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PREPARATION INSTRUCTIONS

B. File Preparation

A. Form Preparation

If multiple volumes are submitted, list the volume

sequence numbers on the media labels (i.e., 1 of 2,

Prepare a separate transmittal form for cartridge,

2 of 2). If only one media file is submitted, list it as

diskette, or compact disk media. If your organization

“1 of 1.”

reports on more than one media type, then a

transmittal form prepared in the manner described

C. Password Protection

below must accompany each media type.

If you choose to password protect your diskette or

1. Transmitter Information

CD before sending it to the Franchise Tax Board,

please send your password to the following email

Indicate whether the data on the media file is

address: desbond@ftb.ca.gov

the original installment, a correction of specific

Enter the following in the subject line, “Interest

original records or a replacement for the original

file.

and Interest Dividend Payments on Federally Tax

Exempt Bonds,” and include your:

Enter the name, address, city, state, ZIP code,

and FEIN of the organization transmitting the

•

Business name

•

Transmitter number or other identification number

magnetic media.

•

Password.

2. Payer Information

Write “Password Protected” on the top of your

List the payer name, FEIN, the number of

completed transmittal that you mail with your

payee documents, and the corresponding dollar

diskette or CD. Do not send your password via the

amount. If more room is needed to list additional

U.S. Mail as this will delay the processing of your

payers, fill out and attach additional forms.

information.

Accumulate and enter: (1) the total number of

MAILING INSTRUCTIONS

payee returns reported by all payers and: (2)

the total of all payment amounts reported by

Complete this form as described above and either ship it

or mail it with the media files to:

all payers. If this information is reported on an

attached computer list it must be carried forward

U.S. Mail

to the Grand Total line.

DATA EXCHANGE TEB MS L120

The signature line must be properly signed and

FRANCHISE TAX BOARD

dated by the person to whom the organization

PO BOX 1468

has delegated this re

sponsibility. An organization

SACRAMENTO CA 95812-1468

transmitting for other

s becomes the payer’s

agent and assumes r

esponsibility for data quality

Private Mail Carriers

and completeness.

DATA EXCHANGE TEB MS L120

3. Media Characteristics

SERVICE AND SUPPLY

FRANCHISE TAX BOARD

IMPORTANT: Nine track magnetic tape reels

9646 BUTTERFIELD WAY

are no longer acceptable. Acceptable media are

SACRAMENTO CA 95827

cartridge, diskette, and compact disk.

TECHNICAL ASSISTANCE

Indicate the cartridge, diskette, or compact

disk recording characteristics by filling in

For technical assistance with media reporting, please

call the Data Exchange Office at (916) 845-3778. For

the necessary information and checking the

other questions regarding this reporting requirement, call

appropriate boxes. This information should be

obtained from someone in your data processing

us at (916) 845-6660.

department familiar with this reporting procedure.

NOTE: The due date for furnishing the information

Please consult that source if help is needed.

returns for payments of interest or interest-dividends

made during 2007 is June 1, 2008. Please provide

4. Contact Information

this information separately from other interest or

Enter the name and telephone number of a

dividend information returns (generally due annually

person we can contact for technical information

on February 28).

or to resolve media problems.

FTB 4800 (REV 12-2007) PAGE 4

Form Ftb 4800 - Interest And Interest-Dividend Payment Reporting Requirement Letter - 2007 Page 4

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