Form It Ef Opt Out - Preparer Request For Exclusion From Electronic Filing Requirement For Personal Income Tax

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For Tax Year
IT EF OPT OUT
Rev. 10/12
10211411
Preparer Request for Exclusion from
Electronic Filing Requirement for Personal Income Tax
This completed form is a request to be excluded from the requirement to transmit tax returns electronically as
outlined in Ohio Revised Code section 5747.082. Required tax preparer information and reasons supporting the
request must be outlined below.
Please complete all questions on this form to prevent your request from being returned as incomplete and denied.
1. Name of your tax preparation business
2. Contact person name and phone number
3. Business address
4. Preparer’s PTIN (if self employed, enter your Social Security number)
5. Enter your EIN
6. How many original returns did your fi rm or business prepare for the last two tax years? State tax year and quantity of
original returns.
7. Outline in detail the reasons for this request
Firm or tax preparer responsible party
Date
For tax department use only. Do not complete information below this line.
Tax Commissioner – Approved / Denied
Date
Notes
Please mail this form (completed in its entirety) to:
Ohio Department of Taxation
Attention: Teakilla Phillips
Electronic Filing Unit
4485 Northland Ridge Blvd.
Columbus, OH 43229

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