2006 California FTB Form 8454

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Print and Reset Form Reset Form DO NOT MAIL THIS FORM TO FTB TAXABLE YEAR CALIFORNIA FORM 2006 e-file Opt-Out Record for Individuals 8454 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 in your records. When taxpayers are married filing jointly, only one spouse needs to sign. Part I:  Taxpayer Information  Your first name Spouse’s first name Last name Last name Apt. no. State Your social security number (or ITIN) -         Spouse’s social security number (or ITIN) -         Present address - number and street, PO Box, rural route, or PMB no. City Telephone number ( ZIP Code )  I elect not to e-file my tax return. Reason (optional):_______________________________________________________________________ Date Date Your signature Spouse’s signature (if filing jointly) Part II:  Tax Preparer Information  I am not e-filing this taxpayer’s return due to reasonable cause. Explanation:____________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ Paid preparer’s signature Paid preparer’s name Firm’s name (if applicable) Firm’s address City State Date SSN/PTIN FEIN Telephone number ( ZIP Code ) For Privacy Notice, get form FTB 1131. FTB 8454 C3 (2006)

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