Form Ftb 8633 - California E-File Program Participant Enrollment Form

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California e-file Program
Participant Enrollment Form
Skip the form – enroll online at
1
Application type
 
New
Update
Reinstate
2
Participant name
Name of sole proprietor, partnership, or corporation, as shown on tax return
Doing business as, if different from above
3
Identification numbers
EFIN
ETIN
SSN/FEIN
PTIN
4
Street
Participant address
(Mailing address)
City
State
ZIP Code
Street
(Physical address, if different
from mailing address)
City
State
ZIP Code
5
Participant type
Individual
Business
(Check all that apply)
   
Electronic Return Originator
   
Transmitter
   
Software Developer
6
Contact information
First name
Middle initial
Last name
A. Individual e-file
Phone
Ext.
Fax
First name
Middle initial
Last name
B. Business e-file
  Check box if contact
Phone
Ext.
Fax
information same as
Individual e-file
7
About the participant
Certified Public Accountant (CPA or AICPA) # __________________
(e.g., business owner or
Enrolled Agent # ________________
responsible official)
Attorney
(Check one)
CTEC # _________ , surety bonding company____________________
Other, specify___________________________________________
Submit your
For more
Web:
Fax: (916) 845-0287
enrollment
information
Email: e-file@ftb.ca.gov
Mail: e-file Program MS F284
Phone: (916) 845-0353
form
Franchise Tax Board
PO Box 1468
Sacramento CA 95812-1468
Online:
For Privacy Notice, get form FTB 1131.
FTB 8633 (REV 12-2006) Side 1

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