Gallipolis, OH · Gallia County

No notary required

Tax Estimate Payment Form

Gallipolis taxpayers use this form to provide account and address details with a quarterly estimated tax payment mailed to the Tax Department.

What this form is

This form provides payment slips for quarterly estimated tax payments to the Gallipolis Tax Department, with separate sections for quarters one through four and their listed due dates. Each section asks for an account number, name, address, and city, state, and ZIP code; the Tax Department section records the amount paid and whether payment is cash or check.

Who needs it

Taxpayers making a quarterly estimated tax payment to Gallipolis can use the section for the applicable quarter.

How to submit it

Mail the completed payment slip to the Tax Department, P.O. Box 339, Gallipolis, OH 45631, as directed on the form.

About notarization

No notary is required; the form has no signature or date field and mentions no sworn or notarized attachment.

How to submit this form

  1. 1

    Download The Form

    Download the Gallipolis Tax Estimate Form.

  2. 2

    Complete The Quarter Slip

    Choose the applicable quarter and enter the account number, name, and address details requested.

  3. 3

    Gather Attachments

    The form does not list any attachments.

  4. 4

    Mail The Payment Slip

    Mail it to the Tax Department, P.O. Box 339, Gallipolis, OH 45631.

Frequently asked questions

What is the Gallipolis Tax Estimate Form for?
It provides slips for sending quarterly estimated tax payments to the Gallipolis Tax Department. The form has sections for each of four quarters.
What information does the form ask for?
For the applicable quarter, it asks for an account number, name, address, and city, state, and ZIP code. The Tax Department section includes fields for the amount paid and cash or check.
How do I submit the Gallipolis tax estimate form?
Mail the completed payment slip to the Tax Department at P.O. Box 339, Gallipolis, OH 45631, as stated on the form.
Do I need a notary for the Gallipolis Tax Estimate Form?
No. The form has no signature or date field and mentions no sworn or notarized attachment.

Need something notarized?

This Tax Estimate Payment Form doesn’t need a notary — but if you have another Gallipolis form that does, a commissioned online notary can help.