Form Ga-8453 - Georgia Individual Income Tax Declaration For Electronic Filing Summary Of Agreement Between Taxpayer And Ero Or Paid Preparer - 2015 Page 2

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General Instructions
PURPOSE OF FORM
The GA-8453 is a signature form summarizing the agreement between the taxpayer and ERO or paid preparer. It may also be used by
the Georgia Department of Revenue (GADOR) to authenticate the electronic portion of Form 500 or 500EZ. This form is to be used
when GA 500 or 500EZ is filed electronically or when a 2D barcode return is produced. This form should not be mailed, but should
be kept for a period of 3 years from the end of the year for which the return is filed. This is in accordance with Georgia Regulation 560-
3-2-.27. Taxpayers filing from home computers must keep the signed GA-8453 and supporting documents for three (3) years after the
due date of the return or the date the return was filed electronically, whichever is later.
LINE INSTRUCTIONS
Enter either the DCN or Submission ID.
IRS DCN – This is the IRS’s Declaration Control Number. This is a 14 digit number assigned to each return by the electronic returns
originator (ERO). This number will be the same as on the Federal return.
SUBMISSION ID - This is a distinct ID assigned to every electronic return that is sumbitted to Georgia. This 20 Character ID can be used
in tracking the return. NAME, ADDRESS, and PHONE NUMBER - If the taxpayer received an address label and the information is correct,
that label may be placed here. Otherwise print or type the information in the space provided. Any information that is not contained on the
label should also be provided.
PART I – TAX RETURN INFORMATION
Enter the required data from the Georgia tax return. Lines 1-3 must be completed. Either line 4 or line 5 should also be completed.
These lines must reflect the amounts transmitted on the return.
Payment of Balance Due - It is the responsibility of the taxpayer who owes additional tax to make payment to the Georgia Department
of Revenue using one of the following methods:
•
Mail a check with the 525-TV. This voucher and other forms can be found online at
•
ACH debit payment is available online at
https://gtc.dor.ga.gov
and through the payment option within tax software
programs.
•
Credit card payments via Official Payment Corp (OPC) can be made either online at
or by phone by
calling 1-800-2PAY-TAX using jurisdiction code 2000 for Individual taxes.
PART II – DECLARATION OF CORPORATE OFFICER
After the return has been prepared and before the return is transmitted, the taxpayer (and spouse, if joint) must verify the
information on the return, sign and date the completed GA-8453. The ERO must provide the taxpayer(s) with a copy of this
form.
If an ERO makes changes to the electronic return after the GA-8453 has been signed by the taxpayer, but before transmittal, the ERO
must have the taxpayer complete and sign a corrected GA-8453.
PART III – DECLARATION OF ELECTRONIC RETURNS ORIGINATOR AND PAID PREPARER
The Georgia DOR requires that the ERO sign this form and keep it with the required attachments for three (3) years. A preparer must
sign the GA-8453 in the space provided for the preparer. If the preparer is also the ERO, do not complete the Preparer Section;
instead, check the box labeled “Check if also paid preparer” in the ERO section.
TAXPAYER(S)’ COPY: The ERO must provide a copy of the completed GA-8453 and all other relevant and required information to
the taxpayer
s (
. )
ATTACHMENTS: Attach copies of Forms W-2, and 1099’s and any schedules and/or documents with required signatures.
TELEPHONE ASSISTANCE:
Refunds
1-877-423-6711
Taxpayer Assistance
1-877-423-6711
taxpayer.services@dor.ga.gov
INDIVIDUAL TAX QUESTIONS:
PROCESS FOR ONLINE ACH DEBIT PAYMENT QUESTIONS:
Georgia Tax Center (GTC)
REPORTING FRAUD
1-877-423-6711 or
/webform/fraud-referral-form
A fraud hotline has been established for practitioners and taxpayers to report tax-related activities that they believe are illegal or
incorrect. The hotline can be used to report suspected illegal activity for all tax types. Persons submitting reports may remain
anonymous.
For Rules and Regulations, Frequently Asked Questions and forms please visit our website at
KEEP THIS FORM FOR YOUR RECORDS

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