Form Ftb 3816 - Electronic Funds Transfer Election To Discontinue Or Waiver Request

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STATE OF CALIFORNIA
ELECTRONIC FUNDS TRANSFER UNIT
FRANCHISE TAX BOARD
PO BOX 1468
SACRAMENTO CA 94257-0501
Electronic Funds Transfer Election to Discontinue or Waiver Request
Entities who make an estimated tax or extension payment exceeding $20,000 or whose total tax liability exceeds $80,000
for any income year beginning on or after January 1, 1995, are required to remit all your corporate and franchise tax
payments to the Franchise Tax Board by Electronic Funds Transfer (EFT). Failure to comply with EFT requirements will
result in the assessment of a penalty.
Section 19011 of the California Revenue and Taxation Code provides that any taxpayer who is required to remit payments
to the Franchise Tax Board by EFT may request a waiver of those requirements. The Franchise Tax Board may grant a
waiver if it determines that the amounts paid in excess of the threshold amounts were not representative of the taxpayer’s
tax liability. In addition, taxpayers not meeting either threshold amount for the prior year may use this form to elect to
discontinue making payments by EFT.
To request a waiver or to elect to discontinue making payments by EFT, complete and submit the following. You
must remit all payments by EFT until you have been notified that this request has been granted.
Entity Name:
Entity Number:
Address:
City:
State:
Zip Code:
NOTE: If this entity is a member of a unitary group, please attach a schedule showing the names and entity numbers
of all other members that are California taxpayers.
If the entity does not meet the following conditions, it is required to file an Authorization Agreement for Electronic Funds
Transfer (FTB 3815) with the Franchise Tax Board and to remit all payments by EFT.
The above entity elects to discontinue making payments by EFT because it has not made an estimate
tax or extension payment in excess of $20,000 during the current or previous income year; and the
entity’s total tax liability reported for the previous income year did not exceed $80,000.
The above entity is requesting a waiver from participation in the EFT program because the amounts
paid were not representative of the entity tax liability, as explained below. Please use back side if
aditional space is needed.
(
)
Date
Signature and Title of Representative/Officer
Telephone Number
Return this completed form to:
FRANCHISE TAX BOARD, ELECTRONIC FUNDS TRANSFER UNIT, P.O. BOX 1468, SACRAMENTO, CA 94257-0501
Fax: 916.855.5556
Phone: 916.845.4025
381600121371
FTB 3816 (REV 11-2013) PAGE 1

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