Form 8-543-1999 - Nebraska Income Tax E-File - Electronic Return Originator (Ero) Agreement

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Nebraska Income Tax E-File
Electronic Return Originator (ERO) Agreement
nebraska
department
of revenue
ERO Company Name
Nebraska I.D. No.
Primary ERO Contact Name
ERO Contact Telephone /Ext.
ERO Company Address
City
State
Zip Code
Contact Fax Number
Contact E-Mail Address
Brand Name of Software Used to Create Electronic Returns ___________________________________________________________
List all Federal EFINs under which you will file Nebraska returns with Contact Names and Contact Telephone Numbers for each. If
additional space is required, list on reverse side of this form.
EFIN
CONTACT NAME
TELEPHONE
EXT.
This is an agreement between you, as an Electronic Return Originator (ERO) for the Nebraska Joint Electronic Filing Program Nebraska
E-File, and the Nebraska Department of Revenue (department). As an ERO, I agree to be bound by the following terms:
1)
To follow all the manuals, guides, and directives issued by the department for the Nebraska E-File program.
2)
To be approved as an ERO by the Internal Revenue Service for the current tax year and all following years covered under this
agreement, and to comply with all federal guidelines for participation in the electronic filing program.
3)
To not transmit any electronic income tax returns until I have in my possession a signed Nebraska Individual Income Tax
Declaration for Electronic Filing, Form 8453N, from the individual taxpayer. If I transmit electronically without a properly
signed Form 8453N, I will immediately be removed from the program and will not be allowed to participate in this program
for a minimum of five years.
4)
To verify receipt of state acknowledgment for all returns transmitted and follow department procedures for submitting paper
returns on electronic returns that have been rejected.
5)
To retain all signed 8453Ns and other non-electronic documentation pursuant to the requirements spelled out in the Nebraska
Handbook for Electronic Filers of Individual Income Tax Returns (current year) for a period of three years; and upon
written request by an authorized department representative, to provide the department with access to review the originals of
said forms. Furthermore, I agree to provide the department with copies of any 8453Ns and other non-electronic documentation
in my possession upon request by an authorized department representative.
6)
To keep confidential all tax information that I am required to retain in accordance with all the department’s Nebraska E-File
guides and directives.
7)
To immediately notify the department in writing and, if required, to provide the department with all 8453Ns and other non-
electronic documentation in my possession should I merge, sell, or cease my business operations. In case of my death, my
estate will notify the department and immediately forward all 8453Ns and other non-electronic documentation that was in my
possession at the time of my death.
This agreement is in force for the current year and all following years until I cease operations. If any of this information
changes, I understand that a new Nebraska E-File ERO Agreement must be submitted with corrected information. I further
understand that the failure on my part to adhere to any of the above terms will result in the immediate revocation of this
agreement.
Print Name and Title of Authorized Proprietor or Corporate Officer of the ERO
sign
Signature of the Proprietor or Corporate Officer of the ERO
Date
here
APPROVED:
State Tax Commissioner
Date
Fax this agreement to 402-471-5608, or mail to:
NEBRASKA DEPARTMENT OF REVENUE, PO BOX 94650, LINCOLN, NE 68509-4650

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