Form 8633 California Application To Participate In The E-File Program printable pdf download

California Application to Participate in the

FORM

8633

e-file Program

Please print or type.

This application is (check one):

New

Revised

Reinstatement

On-line Filing Service Provider

a Federal Employer

b IRS Electronic Filer

c IRS Electronic Transmitter

Identification Number

FEIN # _________________

EFIN # __________________

ETIN # ___________________

d Legal name of firm as shown on tax return

e Doing Business As (DBA) Name (if other than the legal name in item 1d)

f Permanent mailing address (include street or PO Box, City, State, Zip Code)

g Business address (physical location, if different from above)

h Check the box that describes your firm and complete Side 2, if applicable. See instructions.

Sole Proprietorship

Partnership – Number of Partners______

Corporation – Corp # _____________________

Out-of-State

VITA/TCE/Not for Profit

Other (Specify)_____________________________________________

i As owner and/or controller of the business, check the appropriate box and enter the corresponding number if applicable.

CPA # _____________

Enrolled Agent # ____________

Attorney

Other (specify) ____________

Registered Tax Preparer: CTEC # _____________ and the Name of the Surety Bonding Company _______________

Name of contact representative (first, middle, last)

k Name of alternate contact representative (first, middle, last)

_______________________________________________

Business telephone number _________________________

Business telephone number

( ______ ) ____________________________ Ext. _______

( ______ ) __________________________ Ext. ________

FAX ( ______ ) ___________________________________

email address ____________________________________

email address ___________________________________

Please answer the following questions by checking the appropriate box:

Will you transmit tax return data directly to the FTB? (Transmitter)

Yes

(NOTE: An Electronic Return Originator (ERO) who transmits through a third party

is not categorized as a transmitter and should answer “no” to Question 2a.)

Will you write electronic filing software? (Software Developer)

Yes

If “yes,” provide the Internet address for locating the software: _________________________________________

Will the electronic submission of tax returns to the FTB originate with your firm?

(Electronic Return Originator)

Yes

FTB 8633

2001

Side 1

(REV. 11-2001)

For Privacy Act Notice see form FTB 1131.

Form 8633 California Application To Participate In The E-File Program

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