Va Form 8454t - Taxpayer Opt Out Form - Virginia Department Of Taxation

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Virginia Department of Taxation
Taxpayer Opt Out Form
Taxable Year _____
VA FORM 8454T
Tax preparers who file 50 or more individual income tax returns are required to e-File returns. Returns submitted
electronically are processed faster and more accurately and at a lower cost. If a return is not eligible for e-File, it may be
filed on paper.
As a taxpayer receiving services from a tax preparer who is required by Virginia law to file all acceptable Virginia
individual income tax returns electronically, you may elect to “Opt Out”. That is, you may elect to not have your return e-
Filed.
If you elect to Opt Out, you are required to complete this form. Completing and signing this form will indicate that you
have elected to not have your return e-Filed.
Reason for opt out: ________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
________________________________________________________________________________________________
Taxpayer’s signature
Date
Preparer’s or Firm’s Name
Spouse’s signature (if filing joint)
Date
Tax Preparer’s Signature
Date
Taxpayer’s Name(s)
Preparer’s FEIN/PTIN/SSN
PLEASE PRINT
Primary SSN
Spouse’s SSN (if filing joint)
Preparer’s Contact Information – Phone/e-mail
Instructions for Paid Tax Preparer
Retain a copy of this form with your records for a period of three (3) years.
Do Not Fax or Mail to the Tax Department.
Rev. 12/2011

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