Form 8453-Ol - California Online E-File Return Authorization For Individuals - 2008

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DO NOT MAIL THIS FORM TO THE FTB
Declaration Control Number (DCN)
Date Accepted
California Online e-file Return Authorization
TAXABLE YEAR
FORM
2008
for Individuals
8453-OL
Your first name and initial
Last name
Your SSN or ITIN
-
-
If joint return, spouse’s/RDP’s first name and initial
Last name
Spouse’s/RDP’s SSN or ITIN
-
-
Address (including number and street, PO Box, or PMB no.)
Apt. no./Ste.no. Daytime telephone number
(
)
City
State
ZIP Code
-
Part I Tax Return Information (whole dollars only)
1 California adjusted gross income. (Form 540, line 17; Form 540 2EZ, line 16; Long Form 540NR, line 21;
or Short Form 540NR, line 21). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .1
2 Refund or No Amount Due. (Form 540, line 66; Form 540 2EZ, line 28; Long Form 540NR, line 73;
or Short Form 540NR, line 73). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
3 Amount you owe. (Form 540, line 62; Form 540 2EZ, line 27; Long Form 540NR, line 69;
or Short Form 540NR, line 69). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .3
Part II Settle Your Account Electronically for Taxable Year 2008 (Due 04/15/09)
4 m Direct Deposit of Refund
5 m Electronic Funds Withdrawal 5a Amount ___________________ 5b Withdrawal Date (MM/DD/YYYY) _________________
Part III Make Estimated Tax Payments for Taxable Year 2009 These are not installment payments for the current amount you owe.
First Payment
Second Payment
Third Payment
Fourth Payment
Due 4/15/09
Due 6/15/09
Due 9/15/09
Due 1/15/10
6 Amount
7 Withdrawal Date
Part IV Banking Information (Have you verified your banking information?)
8 Amount of refund to be directly deposited to account below _____________ 12 The remaining amount of my refund for direct deposit _________________
9 Routing number _______________________________________________ 13 Routing number _______________________________________________
10 Account number _______________________________________________ 14 Account number ______________________________________________
11 Type of account: m Checking
m Savings
15 Type of account: m Checking
m Savings
Part V Declaration of Taxpayer(s)
I authorize my account to be settled as designated in Part II. If I check box 4, I declare that the direct deposit refund information in Part IV agrees with the
authorization stated on my return. I authorize an electronic funds withdrawal for the amount listed on line 5a and any estimated payment amounts listed
on line 6 from the account listed on lines 9, 10, and 11. If I have filed a joint return, this is an irrevocable appointment of the other spouse/RDP as an agent
to receive the refund or authorize an electronic funds withdrawal.
Under penalties of perjury, I declare that the information I provided to the Franchise Tax Board (FTB), either directly or through e-file software, including
my name, address, and social security number (SSN) or individual taxpayer identification number (ITIN), and the amounts shown in Part I above, agrees
with the information and amounts shown on the corresponding lines of my 2008 California income tax return. To the best of my knowledge and belief,
my return is true, correct, and complete. If I am filing a balance due return, I understand that if the FTB does not receive full and timely payment of my tax
liability, I remain liable for the tax liability and all applicable interest and penalties. I authorize my return and accompanying schedules and statements to
be transmitted to the FTB directly or through the e-file software. If the processing of my return or refund is delayed, I authorize the FTB to disclose to
me, either directly or through the e-file software, the reason(s) for the delay or the date when the refund was sent.
Sign
Here
Your signature
Date
Spouse’s/RDP’s signature. If filing jointly, both must sign.
Date
It is unlawful to forge a spouse’s/RDP’s signature.
FTB 8453-OL
2008
C2
For Privacy Notice, get form FTB 1131.

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