Instructions For Form Ftb 4800 - Franchise Tax Board - State Of California Page 3

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PREPARATION INSTRUCTIONS
B. File Preparation
A. Form Preparation
1. If multiple volumes are submitted, list the volume
sequence numbers on the media labels (i.e., 1 of 2,
Prepare a separate transmittal form for each type of
2 of 2). If only one media file is submitted, list it as “1
media; i.e., if your organization reports on both tape and
of 1”.
diskette then each type of media must be accompanied
by a transmittal form. It must be prepared in the manner
2. The filename BONDINT must be used for diskette
described below.
files. If a file consists of more than one diskette, add
a 3-digit extension to the filename; e.g.,
1. Transmitter Information
BONDINT.001, BONDINT.002, etc.
Indicate whether the data on the media file is the original
installment, a correction of specific original records, a
MAILING INSTRUCTIONS
replacement for the original file, or a test file. Note: To
Complete this form as described above and either ship it
submit test file(s) contact the Franchise Tax Board
or mail it with the media file(s) to:
Magnetic Media Unit at (916) 845-3778. Test files are not
mandatory.
SHIPPING
U.S. MAIL
Franchise Tax Board
Franchise Tax Board
Enter the name, address, city/state/zip code and FEIN of
Service and Supply
Attn: Mag Media TEB
the organization transmitting the magnetic media.
Attn: Mag Media TEB
PO Box 942840
2. Payer Information
9645 Butterfield Way
Sacramento CA 94240-6090
List the payer name, Fein, the number of payee
Sacramento CA 95827
documents and the corresponding dollar amount. If more
room is needed to list additional payers, fill out and attach
CUSTOMER SERVICE INFORMATION
additional forms.
Name ________________________________________
Accumulate and enter: (1) the total number of payee
returns reported by all payers, and; (2) the total of all
Telephone: (
) _______________ Ext. __________
payment amounts reported by all payers. If this
Address ______________________________________
information is reported on an attached computer list it
must be carried forward to the “GRAND TOTAL” line.
_________________________
ZIP _____________
The affidavit signature line must be properly signed and
INFORMATION CONTACT
dated by the person to whom the organization has
delegated this responsibility. An organization transmitting
For technical information regarding magnetic media
for others may sign the form provided written permission
reporting, please call the Magnetic Media Unit at (916)
has been granted by the payer(s). If permission is
845-3778. For other questions regarding this reporting
granted, the organization becomes the payer’s agent and
requirement, call (916) 845-6660.
assumes responsibility for data quality and completeness.
NOTE: The due date for furnishing the information
3. Media Characteristics
returns for payments of interest or interest-dividends
made during 2000 is June 1, 2001. Please provide this
Indicate the tape/diskette recording characteristics by
information separately from other interest or
circling the appropriate information and completing the
dividend information returns (generally due annually
appropriate boxes. This information should be obtained
on February 28).
from someone in your data processing department
familiar with this reporting procedure. Please consult that
source if help is needed.
If your information is reported on magnetic tape reels,
enter the reel sequence number so that we can mount
them in the proper order. Enter the corresponding
external reel numbers assigned by your organization.
4. Contact Information
Enter the name and telephone number of a person we
can contact for technical information or to resolve media
problems.
FTB 4800 (REV 12-2000) PAGE 4

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