Electronic Payment Available                                                                         2013 Ohio SD 40P
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.

SD 40P                                                                                      Do NOT fold check or voucher.
School District Income Tax Payment Voucher             DO NOT STAPLE 
                                                       YOUR PAYMENT TO 
                                                       THIS VOUCHER.                        2013SP
                                                       DO NOT SEND CASH.                                                   Please use UPPERCASE letters
                                                                                                                           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)
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 AMOUNT OF
District Income Tax, P.O. Box 182389, Columbus, OH  43218-2389. Write the last four         PAYMENT         $               ,            ,           0        0
digits of the taxpayer’s Social Security number on the check or money order.                         ¨

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