Form Va-8453c printable pdf download

VA-8453C

Virginia Corporation Income Tax Declaration for

Tax Year

Virginia Department

Electronic Filing

2016

of Taxation

DO NOT SEND THIS VA-8453C TO THE VA DEPT OF TAXATION OR THE IRS.

IT MUST BE MAINTAINED IN YOUR FILES!

For calendar year 2016, or tax year beginning

, 2016, ending

, 20

Online Filed Return

Corporation Name

Federal ID Number

Part I

Tax Return Information

Federal Taxable Income (Form 500, Page 2, Line 1)

Virginia Taxable Income (Form 500, Page 2, Line 7)

Income tax (Form 500, Page 2, Line 9)

Total payments and credits (Form 500, Page 2, Line 16)

Total due (Form 500, Page 2, Line 21)

Amount to be refunded (Form 500, Page 2, Line 24)

Part II Declaration of Officer

I declare under penalties of perjury that I am an officer of the above corporation and that I have compared the information on the return with the information I have

provided to my electronic return originator (ERO), transmitter, and/or intermediate service provider (ISP) and that the amounts described in Part I above agree with the

amounts shown on the corresponding lines of my 2016 Virginia corporation income tax return. To the best of my knowledge and belief, the corporation’s return is true,

correct and complete. I consent that the corporation’s return including this declaration and accompanying schedules and statements be sent to the Internal Revenue

Service (IRS) by my ERO and by the IRS to the Virginia Department of Taxation. This declaration is to be retained by the ERO or transmitter as validation of the

corporation’s electronically filed Virginia income tax return. If filing a balance due return, I authorize the Virginia Department of Taxation and its designated Financial

Agent to initiate an ACH electronic funds withdrawal entry to the financial institution account indicated on the 2016 Virginia income tax return for payment of state

taxes owed on this return. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information

necessary to answer inquiries and resolve issues related to the payment. I certify that the transaction does not directly involve a financial institution outside of the

territorial jurisdiction of the United States at any point in the process.

I understand that if the Virginia Department of Taxation does not receive full and timely payment of its liability, the corporation will remain liable for the tax liability in

addition to all applicable penalties and interest.

Signature of Officer

Title

Date

Part III Declaration of Electronic Return Originator (ERO) and Paid Preparer

I declare that I have reviewed the above corporation’s return and that the entries on this form are complete and correct to the best of my knowledge. I have obtained

the corporate officer's signature on Form VA-8453C before submitting this return to the Internal Revenue Service (IRS) and the Virginia Department of Taxation. I

have provided the officer with a copy of all forms and information to be filed with the IRS and the Virginia Department of Taxation, and have followed all other

requirements as specified by the Department. If I am also the Paid Preparer, under penalties of perjury, I declare that I have examined the above corporation's return

and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer is based on

all information of which preparer has any knowledge. EROs and paid preparer can sign the form using a rubber stamp, mechanical device, such as a signature pen,

or computer software program.

ERO’s Signature

Date

ERO’s SSN or PTIN

Firm’s name (or yours if self-employed)

Paid Preparer?

Self-employed?

Street Address

EIN

City, State, and Zip

Phone Number

Paid Preparer’s Signature