Form 8453 - California E-File Return Authorization For Individuals - 2008

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DO NOT MAIL THIS FORM TO THE FTB

Declaration Control Number (DCN)

_______________________

Date Accepted

TAXABLE YEAR

FORM

2008

8453

California e-file Return Authorization for Individuals

Your first name and initial

Last name

Your SSN or ITIN

If joint return, spouse’s/RDP’s first name and initial

Last name

Spouse’s/RDP’s SSN or ITIN

Address (including number and street, PO Box, or PMB no.)

Apt. no. /Ste. no. Daytime telephone number

( )

City

State

ZIP Code

Part I Tax Return Information (whole dollars only)

1 California adjusted gross income. (Form 540, line 17; Form 540 2EZ, line 16; Long Form 540NR, line 21; or Short Form 540NR, line 21) 1

2 Refund or No Amount Due. (Form 540, line 66; Form 540 2EZ, line 28; Long Form 540NR, line 73; or Short Form 540NR, line 73). . 2

3 Amount you owe. (Form 540, line 62; Form 540 2EZ, line 27; Long Form 540NR, line 69; or Short Form 540NR, line 69) . . . . . . . . . 3

Part II Settle Your Account Electronically for Taxable Year 2008 (Due 04/15/09)

Direct Deposit of Refund 5

Electronic Funds Withdrawal 5a Amount ___________________ 5b Withdrawal Date

___________

(MM/DD/YYYY)

Part III Make Estimated Tax Payments for Taxable Year 2009 These are NOT installment payments for the current amount you owe.

First Payment Due 4/15/09

Second Payment Due 6/15/09

Third Payment Due 9/15/09

Fourth Payment Due 1/15/10

6 Amount

7 Withdrawal Date

Part IV

Banking Information

(Have you verified your banking information?)

8 Amount of refund to be directly deposited to account below ________________ 12 The remaining amount of my refund for direct deposit ___________________

9 Routing number _______________________________________________ 13 Routing number _____________________________________________

10 Account number _______________________________________________ 14 Account number _____________________________________________

11 Type of account: m Checking

m Savings

15 Type of account: m Checking

m Savings

Part V Declaration of Taxpayer(s)

I authorize my account be settled as designated in Part II. If I check Box 4, I declare that the direct deposit refund information in Part IV agrees with the authorization stated

on my return. If I check Box 5, I authorize an electronic funds withdrawal for the amount listed on 5a and any estimated payment amounts listed on line 6 from the account

listed on lines 9, 10, and 11. If I have filed a joint return, this is an irrevocable appointment of the other spouse/RDP as an agent to receive the refund or authorize an electronic

funds withdrawal.

Under penalties of perjury, I declare that the information I provided to my Electronic Return Originator (ERO), Transmitter, or Intermediate Service Provider, including my

name, address, and social security number (SSN) or individual taxpayer identification number (ITIN), and the amounts shown in Part I above agrees with the information and

amounts shown on the corresponding lines of my 2008 California income tax return. To the best of my knowledge and belief, my return is true, correct, and complete. If I am

filing a balance due return, I understand that if the Franchise Tax Board (FTB) does not receive full and timely payment of my tax liability, I remain liable for the tax liability and

all applicable interest and penalties. I authorize my return and accompanying schedules and statements be transmitted to the FTB by my ERO, Transmitter, or Intermediate

Service Provider. If the processing of my return or refund is delayed, I authorize the FTB to disclose to my ERO, Intermediate Service Provider, and/or Transmitter the

reason(s) for the delay or the date when the refund was sent.



Sign



Here

Your signature

Date

Spouse’s/RDP’s signature. If filing jointly, both must sign. Date

For Privacy Notice, get form FTB 1131.

It is unlawful to forge a spouse’s/RDP’s signature.

Part VI Declaration of Electronic Return Originator (ERO) and Paid Preparer. See instructions.

I declare that I have reviewed the above taxpayer’s return and that the entries on form FTB 8453 are complete and correct to the best of my knowledge. (If I am only an Intermediate

Service Provider, I understand that I am not responsible for reviewing the taxpayer’s return. I declare, however, that form FTB 8453 accurately reflects the data on the return.) I have

obtained the taxpayer’s signature on form FTB 8453 before transmitting this return to the FTB; I have provided the taxpayer with a copy of all forms and information that I will file with

the FTB, and I have followed all other requirements described in FTB Pub. 1345, 2008 e-file Handbook for Authorized e-file Providers, and in FTB Pub. 1345A, 2008 e-file Handbook

Supplement. I will keep form FTB 8453 on file for four years from the due date of the return or four years from the date the return is filed, whichever is later, and I will make a copy

available to the FTB upon request. If I am also the paid preparer, under penalties of perjury, I declare that I have examined the above taxpayer’s return and accompanying schedules

and statements, and to the best of my knowledge and belief, they are true, correct, and complete. I make this declaration based on all information of which I have knowledge.

Date

Check if

Check

ERO’s SSN/PTIN



ERO’s

also paid

if self-

ERO

signature

preparer

employed

Must

FEIN

Firm’s name (or yours



Sign

if self-employed)

ZIP Code

and address

Under penalties of perjury, I declare that I have examined the above taxpayer’s return and accompanying schedules and statements, and to the best of my knowledge and

belief, they are true, correct, and complete. I make this declaration based on all information of which I have knowledge.

Paid

Date

Check

Paid preparer’s SSN/PTIN



preparer’s

if self-

Preparer

signature

employed

Must