Form Mi-8633 - Application To Participate In The Michigan E-File Program October 2000
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2MI-8633
Michigan Department of Treasury
Issued under authority of P.A. 281 of 1967. Filing is voluntary .
(Rev. 10-00)
APPLICATION TO PARTICIPATE IN THE MICHIGAN E-FILE PROGRAM
Please type or print.
New Application
Revised Application
Firm's Legal Name as shown on the firm's tax return
Electronic Filing ID Number from IRS Acceptance Letter (6 digit EFIN)
S
Doing Business As (DBA) if other than the name above
FEIN and/or Social Security Number
T
Mailing Address (Street, P.O. Box)
Office Use
A
(City, State, ZIP Code)
T
Contact Name
Alternate Contact Name
E
Daytime Telephone Number
FAX Number
Daytime Telephone Number
FAX Number
(
)
(
)
(
)
(
)
O
E-mail Address (Helpful for future communications and updates.)
E-mail Address (Helpful for future communications and updates.)
F
YES
NO
A.
Do you want the above address published on Michigan Treasury's web site?
M
If no, what address would you like published (if any)?
I
C
H
YES
NO
B.
Do you or your firm have any unfiled personal or business tax returns or unpaid tax
liabilities due in the past three years?
I
G
PREPARERS - PLEASE SUPPLY THE FOLLOWING INFORMATION
A
C.
Name of software package you plan to use:
N
D.
Acknowledgment mailbox indentification:
(See information on reverse side.)
SOFTWARE DEVELOPERS - PLEASE SUPPLY THE FOLLOWING INFORMATION
E.
Create a ten-character software developer ID number and enter here:
YES
NO
F.
On-line provider?
G.
What method of transmission does your software allow? (check as many as apply)
Direct to the IRS
Using your tax preparation software
Third party transmitter using other software
H.
Acknowledgment mailbox identification:
(See information on reverse side.)
I.
Web site address, if any
You must sign the reverse side of this form.
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