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DO NOT MAIL THIS FORM TO THE FTB |
TAXABLE YEAR |
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CALIFORNIA FORM |
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e-file Opt-Out Record for Individuals |
8454 |
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General Information
California law requires individual income tax returns prepared by certain income tax preparers to be electronically filed (e-filed) unless the taxpayer elects not to e-file or the tax preparer cannot e-file the return due to reasonable cause. Use this form to record when and why the return was not e-filed.
Do not mail this form to FTB. Please keep it for your records.
For married/registered domestic partners (RDPs) filing jointly, only one spouse/RDP needs to sign.
Part I: Taxpayer Information
Your first name |
Last name |
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Your SSN or ITIN |
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If filing jointly, spouse’s/RDP’s first name |
Last name |
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Spouse’s/RDP’s SSN or ITIN |
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Address (include number and street, PO Box, or PMB no.) |
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Apt. no./Ste. no. |
Telephone number |
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City |
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State |
ZIP Code |
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I elect not to e-file my tax return.
Reason (optional):_______________________________________________________________________
Spouse’s/RDP’s signature (if filing jointly)
Part II: Tax Preparer Information
I am not e-filing this taxpayer’s return due to reasonable cause.
Explanation:____________________________________________________________________________
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Paid preparer’s signature |
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Date |
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Paid preparer’s name |
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SSN/PTIN |
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Firm’s name (if applicable) |
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FEIN |
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Firm’s address |
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Telephone number |
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City |
State |
ZIP Code |
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For Privacy Notice, get form FTB 1131. |
FTB 8454 C3 (2010) |