Looking for a Michigan Department Of Treasury Forms And Templates? Download it for free!

Form Mi-8633 - Application To Participate In The Michigan E-File Program October 2000 Page 2

MI-8633, page 2

ACKNOWLEDGEMENT MAILBOX IDENTIFICATION

The acknowledment mailbox identification must be entered correctly in the software in order for transmitters to

receive their Michigan acknowledgments. If the software does not provide the mailbox identification in the

set-up portion of the software, the transmitter should contact StAck, the State Acknowledgment Service.

StAck (State Acknowledgment Service)

235 East Palmer Street

Franklin, NC 28734-3089

828-349-5750

828-349-5745 (fax)

sysadmin@state-ack.net

APPLICANT AGREEMENT

Under the penalties of perjury, I affirm that I have examined this application and any accompanying information, and to the best of my knowledge

and belief it is true, correct, and complete. This firm and its employees will comply with all provisions of the Internal Revenue Service Publication

1345, Handbook for Electronic Filers of Individual Income Tax Returns, and any requirements specified by the Michigan Department of Treasury

for the years of participation. I understand that if this firm is sold or its organizational structure is changed, acceptance for participation is not

transferable; a new application must be filed. I further understand that noncompliance will result in the firm no longer being allowed to participate

in the program. I am aware that I must be accepted by the Internal Revenue Service to enable my participation in the Federal/State Electronic

Filing Program. I am authorized to make and sign this statement on behalf of the firm.

Name and Title of Firm Official and/or Principal Owner (please type or print)

Signature of Firm Official and/or Principal Owner

Date

If you have questions, please call the Electronic Filing Office at 517-373-0614. Deaf, hearing or speech

impaired persons may call 517-373-9419 (TTY).

Mail or fax completed application form to:

Electronic Filing Office

Michigan Department of Treasury

P.O. Box 30058

Lansing, MI 48909

Fax: (517) 241-2727

Form Mi-8633 - Application To Participate In The Michigan E-File Program October 2000 Page 2

Related Articles

Related forms

Related Categories