Form Ftb 3601 C3 - Transmittal Of Annual 1098, 1099, 5498, W-2g Information
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STATE OF CALIFORNIA
Transmittal of Annual 1098, 1099, 5498, W-2G Information
DATA EXCHANGE MS L120
For Tax Year ________________
FRANCHISE TAX BOARD
PO BOX 1468
Date File Submitted _________________________________
/ /
SACRAMENTO CA 95812-1468
PLEASE COMPLETE THE FOLLOWING INFORMATION
Transmitter Information
Type of file:
Original
Correction
Replacement
–
FEIN:
Current Name, Address, City, State, ZIP Code
Last Year’s Name & Address (if different this year)
Reporting Information
Information Return Type(s):
1098
1098C
1098E
1098T
1099A
1099B
1099C
1099DIV
1099G
1099INT
1099LTC
1099MISC
1099OID
1099PATR
1099Q
1099R
1099S
5498
5498ESA
8300
W2-G
Total Payer “A” Records _________________ Total Payee “B” Records ___________________
Note: The totals above must match the accumulated totals on your media file. A mismatch could delay processing,
and we may return your file to you for replacement.
Signature ___________________________________ Title _________________________________ Date ____________________
Media Characteristics
CARTRIDGES
Media No.
External Label No.
DISKETTES/COMPACT DISCS
Internal Header Labels:
1 of
Filename(s) and Extension(s) Used:
Yes No
2 of
Recording Mode:
3 of
___________________________________________________
EBCDIC ASCII
4 of
___________________________________________________
Record Length = 750
5 of
Blocksize =
6 of
___________________________________________________
Person to contact for media problems:
Email address _ ______________________________________________
( ) –
Name ________________________________________________ Telephone __________________ Ext. _______
Send your file (or files) to:
Shipping
U.S. Mail
DATA EXCHANGE MS L120
DATA EXCHANGE MS L120
FRANCHISE TAX BOARD
FRANCHISE TAX BOARD
SACRAMENTO CA 95827
PO BOX 1468
SACRAMENTO CA 95812-1468
See Reverse Side for Instructions
FTB 3601 C3 (REV 11-2008) SIDE 1
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Parent category: Financial