Date Accepted DO NOT MAIL THIS FORM TO THE FTB
TAXABLE YEAR
2019
California e-le Return Authorization for Corporations
FORM
8453-C
Corporation name California Corporation No., CA SOS file no., or FEIN
Part I Tax Return Information (whole dollars only)
1 Total income (Form 100, line 9; Form 100S, line 8; Form 100W, line 9 or Form 100X, line 6) .............................. 1
2 Taxable income (Form 100, line 22; Form 100S, line 20; Form 100W, line 22 or Form 100X, line 10) ........................ 2
3 Total tax (Form 100, line 30; Form 100S, line 29; Form 100W, line 30 or Form 100X, line 18) ............................. 3
4 Tax due (Form 100, line 39; Form 100S, line 38; Form 100W, line 36 or Form 100X, line 20) .............................. 4
5 Overpayment (Form 100, line 40; Form 100S, line 39; Form 100W, line 37 or Form 100X, line 27) ......................... 5
Part II
Settle the Account Electronically for Taxable Year 2019
6 Direct deposit of refund (For Forms 100, 100S, and 100W only.)
7 Electronic funds withdrawal 7a Amount 7b Withdrawal date (mm/dd/yyyy)
Part III Schedule of Estimated Tax Payments for Taxable Year 2020 (These are NOT installment payments for the current amount the corporation owes.)
First Payment Second Payment Third Payment Fourth Payment
8 Amount
9 Withdrawal Date
Part IV Banking Information (Have you verified the corporation’s banking information?)
10
Routing number
11 Account number 12 Type of account: Checking Savings
Part V
Declaration of Ofcer
I authorize the corporate account to be settled as designated in Part II. If I check Part ll, Box 6, I declare that the bank account specified in Part IV for the direct
deposit refund agrees with the authorization stated on my return. If I check Part ll, Box 7, I authorize an electronic funds withdrawal for the amount listed on line 7a
and any estimated payment amounts listed on Part III, line 8 from the bank account specified in Part IV.
Under penalties of perjury, I declare that I am an officer of the above corporation and that the information I provided to my electronic return originator (ERO), transmitter,
or intermediate service provider and the amounts in Part I above agree with the amounts on the corresponding lines of the corporation’s 2019 California income tax
return. To the best of my knowledge and belief, the corporation’s return is true, correct, and complete. If the corporation is filing a balance due return, I understand that
if the Franchise Tax Board (FTB) does not receive full and timely payment of the corporation’s tax liability, the corporation will remain liable for the tax liability and all
applicable interest and penalties. I authorize the corporation return and accompanying schedules and statements be transmitted to the FTB by the ERO, transmitter, or
intermediate service provider. If the processing of the corporation’s return or refund is delayed, I authorize the FTB to disclose to the ERO or intermediate service
provider the reason(s) for the delay or the date when the refund was sent.
Sign
Here
Signature of officer Date Title
Part VI Declaration of Electronic Return Originator (ERO) and Paid Preparer. See instructions.
I declare that I have reviewed the above corporation’s return and that the entries on form FTB 8453-C are complete and correct to the best of my knowledge. (If I
am only an intermediate service provider, I understand that I am not responsible for reviewing the corporation’s return. I declare, however, that form FTB 8453-C
accurately reflects the data on the return.) I have obtained the corporate officer’s signature on form FTB 8453-C before transmitting this return to the FTB; I
have provided the corporate officer with a copy of all forms and information that I will file with the FTB, and I have followed all other requirements described in
FTB Pub. 1345,
2019
Handbook for Authorized e-file Providers. I will keep form FTB 8453-C on file for four years from the due date of the return or four years from
the date the corporation return is filed, whichever is later, and I will make a copy 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 corporation’s 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 based on all information of which I have knowledge.
ERO
Must
Sign
ERO’s
signature
Date Check if
also paid
preparer
Check
if self-
employed
ERO’s PTIN
Firm’s name (or yours
if self-employed)
and address
Firm’s FEIN
ZIP code
Under penalties of perjury, I declare that I have examined the above corporation’s 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 based on all information of which I have knowledge.
Paid
Preparer
Must
Sign
Paid
preparer’s
signature
Date Check
if self-
employed
Paid preparer’s PTIN
Firm’s name (or yours
if self-employed)
and address
Firm’s FEIN
ZIP code
For Privacy Notice, get FTB 1131 ENG/SP.
