Form 8453-C - California E-File Return Authorization For Corporations 2005

DO NOT MAIL THIS FORM TO FTB

Date Accepted

TAXABLE YEAR

FORM

California e-file Return Authorization for Corporations

2005

8453-C

Name of Corporation

Employer Identification Number

Part I Tax Return Information (whole dollars only)

1 Total income (Form 100, line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Taxable income (Form 100, line 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

3 Total tax (Form 100, line 31) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Tax due (Form 100, line 37) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Overpayment (Form 100, line 38) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Part II Settle Your Account Electronically

6

Direct Deposit of Refund

7

Electronic Funds Withdrawal

7a Amount __________________

7b Withdrawal Date (MM/DD/YYYY) _________________

Part III Make Estimated Tax Payments for Taxable Year 2006 These are not installment payments for the current amount you owe.

First Payment Due

Second Payment Due

Third Payment Due

Fourth Payment Due

8 Amount

9 Withdrawal Date

Part IV Banking Information (Have you verified your banking information? Incorrect information causes delays, which may cause penalties and interest.)

10 Routing number

11 Account number

12 Type of account:

Checking

Savings

Part V Declaration of Officer

I authorize the corporate account be settled as designated in Part II. I understand that the banking information I provided in Part IV will be used to complete any transaction

designated in Part II or Part III.

Under penalties of perjury, I declare that I am an officer of the above corporation and that the information I provided to my Electronic Return Originator (ERO), Transmitter, or

Intermediate Service Provider and the amounts in Part I above agree with the amounts on the corresponding lines of the corporation’s 2005 California income tax return. To the best

of my knowledge and belief, the corporation’s return is true, correct, and complete. If the corporation is filing a balance due return, I understand that if the Franchise Tax Board (FTB)

does not receive full and timely payment of the corporation’s tax liability, the corporation will remain liable for the tax liability and all applicable interest and penalties. I authorize the

corporation return and accompanying schedules and statements be transmitted to the FTB by my ERO, Transmitter, or Intermediate Service Provider. If the processing of the

corporation’s return or refund is delayed, I authorize the FTB to disclose to my ERO, Intermediate Service Provider, and/or the Transmitter the reason(s) for the delay or the

date when the refund was sent.

Sign

Here

Signature of Officer

Date

Title

For Privacy Act Notice, get form FTB 1131.

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

Part VI

I declare that I have reviewed the above corporation’s return and that the entries on form FTB 8453-C 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 corporation’s return. I declare, however, that form FTB 8453-C accurately reflects the data

on the return.) I have obtained the corporate officer’s signature on form FTB 8453-C before transmitting this return to the FTB; I have provided the corporate officer 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, 2005 e-file Handbook for Authorized e-file Providers.

I will keep form FTB 8453-C on file for four years from the due date of the return or four years from the date the corporation 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 corporation’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 corporation’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

Paid

preparer’s

if self-

Preparer

signature

employed

FEIN

Must

Firm’s name (or yours

if self-employed)

Sign

ZIP Code

and address

FTB 8453-C (2005)

For Privacy Act Notice, get form FTB 1131.