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 

                                                                   3. TOTAL  DUE      $ 
City, state, ZIP code                                                                                , ,        , ,          . 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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