California Form 8454 - E-File Opt-Out Record For Individuals

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DO NOT MAIL THIS FORM TO THE FTB
TAXABLE YEAR
CALIFORNIA FORM
e-file Opt-Out Record for Individuals
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 the Franchise Tax Board (FTB). Please keep it for your records.
For married/registered domestic partners (RDPs) filing jointly, only one spouse/RDP needs to sign.
Part I: Taxpayer Information
Your first name
Last name
Your SSN or ITIN
If filing jointly, spouse’s/RDP’s first name
Last name
Spouse’s/RDP’s SSN or ITIN
Street address (number and street) or PO box
Apt. no.
PMB/private mailbox
Telephone number
(
)
City
State
ZIP code
Foreign country name
Foreign province/state/county
Foreign postal code
 I elect not to e-file my tax return.
Reason (optional):
Your signature
Date
Spouse’s/RDP’s signature (if filing jointly)
Date
Part II: Tax Preparer Information
 I am not e-filing this taxpayer’s return due to reasonable cause.
Explanation:
Paid preparer’s signature
Date
Paid preparer’s name
PTIN
Firm’s name (if applicable)
FEIN
Firm’s or preparer’s address
Telephone number
(
)
City
State
ZIP code
FTB 8454
(2015)
C3
For Privacy Notice, get FTB 1131 ENG/SP.

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