Form Ftb 4684a - Demand For Tax Return - Questionnaire - 2013
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4Reply to FTB
This Reply to FTB Form and/or a Tax Return
is Due to FTB by
From:
FILING ENFORCEMENT SECTION MS F180
FRANCHISE TAX BOARD
Notice Number:
PO BOX 942857
Code Number:
SACRAMENTO CA 94257-0540
Entity ID Number:
Fax: 916.843.6169
A
Tax return filed
Provide the following information so we may correct our records:
Mail or fax us the following:
1. When did you file the tax return? (MM/DD/YYYY)...
1. A complete copy of your
2. California corporate number under which
California business
you filed: ...........................................................................
entity tax return.
3. Federal employer identification number
2. Proof of payment (such as
(FEIN): ................................................................
a copy of the canceled
check, cash receipt,
4. California Employment Development
canceled money order, etc.).
Department account number: ......................................
Reply to FTB
3. This completed
5. California State Board of Equalization
form.
account number: ................................
6. California Secretary of State Limited
Liability Company Number (SOSL): ........
7. If you filed the tax return as part of a combined corporate tax return,
provide the name and corporate number under which it was filed:
California Corporate Number
Corporate Name
B
Filed under a different name, account number, or entity type
Provide the following information so we may correct our records:
1. The actual business name and entity type: __________________________________________________________
2. California corporate number: .....................................................................................................
3. Sole proprietor account number (social security number*): ........................................
4. Business entity account number (FEIN): ....................................................................
5. California Secretary of State file number (SOSL): ...........................................
6. California Employment Development Department account number: ...................................
7. California State Board of Equalization account number: ............................
8. If your business is no longer operating, indicate the date the business ceased
its operations: ..................................................................................................................
ftb.ca.gov
Franchise Tax Board Privacy Notice,
*Get FTB 1131,
at
, or call us at 800.338.0505. If outside the
United States call 916.845.6600.
Continued on next page
468401071333
FTB 4684A (REV 07-2013) C3 PAGE 3
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Parent category: Financial