8453-EO Form Fillable California e-file Return Authorization for Exempt Organizations
(all forms fillable on Windows, Mac, Android tablets, and iPad using Adobe Reader XI)

1 Total gross receipts (Form 199 line 4) 1 2 Total gross income (Form 199 line 8) 2 3 Total expenses and disbursements (Form 199 Line 9) 3 4 m Electronic funds withdrawal 4a Amount 4b Withdrawal date (mm/dd/yyyy) 5 Routing number 6 Account number 7 Type of account: m Checking m Savings A copy of the exempt organization return and associated forms and A paper copy of Form 199 and all supporting schedules A paper copy of the exempt organization s federal return Exempt organizations that meet certain requirements must remit all Form FTB 8453 EO (signed original or copy of the form) If the exempt organization is paying through EFT Do Not Send The Inspect a copy of the return and ensure the information is correct Note: If the exempt organization uses the EFW payment option and the Obtain the exempt organization officer s signature after you prepare the Pay by check or money order: The exempt organization can pay by Pay by credit card: The exempt organization can pay the amount Pay by electronic funds transfer (EFT): If the exempt organization is Pay by electronic funds withdrawal (EFW): Exempt organizations Pay online: The exempt organization can pay the amount owed using Provide the organization officer with: Retain the original or faxed signed form FTB 8453 EO with a copy of Review the exempt organization s return plus entries and banking Sign form FTB 8453 EO Sign form FTB 8453 EO after the return is prepared but before it is Submit the signed form FTB 8453 EO to the exempt organization s To cancel an EFW the exempt organization must call FTB e Programs Using blue or black ink make all checks or money orders payable in Verify all information on the form FTB 8453 EO including employer ZIP Code (ERO) transmitter or intermediate service provider and the amounts in Part I above agree with the amounts on the corresponding lines of the exempt (Exception: An extended statute of limitations period may apply for California 2014 Instructions for Form FTB 8453 EO 8453 EO a check or bank statement or by contacting their financial institution A Purpose of Form FTB 8453 EO A signed original or copy of form FTB 8453 EO account number we will send you a notice that may include penalties acknowledgement containing the date of acceptance for the return is Additional Information After the exempt organization s return is e filed the exempt organization also paid also the paid preparer the ERO must check the box labeled Check if also An electronically transmitted tax return is not considered complete or and address and interest and the execution of any designated electronic account settlement approved alternatives are acceptable as noted in Pub 1345 If the ERO is As an authorized e file provider you must: available to the FTB upon request If I am also the paid preparer under penalties of perjury I declare that I have examined the above exempt organization s B ERO and Paid Preparer Responsibilities based on all information of which I have knowledge Be sure the account information is correct If the bank or financial Before the exempt organization s ERO can e file the return the exempt C Organization Responsibilities California audit ) California e file Return Authorization for California e file Return Authorization for Exempt Organizations can have all or part of their balance due withdrawn electronically from Caution: If the bank or financial institution rejects the electronic funds Check Check if check or money order using form FTB 3586 Mail form FTB 3586 with Customer Service at 916 845 0353 at least two working days before D Paying Your Fee Date Accepted DO NOT MAIL THIS FORM TO THE FTB Date of Acceptance date of the return or four years from the date the fee return is filed Do not use a deposit slip as it may contain internal routing numbers e file returns By signing this form the exempt organization electronic electronic transmission of the return to the Franchise Tax Board (FTB) employed m enrolled in our EFT program the exempt organization can pay their fee Enter the date the FTB accepts the return in the space at the top of form ERO (fax is acceptable) ERO s ERO s PTIN estimated tax payment or extension payment in excess of $20 000 exempt organization is a mandatory EFT participant then the exempt Exempt Organization name Identifying number exempt organization s fee liability the exempt organization will remain liable for the fee liability and all applicable interest and penalties I authorize the exempt Exempt Organizations filed unless form FTB 8453 EO is signed by the officer before the return Firm s name (or yours followed all other requirements described in FTB Pub 1345 2014 e file Handbook for Authorized e file Providers I will keep form FTB 8453 EO on file for four years from the due date of the return or four years from the date the exempt organization return is filed whichever is later and I will make a copy For Privacy Notice get FTB 1131 ENG/SP for using this service Form FTB 8453 EO California e file Return Authorization for Exempt FTB 8453 EO FTB 8453 EO 2014 FTB 8453 EO Instructions 2014 General Information however that form FTB 8453 EO accurately reflects the data on the return ) I have obtained the organization officer s signature on form FTB 8453 EO before I authorize the exempt organization s account to be settled as designated in Part II If I check Part ll Box 4 I authorize an electronic funds withdrawal for I declare that I have reviewed the above exempt organization s return and that the entries on form FTB 8453 EO are complete and correct to the best of my identification number and banking information if self if self employed) information information on form FTB 8453 EO institution rejects the EFW due to an error in the routing number or interest is transmitted knowledge (If I am only an intermediate service provider I understand that I am not responsible for reviewing the exempt organization s return I declare limitations period: Line 5 The routing number must be nine digits The first two digits Line 6 The account number can be up to 17 characters and can include must be between 01 and 12 or 21 and 32 must retain the following documents for the California statute of my knowledge and belief they are true correct and complete I make this declaration based on all information of which I have knowledge numbers and letters Include hyphens but omit spaces and special of their payments through EFT rather than by paper checks or money official payments com Official Payments charges a convenience fee or federal fee returns that are related to or subject to a federal audit or or that have a total tax liability in excess of $80 000 must remit all of orders to avoid the EFT penalty Exempt organizations that remit an organization can choose from the following payment options: organization must: organization return and accompanying schedules and statements be transmitted to the FTB by the ERO transmitter or intermediate service provider If the organization s 2014 California electronic return To the best of my knowledge and belief the exempt organization s return is true correct and complete If organization would still be in compliance with the mandatory EFT Organizations is the signature document for exempt organization s Orgs e filed Returns) owed by Discover MasterCard Visa or American Express Card Go to paid preparer If the ERO is not the paid preparer the paid preparer must Paid preparer s PTIN Part I Electronic Return Information (whole dollars only) Part II Settle Your Account Electronically for Taxable Year 2014 Part III Banking Information Part III Banking Information (Have you verified the exempt organization s banking information?) Part IV Declaration of Officer Part V Declaration of Electronic Return Originator (ERO) and Paid Preparer See instructions Part V Declaration of ERO and Paid Preparer payment through this program payment to the FTB using the address printed on the voucher Payment Voucher (FTB 3586 Payment Voucher for Corps and Exempt Preparer preparer m preparer s processing of the exempt organization s return or refund is delayed I authorize the FTB to disclose to the ERO or intermediate service provider the program reason(s) for the delay requirements and wish to participate on a voluntary basis may do so return and accompanying schedules and statements and to the best of my knowledge and belief they are true correct and complete I make this declaration return but before you transmit it return originator (ERO) and paid preparer declare that the return is schedules sign in the space for Paid Preparer Must Sign signature Signature of Officer Date Title Specific Instructions symbols TAXABLE YEAR that are subject to this requirement Those that do not meet these that proof the amount listed on line 4a The California statute of limitations is the later of four years from the due the date of the withdrawal The ERO must sign and complete Part V Handwritten signatures or The exempt organization can find the routing and account numbers on the exempt organization is filing a balance due return I understand that if the Franchise Tax Board (FTB) does not receive full and timely payment of the The form does not serve as proof of filing an electronic return the the return in your records their bank account on the date the exempt organization chooses their payments through EFT The FTB will notify exempt organizations transmitted transmitting this return to the FTB; I have provided the organization officer with a copy of all forms and information that I will file with the FTB and I have true correct and complete Additionally the signatures authorize the TTY/TDD: 800 822 6268 for persons with hearing or speech impairments U S dollars and drawn against a U S financial institution Under penalties of perjury I declare that I am an officer of the above exempt organization and that the information I provided to my electronic return originator Under penalties of perjury I declare that I have examined the above organization s return and accompanying schedules and statements and to the best of Web Pay our secure online payment service Go to ftb ca gov for more When the exempt organization e files their fee return the exempt will send the exempt organization a notice that may include penalties and withdrawal due to an error in the routing number or account number we ZIP Code