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special symbols. If fewer than 17

PO Box

Iowa has adopted the PIN signature

characters, enter the number from left to

If the post office does not deliver mail to

alternative as implemented by the

right and leave the unused boxes blank.

your home and you have a post office box,

Internal Revenue Service. If you provide

enter the box number.

Line 9. The account designated to receive

the prior year’s Federal AGI, then a 5-

the direct deposit must be your name. If

Note: The address must match the address

digit PIN may be used to authenticate

you are married filing jointly, the account

shown on your electronically filed

the tax return. If this signature

can be in either name or both your names.

return.

alternative is used, the IA 8453OL will

If you are married filing separately, the

not have to be signed by the taxpayer

Part I. Tax Return Information

account can be in your name or in both

and will not have to be submitted to

Use whole dollars only in this area.

your name and your spouse’s name.

IDRF. If you elect not to use this

Enter amounts from the IA 1040 or

Some financial institutions will not allow a

signature alternative, then the IA

IA 1040A return, as specified. No

joint refund to be deposited into an

8453OL, Declaration for Electronic

computation is required. All Iowa returns

individual account. IDRF is not

Filing, must be completed, signed and

will be transmitted as IA 1040 long forms.

responsible when a financial institution

sent to IDRF, and you must abide by the

remaining

instructions

this

refuses a direct deposit for this reason.

Do not attach your check or money order

document.

to form IA 8453OL. If there is an amount

Part III. Declaration of Taxpayer

due, send payment with the Individual

Your electronically transmitted return will

Income Tax Payment Voucher, IA 1040V, to

Instructions for IA 8453OL

not be considered complete, and therefore

the following address:

Purpose of Form

filed, unless and until the IDRF receives

Iowa Department of Revenue

Use Form IA 8453OL to:

your signed form IA 8453OL. If a joint

and Finance

return, your spouse must also sign.

• Authenticate the electronic portion of

Iowa Income Tax - Document Processing

the Iowa Individual Income Tax Return

Refunds

PO Box 9187

Des Moines IA 50306-9187

• Send any accompanying paper

After IDRF has acknowledged receipt of

schedules and statements, and

Or pay online at

your return, the refund should be issued

within three weeks. If you elect to have

• Request that we directly deposit any

If the return is timely filed but less than

the refund directly deposited into a

refund into your bank account.

90% of the tax is paid by April 30, 2002, a

savings or checking account, your

5% failure to timely pay penalty will apply,

Who Must File

account may be credited even sooner.

plus interest.

If you are filing a 2001 form Iowa 1040

Automated Refund Information

Part II. Direct Deposit of Refund

through an online service provider (OLSP)

Automated refund information is available

or transmitter, you must file a signed 2001

Complete this part if you choose to have

by calling 1-800-572-3944 (Iowa only).

form IA 8453OL with the Iowa Department

your refund directly deposited. Your

of Revenue and Finance (IDRF).

routing transit number (RTN) and

If calling from the Des Moines area or

depositor account number (DAN) may be

from out of state, dial (515) 281-4966.

When and Where to File

shown on the bottom left of your check.

You must mail or fax this form to IDRF on

Attachments:

the next working day after you have

For accounts payable through a financial

Attach to the declaration form:

received acknowledgment from your OLSP

institution other than the one at which the

•

The state copy of form W-2, W-2G and

or transmitter that the IDRF has accepted

account is located, you must enter the

1099R to the front of the declaration

your electronically-filed return. See

RTN of the bank or institution where the

form as indicated.

address and fax number at the bottom of

account is located. You may find this

the IA 8453OL form.

information on your account statement or

•

If you have used an IA 130, Out of

account identification card.

Line Instructions

State Tax Credit, attach a copy of the

If you have any doubt about the correct

other state’s return to the back of this

Declaration Control Number (DCN)

RTN, contact your financial institution

form.

The DCN is a 14-digit number assigned to

and ask for the correct RTN for direct

your return by your OLSP or transmitter. It

•

For IA/IL Reciprocal, attach a copy of

deposit (Electronic Funds Transfers).

is included in your acknowledgment

the Illinois return if Iowa income tax is

message.

Note: Some financial institutions may not

withheld in error.

accept direct deposits into accounts that

Clearly type or print the DCN in the top

are payable through another bank or

left corner of Form IA 8453OL. The same

financial institution, including credit

DCN must be entered on your IA 8453OL

unions.

as on your IRS form 8453OL.

Line 7. The RTN must be nine digits. If it

Name, Address, Social Security

does not begin with 01 through 12 or 21

Number (SSN)

through 32, your direct deposit will be

Make sure your SSN is clear and correct.

rejected and a check sent.

Any incorrect or missing SSN may delay a

Line 8. The DAN can be up to 17

refund. If a joint return, be sure the names

characters (both numbers and letters).

and SSNs are listed in the same order.

Include hyphens but omit spaces and

41-019b (11/09/01)

Form Ia 8453ol - Iowa Individual Income Tax Declaration For On-Line Service Electronic Filing - 2001 Page 2

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