Form 8453-C - California E-File Return Authorization For Corporations

DO NOT MAIL THIS FORM TO THE FTB

Date Accepted

TAXABLE YEAR

FORM

California e-file Return Authorization for Corporations

2015

8453-C

Corporation name

Identifying number

Part I Tax Return Information (whole dollars only)

1 Total income (Form 100, line 9, Form 100S, line 8, Form 100W, line 9 or Form 100X, Line 6) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1

2 Taxable income (Form 100, line 22, Form 100S, line 20, Form 100W, line 22 or Form 100X, Line 10) . . . . . . . . . . . . . . . . . . . . . . . 2

3 Total tax (Form 100, line 31, Form 100S, line 30, Form 100W, line 31, Form 100X, Line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

4 Tax due (Form 100, line 40, Form 100S, line 39, Form 100W, line 37 or Form 100X, Line 20) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4

5 Overpayment (Form 100, line 41, Form 100S, line 40, Form 100W, line 38 or Form 100X, Line 27) . . . . . . . . . . . . . . . . . . . . . . . . . 5

Part II Settle Your Account Electronically for Taxable Year 2015

□

Direct deposit of refund

□

Electronic funds withdrawal

7a Amount

7b Withdrawal date (mm/dd/yyyy)

Part III Schedule of Estimated Tax Payments for Taxable Year 2016 (These are NOT installment payments for the current amount the corporation owes.)

First Payment

Second Payment

Third Payment

Fourth Payment

8 Amount

9 Withdrawal Date

Part IV Banking Information (Have you verified the corporation’s banking information?)

□

10 Routing number

11 Account number

12 Type of account:

Checking

Savings

Part V Declaration of Officer

I authorize the corporate account to be settled as designated in Part II. If I check Part ll, Box 6, I declare that the account specified in Part IV for the direct deposit

refund agrees with the authorization stated on my return. If I check Part ll, Box 7, I authorize an electronic funds withdrawal for the amount listed on line 7a and any

estimated payment amounts listed on line 8 from the account specified in Part IV.

Under penalties of perjury, I declare that I am an officer of the above corporation and that the information I provided to my electronic return originator (ERO), transmitter,

or intermediate service provider and the amounts in Part I above agree with the amounts on the corresponding lines of the corporation’s 2015 California income tax

return. To the best of my knowledge and belief, the corporation’s return is true, correct, and complete. If the corporation is filing a balance due return, I understand that

if the Franchise Tax Board (FTB) does not receive full and timely payment of the corporation’s tax liability, the corporation will remain liable for the tax liability and all

applicable interest and penalties. I authorize the corporation return and accompanying schedules and statements be transmitted to the FTB by the ERO, transmitter, or

intermediate service provider. If the processing of the corporation’s return or refund is delayed, I authorize the FTB to disclose to the ERO or intermediate service

provider the reason(s) for the delay or the date when the refund was sent.



Sign

Here

Signature of officer

Date

Title

Part VI Declaration of Electronic Return Originator (ERO) and Paid Preparer. See instructions.

I declare that I have reviewed the above corporation’s return and that the entries on form FTB 8453-C are complete and correct to the best of my knowledge. (If I am

only an intermediate service provider, I understand that I am not responsible for reviewing the corporation’s return. I declare, however, that form FTB 8453-C accurately

reflects the data on the return.) I have obtained the corporate officer’s signature on form FTB 8453-C before transmitting this return to the FTB; I have provided the

corporate officer with a copy of all forms and information that I will file with the FTB, and I have followed all other requirements described in FTB Pub. 1345, 2015

e-file Handbook for Authorized e-file Providers. I will keep form FTB 8453-C on file for four years from the due date of the return or four years from the date the

corporation return is filed, whichever is later, and I will make a copy available to the FTB upon request. If I am also the paid preparer, under penalties of perjury,

I declare that I have examined the above corporation’s return and accompanying schedules and statements, and to the best of my knowledge and belief, they are

true, correct, and complete. I make this declaration based on all information of which I have knowledge.

Date

Check if

Check

ERO’s PTIN



□

ERO

ERO’s

also paid

if self-

signature

preparer

employed

Must

FEIN



Firm’s name (or yours

Sign

if self-employed)

ZIP code

and address

Under penalties of perjury, I declare that I have examined the above corporation’s return and accompanying schedules and statements, and to the best of my

knowledge and belief, they are true, correct, and complete. I make this declaration based on all information of which I have knowledge.

Paid

Date

Check

Paid preparer’s PTIN



preparer’s

□

if self-

Preparer

signature

employed