Form Tc-8453 - Utah Individual Income Tax Transmittal For Electronic Filing - 2006
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1IRS-DCN
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Clear form
2006
Utah State Tax Commission
Utah Individual Income Tax
TC-8453
Transmittal For Electronic Filing
Rev. 12/06
For the year January 1 - December 31, 2006
Your Social Security number
Your name
Last name
Spouse's Social Security number
Spouse's name
Last name
Mailing address
Telephone number
IMPORTANT!
City
State
ZIP code
Foreign country (if not U. S.)
Social Security Number(s) Required
Declaration of Taxpayer for State Only Returns or Other Documentation to be Submitted to the Tax Commission
Under penalties of perjury, I declare I have compared my 2006 Utah Individual Income Tax return with the information I provided to my
Electronic Return Originator, and to the best of my knowledge and belief, my return is true, correct and complete. This declaration may be
forwarded to the Utah State Tax Commission by my Electronic Return Originator as validation of my electronically filed Utah Individual
Income Tax return. I understand if there is an error in my return, it may be rejected and any Utah refund to which I may be entitled may be
delayed.
Date
Date
Taxpayer signature
Spouse signature
This form is to be filed ONLY if the taxpayer(s) is filing
Declaration of Taxpayer for Utah Only Returns.
A taxpayer
a Utah State Only Return electronically separate from
may file their Utah State return electronically, separate from
their federal return. If a Utah State Only Return is being filed,
their federal return, or must submit specific
the signature of the taxpayer (and spouse, if filing jointly) is
documentation to the Utah State Tax Commission to
required.
support an equitable adjustment reported as an
addition to income (Schedule S, Part 1, code 69) or an
When and Where to File
other deduction (Schedule S, Part 2, code 79).
If required, the ERO must mail the TC-8453 to the
Utah State
Tax Commission, 210 N 1950 W, Salt Lake City, UT 84134-
IRS-DCN.
Enter the same 14-digit Document Control
0210
, no later than the next working day after receiving the
Number (DCN) assigned by the Electronic Return
state acknowledgment the return was received and accepted.
Originator (ERO) to identify your electronically submitted
If a third-party transmitter is used, the ERO must mail this
federal tax return.
information the next working day after receiving the state
Name, Address, Social Security Number.
Your social
acknowledgment from the Transmitter.
security number(s) and name(s) must match your social
DO NOT include a copy of your return or withholding forms
security card(s). Enter your social security number,
(W-2, W-2G, 1099-G, and 1099-R) if filing this form.
name(s), address and telephone number(s) in the spaces
provided. If you file a joint return, make sure you enter the
social security numbers in the same order your names are
shown on your return.
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