Form It Waiver - Individual Taxpayer Waiver For Preparer'S Electronic Filing Requirement
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1Reset Form
IT Waiver
Rev. 10/12
10211411
Individual Taxpayer Waiver
for Preparer’s Electronic Filing Requirement
Your name
Social Security no.
Spouse’s name
Social Security no. (if fi ling jointly)
Address, city, state and ZIP code
Purpose of This Form: Beginning in tax year 2012, paid tax preparers who prepare more than 11 Ohio personal income
tax returns for the current tax year must ensure that each return is fi led using department-approved electronic media,
unless the taxpayer whose return is being fi led requests on this form that the return is fi led using another department-
approved method. To waive the tax preparer’s electronic fi ling requirement the taxpayer must
attach the completed and
signed IT Waiver to their Ohio form IT 1040 or IT 1040EZ.
Part I – Taxpayer Declaration
I declare that I do not want the person who prepared my Ohio personal income tax return to fi le it using department-
approved electronic media.
Your signature
Date
Spouse’s signature (if joint return, BOTH must sign)
Part II – Paid Tax Preparer Information
Preparer’s/transmitter’s name
or
or
Preparer’s tax identifi cation no.
Federal employer identifi cation no.
Social Security no. (last four digits)
Firm’s name (or yours, if self-employed)
Address, city, state and ZIP code
IRS electronic fi ling reject code
For questions regarding the new tax preparer requirement, visit the Ohio Department of Taxation’s Web site at tax.ohio.gov.
Please attach the completed and signed IT Waiver to your Ohio form IT 1040 or IT 1040EZ.
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