California Schedule 1067b - Group Nonresident Return Payment Transfer Request - 2016
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1TAXABLE YEAR
CALIFORNIA SCHEDULE
Group Nonresident Return Payment Transfer Request
1067B
Business entity/corporation name and address
FEIN
-
California Secretary of State (SOS) File No ., if issued
Taxable year (yyyy)
Check only one of the boxes below . Use separate sheets if needed .
A . Move payments from the group to the individual account .
B . Move payments from the individual account to the group .
Original payment reduced to: ________________
Total amount transferred to group: ________________
Important: It takes 6 to 8 weeks to process your request to move estimated tax payments .
Name of individual and
Individual’s complete
* Taxpayer in
Prior year
Extension
Total
Quarter 1
Quarter 2
Quarter 3
Quarter 4
SSN or ITIN
address
or out
transfer
payments
payments
1
2
3
4
5
6
7
8
9
10
TOTALS
Page ______ of ______
* If taxpayer status has changed after transfer (ie: included or excluded from group) please submit a revised 1067A with this request .
I have been authorized by the above-named business entity/corporation and individuals to request the transfer of payments as shown above.
Authorized signature
Print name
Title
Date
Telephone
Contact person
Fax or mail to:
Fax: 916.845.9392
Mailing address:
GROUP FILING PROGRAM MS L170
ATTN: INFORMATION VALIDATION SECTION (732)
Do not attach this request to the return.
FRANCHISE TAX BOARD
This request must be faxed or mailed separately from the return.
PO BOX 1468
SACRAMENTO CA 95812-1468
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