Form Ftb 8633 California E-File Program Participant Enrollment

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California e-file Program
Participant Enrollment Form
Skip the form – enroll online at
1
Application type
New
Update
Reinstate
Name of sole proprietor, partnership, or corporation, as shown on tax return
2
Participant name
Doing business as, if different from above
Identification numbers
EFIN
ETIN
3
SSN/FEIN
PTIN
Street
4
Participant address
(Mailing address)
City
State
ZIP Code
Street
(Physical address, if different
from mailing address)
City
State
ZIP Code
First name
Middle initial
Last name
5
Contact information
(Primary contact)
Phone
Ext.
Fax
Email
The Franchise Tax Board may send information and updates about the California e-file Program to this email address.
6
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___________________________________________
7
About the participant’s
Sole proprietorship
business
Partnership
(Check one)
Corporation, enter corporation number ___________________
Non-profit tax preparation service; Volunteer Income Tax Assistance
Out-of-State participants must
(VITA); or Tax Counseling for the Elderly (TCE)
provide a copy of their IRS
Out-of-State
acceptance letter.
Limited liability company (LLC)
8
Participant type
Electronic Return Originator
(Check all that apply)
Transmitter
Software Developer
Submit your
For more
Fax:
(916) 845-0287
Email:
e-file@ftb.ca.gov
enrollment
information
Phone: (916) 845-0353
Mail:
e-file Program MS A-1
form
Web:
Franchise Tax Board
PO Box 1468
Sacramento CA 95812-1468
Online:
For Privacy Act Notice, get form FTB 1131.
FTB 8633 (REV 11-2004) Side 1

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