 9                    A/N             252              260 

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The following section describes how each fi eld on the Ohio              Transmittal letter (see sample, next page) 
form IT I041ES record should be formatted or valued. 
                                                                        Send cartridge tape(s) and check(s) (see Document 
    FEIN:  This is the federal employer identifi cation number           Processing, Check Processing and Balancing             
    identifying the taxpayer. This fi eld is required and must           Processing) to the following address: 
    be numeric. 
                                                                     State of Ohio – Department of Taxation
    Tax Year:  The year for which the Ohio form lT 1041ES          c/o Mike Cardi 
    is being  led (i.e., 2013). This field is required and must      4485 Northland Ridge Blvd. 
    be numeric.                                                      Columbus, OH  43229 
    Batch Number: For Department of Taxation use. Zero-          Document Processing 
    fill.                                                         Only zero tax liability and tax due liability information is  
                                                                 required to be fi led by cartridge tape. It is suggested that a 
    Trust Name – 1, Trust Name – 2, Fiduciary Name – 
                                                                 listing of all taxpayers on the cartridge tape be made for ease 
    1 and Fiduciary Name – 2: Names and information 
                                                                 of reconciliation. You are not required to fi le this report with 
    identifying the account. Space-fi ll any unused name 
                                                                 the Ohio Department of Taxation. 
    field. 
                                                                 Check Processing 
    Address, City, State and ZIP Code: Mailing address of  
                                                                 The requirements for check processing will be as follows: 
    the account. Space-fi ll address, city or state, if unknown.  
    Zero-fi ll ZIP code, if unknown.                                     One check remitted for each cartridge tape submitted. 
    Check Amount:         The amount of the payment being               Each check must be in balance with each cartridge 
    sent in dollars and cents.  Must be numeric with                    tape. 
    leading zeros and no punctuation. Maximum amount is 
    $999,999,999.99. (i.e., for a payment of $396.45 value              Make checks payable to: Ohio Treasurer of State. 
    00000039645).                                                Balancing Processing 
    Receive Date: For Ohio Department of Taxation use.           Once the Ohio Department of Taxation receives the cartridge 
    Zero-fill.                                                    tape(s) and certifi ed check(s), the cartridge tape(s) will be 
                                                                 run to see if the amount on the transmittal letter matches. If 
    Processing Code: For Ohio Department of Taxation             the cartridge tape(s) do not match, Fast Tax will be notified 
    use. Space-fill.                                              immediately by phone that there was a discrepancy, and the 
                                                                 tape(s) will be withheld from further processing. 
    Document Type: For Ohio Department of Taxation use.  
    Value N.                                                     Vendor Responsibility 
    Form Type: Value T2 if the Ohio form IT 1041ES is            Fast Tax is responsible for the integrity of the data that they 
      filed for trust tax; value E2 if the Ohio form IT 1041ES    are sending to the Ohio Department of Taxation. 
    is fi led for estate tax.                                     Transmittal Letter 
    Source ID:   A code to identify the source of the            The following information will need to be included on the 
    information. Value 05.                                       Ohio form IT 1041ES transmittal letter for each cartridge 
                                                                 tape sent in. 
    Filler: Currently unused. Space-fill. 
                                                                       Company name 
Tape Submittal Information 
The following is the list of requirements for each cartridge            Data set name (DSN) on cartridge tape (Ex: ‘ODT. 
tape that is sent in.                                                   IT1041 ES.INPUT’...refer to section 4.1). 
                                                                        Tape identifier (Vol-Ser) for each cartridge tape                 
    The external label on the production cartridge tape     
                                                                        (Ex: ‘213456’) 
    must refl   ect the target agency, content, due date,    
    volume number, transmitter’s company name, number                   Number of records on each cartridge tape 
    of records, batch tax due amount, batch check amount. 
    Volume numbers must indicate the proper sequence                    Check and document amount 
    (e.g., Tape: 2 of 3) on each label.                                 Signature, date and title of the transmitter. 
                          Example Label 
                                                                 Make check(s) (one check per tape) payable to             Ohio 
         Ohio Department of Taxation                             Treasurer of State and send to the following address: 
         Ohio IT 1041ES:      Voucher Due Date: 
         Tape: 1 of 4         Vol-Ser: 213456                    Ohio Department of Taxation 
         Company Name: Fast Tax                                  c/o Mike Cardi 
         Number of Records: 500                                  4485 Northland Ridge Blvd. 
         Batch Tax Due Amount: 456,123.78                        Columbus, OH  43229 
         Batch Check Amount: 456,123.78 

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                            Ohio IT 1041ES Transmittal Letter 
                            Ohio Department of Taxation 
                            Remittance of Ohio IT 1041ES Payments 

Company name: Fast Tax                                DSN:

                                                                                          Check and 
Make check(s) (one check per tape) pay-  Tape Vol-Ser     Number of Records  Document Amount 
able to Ohio Treasurer of State and mail 
to: 
Ohio Department of Taxation 
c/o Mike Cardi 
4485 Northland Ridge Blvd. 
Columbus, OH  43229 
                                         Total 

                                         Total of all checks enclosed 

Signature                                Date
                                         $                            . 
Title 

                            Federal Privacy Act Notice 
               Because we require you to provide us with a Social Security number, the    Federal Privacy Act of 
               1974 requires us to inform you that providing us with your Social Security number is mandatory. 
               Ohio Revised Code sections 5703.05, 5703.057 and 5747.08 authorize us to request this informa-
               tion. We need your Social Security number in order to administer this tax. 

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