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Form Ftb 4800 Meo - Federally Tax-Exempt Non-California Bond Interest And Interest-Dividend Payment Information Media Transmittal Page 4

Preparation Instructions

A. Form Preparation

Enter "Interest and Interest-Dividend Payments on

Federally Tax-Exempt Bonds" on the subject line and

Follow the steps below to complete each transmittal

include your:

required based on media type.

Business name.

1. Transmitter Information

Transmitter number or other identification number.

Password.

Indicate whether the data on the media file is the

original installment, a correction of specific original

Write 'Password Protected' on the top of your completed

records, or a replacement for the original file. Enter

transmittal that you mail with your diskette or CD. Do not

the name, address, city, state, ZIP code, and FEIN of

send your password via the U.S. mail as this will delay

the organization transmitting the media.

the processing of your information.

2. Payer Information

Mailing Instructions

List the payer name, FEIN, the number of payee

Complete this form as described above and send it with

documents, and the corresponding dollar amount. If

the media files to:

more room is needed to list additional payers, fill

out and attach additional forms.

U.S. Postal Services (USPS)

Accumulate and enter (1) the total number of payee

DATA EXCHANGE TEBI MS L120

returns reported by all payers and (2) the total of all

FRANCHISE TAX BOARD

payment amounts reported by all payers. If this

PO BOX 1468

information is reported on an attached computer list,

SACRAMENTO CA 95812-1468

it must be carried forward to the Grand Total line.

Private Mail Carriers

The signature line must be properly signed and

dated by the person delegated this responsibility by

DATA EXCHANGE TEBI MS L120

the organization. An organization transmitting for

SERVICE AND SUPPLY

others becomes the payer's agent and assumes

FRANCHISE TAX BOARD

responsibility for data quality and completeness.

9646 BUTTERFIELD WAY

SACRAMENTO CA 95827

3. Media Characteristics

Technical Assistance

Acceptable media are diskette or CD. Indicate

the diskette or CD and provide the file name used

For technical assistance with media reporting,

for reporting.

call the Data Exchange Office at 916.845.3778.

4. Contact Information

Filing Requirement Assistance

Enter the name, telephone number, and email

For other questions regarding this reporting

address of a person we can contact for technical

requirement, call 916.845.6660.

information or to resolve media problems.

Due Date

B. Password Protection

The due date for furnishing information returns for

If you choose to password protect your diskette or

payments of interest or interest-dividends made

CD before sending it to FTB, please send your

during the 2011 tax year is June 1, 2012. Provide

password to the email address desbond@ftb.ca.gov.

this information to FTB separately from the

other interest or dividend information returns

that are due by February 28, 2012.

FTB 4800 MEO (REV 10-2011) PAGE 4

Form Ftb 4800 Meo - Federally Tax-Exempt Non-California Bond Interest And Interest-Dividend Payment Information Media Transmittal Page 4

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