City of Columbus, Income Tax Division
         Net Profit Tax
BR-PV
         Payment Voucher

ID Type: FEIN          Account ID             Payment Type

ID:                                           Return

Name:                                         Estimate

Address:                                      Extension 
City:                                         Filing Period End:

State:                          Zip:          Payment Amount:

Make checks payable to CITY TREASURER 
         Columbus Income Tax Division         Check Box if Payment is for an Account Located in 
Mail to: 
         PO Box 182158                        a Joint Economic Development District (JEDD) 
         Columbus, OH 43218-2158