Form Rv126 - Terms And Conditions Of Authorization Agreement printable pdf download

Terms and Conditions of Authorization Agreement

Sections I and III

1) Those taxpayers who elect to file and remit taxes by electronic transfer must remit taxes in this manner for a

minimum period of one year. This election must be made in writing on a form prescribed by the secretary at least one

month before the electronic fund transaction begins and must be approved by the department.

Any time after the one year minimum period, the taxpayer may elect to terminate participation in the SD QUEST

program by written notification being received by the department. The taxpayer shall specify the effective date of the

last filing and payment. Once SD QUEST is terminated, future payments and returns must be made to the department

by the non-electronic due date.

2) Those taxpayers who elect to remit taxes by electronic transfer, who are not timely in transmitting the tax payment

or in filing the tax return, may have their privilege canceled. There will be a $20 charge for the costs of collecting a

payment transmitted electronically which is not paid to the department because the transaction was not honored.

Interest will also be assessed based on the non-electronic due date.

3) When the debit option is used, the taxpayer shall notify the department by the use of SD QUEST telefile or internet

program by the 23rd day of the month. The department will debit your bank account on the second to the last working

day of the month. When the credit option is used, the taxpayer shall file using the SD QUEST telefile or internet

program by the 23rd day of the month and the payment must be received by DOR’s bank on or before the second to the

last working day of the month

4) The taxpayer remitting tax payments electronically shall notify the DOR of any changes in bank or account number

at least one month before the next electronic payment is due.

5) The confirmation number received by the taxpayer in a SD QUEST transaction shall be retained in the taxpayer’s

records for at least three years.

6) In section III fill in your tax type, DOR license number and choose a 6 number PIN. The PIN is required, along

with the DOR assigned Tax ID number, to access the SD QUEST telefile and internet system. The DOR will notify the

taxpayer of their Tax ID number upon acceptance of their application.

Section II

Depositor Account Information

Sample Check

John Q. Taxpayer

2210

XYZ street

Anytown, USA 12345

Date:____________________

Pay to the order of:________________________________________________________ $

_______________________________________________________________________________________Dollars

Any Bank Center

ABC Street, Anytown, USA 12345

Memo:______________________

_______________________________________

102000076 x

347 58311

2210

Transit/ABA Number

Bank Account Number

102000076

347 58311

Return Original (white) and Copy (yellow) to:

PRINT FOR MAILING

EXIT

CLEAR FORM

OUTH

AKOTA

EPARTMENT OF

EVENUE

/SD QUEST

USINESS

IVISION

445 E

AST

APITOL

VENUE

SD 57501

IERRE

RV126 12/02

1-800-TAX-9188

Form Rv126 - Terms And Conditions Of Authorization Agreement

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