Form 8453-C - California E-File Return Authorization For Corporations - 2011

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_______________________
DO NOT MAIL THIS FORM TO FTB
Date Accepted
TAXABLE YEAR
FORM
California e-file Return Authorization for Corporations
2011
8453-C
Corporation name
Identifying number
Part I Tax Return Information (whole dollars only)
1 Total income (Form 100, line 9, Form 100S, line 8, Form 100W, line 9 or Form 100X, Line 6) . . . . . . . . . . . . . . . . . . . . . . . . 1___________________
2 Taxable income (Form 100, line 23, Form 100S, line 21, Form 100W, line 23 or Form 100X, Line 10) . . . . . . . . . . . . . . . . . . 2___________________
3 Total tax (Form 100, line 31, Form 100S, line 30, Form 100W, line 31, Form 100X, Line 18) . . . . . . . . . . . . . . . . . . . . . . . . . 3___________________
4 Tax due (Form 100, line 37, Form 100S, line 36, Form 100W, line 37 or Form 100X, Line 20) . . . . . . . . . . . . . . . . . . . . . . . . 4___________________
5 Overpayment (Form 100, line 38, Form 100S, line 37, Form 100W, line 38 or Form 100X, Line 27). . . . . . . . . . . . . . . . . . . . 5___________________
Part II Settle Your Account Electronically for Taxable Year 2011
6 m Direct deposit of refund
7 m Electronic funds withdrawal
7a Amount ______________________
7b Withdrawal date (MM/DD/YYYY) _____________________
Part III Schedule of Estimated Tax Payments for Taxable Year 2012
(These are nOT installment payments for the current amount the corporation owes.)
First Payment
Second Payment
Third Payment
Fourth Payment
8 Amount
9 Withdrawal Date
Part IV Banking Information (Have you verified the corporation’s banking information?)
10 Routing number______________________________________________
m
m
11 Account number______________________________________________ 12 Type of account:
Checking
Savings
Part V Declaration of Officer
I authorize the corporate account be settled as designated in Part II. If I check Part ll, Box 6, I declare that the account specified in Part IV for the direct
deposit refund agrees with the authorization stated on my return. If I check Part ll, Box 7, I authorize an electronic funds withdrawal for the amount listed
on line 7a and any estimated payment amounts listed on line 8 from the account specified in Part IV.
Under penalties of perjury, I declare that I am an officer of the above corporation and that the information I provided to my Electronic return originator (ERO),
transmitter, or intermediate service provider and the amounts in Part I above agree with the amounts on the corresponding lines of the corporation’s 2011
California income tax return. To the best of my knowledge and belief, the corporation’s return is true, correct, and complete. If the corporation is filing a balance
due return, I understand that if the Franchise Tax Board (FTB) does not receive full and timely payment of the corporation’s tax liability, the corporation will
remain liable for the tax liability and all applicable interest and penalties. I authorize the corporation return and accompanying schedules and statements be
transmitted to the FTB by the ERO, transmitter, or intermediate service provider. If the processing of the corporation’s return or refund is delayed, I authorize
the FTB to disclose to the ERO, intermediate service provider, the reason(s) for the delay or the date when the refund was sent.
Sign
Here
Signature of Officer
Date
Title
Part VI Declaration of Electronic Return Originator (ERO) and Paid Preparer. See instructions.
I declare that I have reviewed the above corporation’s return and that the entries on form FTB 8453-C are complete and correct to the best of my knowledge.
(If I am only an Intermediate Service Provider, I understand that I am not responsible for reviewing the corporation’s return. I declare, however, that form
FTB 8453-C accurately reflects the data on the return.) I have obtained the corporate officer’s signature on form FTB 8453-C before transmitting this return to
the FTB; I have provided the corporate officer with a copy of all forms and information that I will file with the FTB, and I have followed all other requirements
described in FTB Pub. 1345B, 2011 Business e-file Handbook for Authorized e-file Providers, and in FTB Pub. 1345, 2011 e-file Handbook for Authorized
e-file Providers. I will keep form FTB 8453-C on file for four years from the due date of the return or four years from the date the corporation return is filed,
whichever is later, and I will make a copy available to the FTB upon request. If I am also the paid preparer, under penalties of perjury, I declare that I have
examined the above corporation’s return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct,
and complete. I make this declaration based on all information of which I have knowledge.
Date
Check if
Check
ERO’s PTIN
ERO
ERO’s-
also paid
if self-
signature
preparer
employed
Must
FEIN
Sign
Firm’s name (or yours
if self-employed)
ZIP Code
and address
Under penalties of perjury, I declare that I have examined the above corporation’s return and accompanying schedules and statements, and to the best of
my knowledge and belief, they are true, correct, and complete. I make this declaration based on all information of which I have knowledge.
Paid
Paid
Date
Check
Paid preparer’s PTIN
preparer’s
if self-
Preparer
signature
employed
Must
FEIN
Firm’s name (or yours
Sign
if self-employed)
ZIP Code
and address
FTB 8453-C 2011
For Privacy Notice, get form FTB 1131.

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