pdf2json/test/data/sc/form/F8453.content.txt

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STAPLE
13.
If I have filed a balance due return, I understand that if the SC Department of Re
venue does not receive full and timely payment of my tax liability, I will
Sign Here
I consent  that my refund be directly deposited
as designated  in Part II, and declare that the information shown on lines 1 through 8 is
Declaration of Taxpayer
(Sign only after Part I is completed.)
Spouse's signature (If joint, BOTH must sign)              Date
Your signature                                                               Date
Paid
Preparer's
Use
Only
Tax Year
Spouse's  social security number
Your social security number
Your first name and initial                             
                                    Last name
Daytime telephone # 
 9. Routing transit number  (RTN) 
Home address (number and street, apt. number or RR)
City, town or post office, state and ZIP code
Please
print or 
type.
2. Net SC tax (SC1040, line 15). . . . . . . . . . . . . . . . . 
 . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . 
. . . . . . . . . . .
. . . .
6. Tuition Tax Credit (SC1040, line 21) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 . . . . . . . . .
If joint return,
spouse's first name and initial                                        Last name, if different
Part IV
8. Amount you owe (SC1040, line 34)   . . . . . . . . . . . . . . . . . . . . . .  . . . . . . . . . . . . . . . . . . . . . . 
. . . . . . . . 
(See Instructions.)
1. Federal taxable income
(
SC1040, line 1).
.................................................
Tax Return Information
(Whole dollars only)
Part I
Part II
Direct Deposit of Refund or EFW Payment of Tax Due
(Optional - See instructions.)
Part III
Preparer
signature
00
1
2
5
3
4
00
00
00
00
The first two numbers of the RTN must
be 01 through 12 or 21 through 32.
10. Bank account number (BAN)
Date
Check if
also paid
preparer
Check
if self-
employed
PTIN
Firm name (or
yours if self-employed)
and address
ZIP code
I declare that I have compared the information (inc
luding direct deposit or EFW data) on my return with
the information I have provided to my electronic
return originator (ERO) and the amounts agree
with the amounts on my SC tax return. To the best of my knowledge, my return is true and complete. I
consent that my return and accompanying schedul
es and statements be sent to the Internal Rev
enue Service (IRS) by my ERO, and subsequently by
the IRS to the SC Department of Revenue.
Do not submit this form to the SC Department of Revenue.  Keep with your records.
ERO's
Use
Only
Date
Check if
self-
employed
ZIP code
PTIN
ERO
signature
Firm name (or
yours if self-employed)
and address
D
O
N
O
T
M
A
I
L
K
E
E
P
F
O
R
Y
O
U
R
R
E
C
O
R
D
S
7. Refund (SC1040, line 30)   . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
 . . . . . . . . . . .
6
00
a.
3. Use Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
. . . . . . . . . . . . . . . . . 
 7
 8
4. Total Tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
. . . . . . . . . . . . . . . . .
00
00
12. Withdrawal Date                                
                               Withdrawal Amount  $
e an Electronic Funds Withdrawal
(payment) entry to my financial institution a
ccount designated in Part II for payment of my S
outh Carolina taxes owed, and (2) my financial
institution to debit the entry to my account. I al
so authorize the financial institutions involved
in the processing of my electronic payment of
Revenue no later than two business days prior
to the withdrawal (settl
ement) date by calling 803-896-1715.
I declare that I have received the above taxpayer's return and the entries
on this form are complete and correct to the best of my knowledge. I have
obtained the taxpayer's signature on this form bef
ore submitting this return to the SC Department of Revenue. I have provided the taxpayer with a copy
of all forms and information to be filed with the IRS and the SC Department
of Revenue, and have followed all other requirements described in the IRS
Pub. 1345 Authorized IRS e-file Providers of Individual Income Tax Retur
ns, and requirements specified by the SC Department of Revenue. If I am the
preparer, I declare that I have examined the above taxpayer's return and
they  are  true  and  complete.  This  declaration  is  based  on  all  information  of  which  I  have  knowledge.
I  understand  I  do  not  mail  this  form.  I  am
required to keep this form and the supporting documents for three (3) years.
1350
1350
STATE OF SOUTH CAROLINA
DEPARTMENT OF  REVENUE
(Rev. 7/23/10)
   3299
INDIVIDUAL INCOME TAX 
DECLARATION FOR ELECTRONIC FILING
SC8453
FEIN
FEIN
5. SC Income Tax Withheld (SC1040, lines 16 & 20)  . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 
11. Type of account:
                    
Checking
          
Savings
correct. If I have filed a joint return, this is an irrevocable appointment of the other spouse as an agent to receive the refund.
b.  I authorize (1) the South Carolina Department of Revenue and its designated financial agents to initiat
taxes to receive confidential information necessary to answer inquiries and resolve issues related to my payment. Under the items of this
authorization, I can revoke this authorization by notifying the South Carolina Department of
remain liable for the tax liability and all applicable interest and penalties.
Declaration of Electronic Return Originator (ERO) and Paid Preparer
accompanying schedules and statements, and to the best of my knowledge,
 
COPIES OF
STATE W-2(s)
 
 
HERE
and 1099(s)
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