Case File
efta-efta01221894DOJ Data Set 9OtherElectronic Filing Information Worksheet
Date
Unknown
Source
DOJ Data Set 9
Reference
efta-efta01221894
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2
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0
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Electronic Filing Information Worksheet
2017
1.• Keep for your records
Name(s) Shown on Return
Social Security Number
Electronic Return Originator Information
The ERO Information below will automatically calculate based on the preparer code entered on the
SmartLook Worksheet.
Calculates to the EFIN for the ERO that is responsible for filing this return based on the
preparer code. For returns that are marked as a "Non-Paid Prepare( (XNP) or
'Self-Prepared" (XSP) can be changed but is required.
ERO Name
ERO Electronic Filers Identification Number (EFIN)
ERO Address
ERO Employer Identification Number
City
State
ZIP Code
ERO Social Security Number or PTIN
Country
Paid Preparer Information
Firm Name
Social Security Number or PTIN
Name
Employer Identification Number
Address
Phone Number
Fax Number
City
State
ZIP Code
Country
E-mail Address
Amended Returns
File another Amended Form 114 Report of Foreign Bank and Financial Accounts (FBAR) electronically
Check this box to file another state and/or city amended return electronically
' Select the state and/or city amended return(s) to file electronically.
State/City •
EFTA01221894
Page 2
Miscellaneous Electronic Filing Items
If the return was rejected for dependent name and SSN mismatch (business rule R0000-504-01) or
Schedule EIC qualifying child name and SSN mismatch (business rule SEIC-F1040-501-01).
check this box to retransmit this return as an imperfect return.
►
Enter an 'in care of addressee' if applicable
►
Name of personal representative for deceased returns . . . ►
If married filing joint and one spouse is deceased, is the surviving spouse also the
personal representative?
►
Yes
No
Check this box if your client is in the U.S. Armed Forces with a stateside address
►
Check the appropriate box if the taxpayer (or spouse) last served in an area designated as a combat zone
or qualified hazardous duty area.
Iraqi Freedom
►
Kosovo Operation
►
Afghanistan/Enduring Freedom
►
Desert Storm
►
Haiti
►
Former Yugoslavia
►
UN Operation
►
Joint Guard
►
Joint Forge
►
Northern Watch
►
Operation Allied Force
►
Northern Forge
►
Combat Zone
Deployment Date
►
Option of Transmitting the Forms as PDF with the Electronic Submission or Mailing the Forms with
Form 8453: U.S. Individual Income Tax Transmittal for an IRS e-file Return.
Note: To Attach and Send a PDF file with this return, cid( on the "E-File" drop down menu. and then select "Attach PDF Files".
Check the applicable box(es) on forms to be attached and mail with form 8453
Transmit
Print & Mall
PDF
with 8453
Form 2848. Power of Attorney and Declaration of Representative
►
Form 3468, Historic Structure Certificate
►
Form 4136, Credit for Federal Tax Paid on Fuels
►
Form 8283, Noncash Charitable Contributions (Declaration of Appraiser)
►
Form 1098-C. Contributions of Motor Vehicles, Boats and Airplanes
►
Form 8332, Release of Claim to Exemption for Child by Custodial Parent or Other Doc . . ►
Form 8885, Health Coverage Tax Credit
►
Form 8949. Sales and Other Disp of Capital Assets.(or a stmt w/the same information) . . ►
Form 3115, Change in Accounting Method
►
These forms are not supported in ProSeries. You may print a completed form to
Transmit
Print & Mail
mail with your Form 8453, please check the applicable box(es) .
PDF
with 8453
Form 5713, International Boycott Report
► N/A
Form 8858, Foreign Disregarded Entities
► N/A
Form 8864, attach the Certificate for Biodiesel
► N/A
EFTA01221895
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