California Form 8454 - E-File Opt-Out Record - 2004
ADVERTISEMENT
1DO NOT MAIL THIS FORM TO FTB
TAXABLE YEAR
CALIFORNIA FORM
2004
e-file Opt-Out Record
8454
General Information
California law requires individual income tax returns prepared by certain income tax preparers to be electronically filed
(e-filed) unless the taxpayer elects not to e-file or the tax preparer cannot e-file the return due to reasonable cause. Use
this form to record when and why the return was not e-filed.
Do not mail this form to FTB. Please keep it in your records.
When taxpayers are married filing jointly, only one spouse needs to sign.
Par
Par
Part I:
t I:
t I:
t I: Taxpayer Information
Par
Par
t I:
First Name
Last Name
Your social security number
-
-
Spouse’s First Name
Last Name
Spouse’s social security number
-
-
Street Address
Apt. no.
PMB no.
Telephone number
(
)
City
State
ZIP Code
I elect not to e-file my tax return.
Reason (optional):_______________________________________________________________________
Taxpayer’s signature
Date
Spouse’s signature (if filing jointly)
Date
Par
Par
Part II:
t II:
t II:
t II: Tax Preparer Information
Par
Par
t II:
I am not e-filing this taxpayer’s return due to reasonable cause.
Explanation:____________________________________________________________________________
______________________________________________________________________________________
______________________________________________________________________________________
Paid Preparer’s Signature
Date
Paid Preparer’s Name
SSN/PTIN
Firm’s Name (if applicable)
FEIN
Street Address
Telephone number
(
)
City
State
ZIP Code
For Privacy Act Notice, get form FTB 1131.
FTB 8454 C3 (REV 09-2004)
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial