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DO NOT MAIL! RETAIN FOR YOUR RECORDS.                                                              IRS DCN               00–                                       –                          –9

                                                                                                              KentucKy IndIvIdual Income tax
                                                  8453-K                                                     declaratIon For electronIc FIlIng
                                                                                                                                                                                                                           2008
                                                  42A740-S22
                                                                                                       ➤ For calendar year January 1, 2008, through December 31, 2008.
                                                  Department of Revenue
                                                                                           Last name                       First name (Joint or combined return, give both names and initials.)                Your Social Security number
                                                  Use               ➤
                                                                                                                                                                                                    B.
                                                  Kentucky          L
                                                  label if          A                             Mailing address—Number and street or P box
                                                                                                                                        .O.                                       Apt. number                Spouse’s Social Security number
                                                                                                                                                                                                    A.
                                                  correct.          B
                                                  Otherwise         E
                                                  print or          L                      City, town or post office                        State                      ZIP code
                                                  type.             ➤


                                                  PART I—Tax Return Information (Whole Dollars Only)
                                                                                                                                                                                                                                               K
                                                                                                                                                                                     A Spouse                        B Taxpayer
                                                                                                                                                                                                                                               E
                                                   1.   Kentucky taxable income                          740, line 11                  740-EZ, line 3                     1                              .00                         .00
                                                   2.   Total tax liability                              740, line 28                  740-EZ, line 10                    2                                                          .00
                                                                                                                                                                                                                                               N
                                                   3.   Total Kentucky withholding                       740, line 30a                 740-EZ, line 11                    3                                                          .00
                                                   4.   Total estimated payments                         740, line 30b                                                    4                                                          .00
                                                                                                                                                                                                                                               T
                                                   5.   Refunded to you                                  740, line 39                  740-EZ, line 15                    5                                                          .00
                                                   6.   Amount you owe                                   740, line 43                  740-EZ, line 16                    6                                                          .00
                                                                                                                                                                                                                                               U
                                                                                                                        Direct Debit of Tax Amount Due (See Instructions)
                                                  PART II— Direct Deposit of Refund or
                                                                                                                                                                                                                                               C
Attach Copy of Forms W-2, W-2G and 1099-R Here




                                                                                                                                                           The first two numbers of the RTN must be
                                                                                                                                                           01 through 12 or 21 through 32.
                                                   7.   Routing transit number (RTN)
                                                                                                                                                                                                                                               K
                                                   8. Depositor account number (DAN)
                                                                                                                                                                                                                                               Y
                                                                                                                                                                                MM DD YYYY
                                                   9. Type of account:   Savings  Checking                             10. Debit amount __________________________ Debit date __ __ / __ __ / __ __ __ __

                                                  PART III—Declaration of Taxpayer (Sign only after Part I is completed.)

                                                  11.  I consent that my refund be directly deposited as designated in Part II, and declare that the information shown on lines 7 through 9 is correct.
                                                            If I have filed a joint return, this is an irrevocable appointment of the other spouse as an agent to receive the refund.
                                                  12.  I do not want direct deposit of my refund or am not receiving a refund.
                                                  13.  I authorize the Kentucky Department of Revenue and its designated Financial Agent to initiate an ACH electronic funds withdrawal entry to the
                                                            financial institution account indicated above for payment of my state taxes owed on this return. To revoke a payment, I must contact the Kentucky
                                                            Department of Revenue at (502) 564-4581 no later than two business days prior to the payment (debit) date. I also authorize the financial institutions
                                                            involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues
                                                            related to the payment.
                                                  If I have filed a balance due return, I understand that if the Kentucky Department of Revenue does not receive my full and timely payment of my tax liability,
                                                  I will remain liable for the tax liability and all applicable interest and penalties.
                                                  Under penalties of perjury, I declare that the information I have given my electronic return originator (ERO) or transmitter and the amounts in Part I above
                                                  agree with the amounts on the corresponding lines of the electronic portion of my 2008 Kentucky income tax return. To the best of my knowledge and
                                                  belief, my return is true, correct and complete. I consent to my ERO or transmitter sending my return and accompanying schedules and statements to the
                                                  Kentucky Department of Revenue. I also consent to the Kentucky Department of Revenue sending my ERO and/or transmitter an acknowledgment of receipt
                                                  or transmission and an indication of whether or not my return is accepted, and, if rejected, the reason(s) for the rejection.
                                                                                                                                                                                        
                                                  ➤                                                                          ➤ 
                                                  Your Signature (If joint or combined return, both must sign)               Spouse’s Signature                                                                                        Date Signed
                                                                                                                                                                                                Telephone Number (daytime)


                                                  PART IV—Declaration and Signature of Electronic Return Originator and Paid Preparer
                                                  I declare that I have reviewed the above taxpayer’s return and that the entries on Form 8453-K are complete and correct to the best of my knowledge.
                                                  If I am only a collector, I am not responsible for reviewing the return and only declare that this form accurately reflects the data on this return. If Part II is
                                                  completed, I declare that I have verified the taxpayer’s proof of account and it agrees with the name shown on this form. The taxpayer will have signed
                                                  this form before I submit the return. I will give the taxpayer a copy of all forms and information to be filed with the Kentucky Department of Revenue, and
                                                  have followed all other requirements in Kentucky Publication KY-1345, Kentucky Handbook for Electronic Filers of Individual Income Tax Returns (Tax Year
                                                  2008). If I am also the paid preparer, under penalties of perjury I declare that I have examined the above taxpayer’s return and accompanying schedules
                                                  and statements, and to the best of my knowledge and belief, they are true, correct and complete. This declaration is based on all information of which I
                                                  have any knowledge.
                                                                                                                                                                         if also paid preparer.                          if self-employed.
                                                                                                                                                               Check                                            Check
                                                  ERO’s
                                                  Use Only                     Signature                                                                Date                                                         I.D. Number of ERO
                                                  Firm’s name (or
                                                                                                                                                                                                  FEIN
                                                  yours if self-employed)
                                                                                                                                                                                                  ZIP code
                                                  and address
                                                                                                                                                                         if self-employed.
                                                  Paid Preparer’s                                                                                              Check
                                                  Use Only
                                                                               Preparer’s Signature                                                     Date                                                       I.D. Number of Preparer
                                                  Firm’s name (or
                                                                                                                                                                                                  FEIN
                                                  yours if self-employed)
                                                  and address                                                                                                                                     ZIP code

                                                                                                          ➤ Keep this form with your tax return. Do not mail!
Instructions for Form 8453-K
                                 Kentucky Individual Income Tax Declaration for Electronic Filing

Filing Requirements                             Part I—Tax Return Information                        Line 7—The routing transit number must be
                                                                                                     nine digits and begin with 01 through 12 or
                                                Enter the required data from the Kentucky tax
 Federal/State E-file With a Federal PIN—For
                                                                                                     21 through 32.
                                                return. Lines 1 through 4 and either Line 5 or
  returns filed via this method, an 8453-K is
                                                6 must be completed.
  not required.
                                                                                                     Line 8—The depositor account number can
                                                Part II—Direct Deposit of Refund or Direct
 Federal/State E-file Without a Federal                                                             be up to 17 characters (both numbers and
                                                Debit of Tax Amount Due
  PIN—For returns filed via this method,                                                             letters). Include hyphens but omit spaces and
  an 8453-K is required to be completed.        Direct Deposit of Refund—If there is an              special characters. If fewer than 17 characters,
  Do not mail this form. Electronic return      amount on Line 5 (Refunded to you), the              enter the numbers from left to right and leave
  originators (EROs) must retain them for a     taxpayer can choose to have their refund             the unused boxes blank.
  period of three years.                        directly deposited by completing Part II, Lines
                                                                                                     Note: Taxpayers should use a check, form,
                                                7, 8 and 9, and checking the box on Part III, Line
 Online Filing—For returns filed via this
                                                                                                     report or other statement generated by their
                                                11.Taxpayers can choose direct deposit for the
  method, an 8453-K is required to be
                                                                                                     financial institution to verify the routing transit
                                                Kentucky income tax refund regardless of the
  completed and retained for a period of
                                                                                                     number and depositor account number.
                                                choice for federal purposes.
  three years. Do not mail this form.
                                                                                                     Do not use a deposit slip as it may contain
                                                Payment of Balance Due—Penalty and interest
Completing the Form                                                                                  internal routing numbers. If there is any doubt
                                                will begin to accrue on any tax due that has
                                                                                                     about the correct routing transit number, the
You must complete your Kentucky individual      not been paid by April 15, 2009.
                                                                                                     taxpayer should ask the financial institution
income tax return before you complete Form
                                                If there is an amount on Line 6 (Amount              for the routing transit number to use for direct
8453-K. You must also complete this form
                                                you owe), the taxpayer can choose from the           deposit (Electronic Funds Transfer).
before signing it. Taxpayers, EROs and paid
                                                following methods of payment:
preparers must not sign the form before it
                                                                                                     Part III—Declaration of Taxpayer
                                                (1) Pay by check or money order—Taxpayers
is completed.
                                                     should submit their payment using Form
Declaration Control Number (DCN)                                                                     An electronically transmitted return will not be
                                                     740-V, Kentuck y Electronic Payment
                                                                                                     considered true, accurate and complete unless
The DCN, located in the upper right corner           Voucher.
                                                                                                     Form 8453-K is signed by the taxpayer(s) prior
of the form, must be identical on the federal   (2) Pay by Credit Card or eCheck—Pay your
                                                                                                     to transmitting the electronic return.
electronic return, the federal Form 8453 and         2008 Kentucky individual income tax
the Kentucky Form 8453-K.                            by MasterCard or VISA credit card or
                                                                                                     The taxpayer must sign and date Form 8453-K
                                                     by eCheck (electronic check) through
Name, Address and Social Security Number                                                             after it has been completed to verify that the
                                                     April 15, 2009. Access the Department
                                                                                                     information is correct and that the taxpayer
You must enter your name, address and Social         of Revenue’s secure Web site (www.
                                                                                                     agrees with the information on the completed
Security number on Form 8453-K.                      revenue.ky.gov) to make electronic
                                                                                                     tax return.
                                                     payments over the Internet. Click on
Taxpayer Responsibilities
                                                     the KY E-Tax logo or choose Electronic
                                                                                                     EROs and tax preparers are prohibited from
Taxpayer(s) that use an ERO must:
                                                     Services from the menu, then click on
                                                                                                     obtaining taxpayer signatures on blank or
 Verify all information on the Form 8453-K,         Electronic Payment. If you do not have
                                                                                                     incomplete forms.
  including Social Security number.                  access to the Internet, you may call
                                                     the Department of Revenue at (502)              When an error is corrected after the taxpayer
 Inspect the paper copy of the return and
                                                     564-4581.                                       has signed Form 8453-K, and the corrected
  ensure the information is correct.
                                                                                                     Kentucky taxable income varies more than
                                                    To make a credit card payment, the
 Sign Form 8453-K after the return has been
                                                                                                     $50, or the corrected refund or balance due
                                                    following information is needed: credit
  prepared but before it is transmitted.
                                                                                                     varies more than $14, a new Form 8453-K
                                                    card type, credit card number, expiration
Taxpayer(s) that file from home must:                                                                must be completed for taxpayer signature.
                                                    date, and the cardholder’s address as
                                                    it appears on the credit card billing
 Complete Form 8453-K.
                                                                                                     PART IV—Declaration and Signature of ERO
                                                    statement. To make an eCheck payment,
 Attach the Kentucky copy of Forms W-2,                                                             and Paid Preparer
                                                    the following information is needed: bank
  W-2G and 1099-R; any documents verifying          name, bank account number, and bank
                                                                                                     This section must be completed and signed
  credit amounts; any schedules explaining          routing number.
                                                                                                     by the ERO.
  “Other” adjustments to income; and any        (3) Pay by Direct Debit—The taxpayer
  documents with required signatures.               can choose to pay the amount due by              If the ERO is also the paid preparer, the ERO
                                                    completing Part II, Lines 7 through 10, and
 Keep this form with your tax return. Do not                                                        must check the paid preparer box, but is not
                                                    checking the box on Line 13. Taxpayers
  mail.                                                                                              required to complete or sign the Paid Preparer
                                                    can choose direct debit for Kentucky             Section.
ERO Responsibilities                                regardless of the choice for federal
                                                                                                     A paid preparer who is not the ERO must
                                                    purposes. The taxpayer must ensure
The ERO must:
                                                                                                     complete, sign and date the Paid Preparer
                                                    that the following information relating
 Complete Form 8453-K                                                                               Declaration.
                                                    to the financial institution account is
 Obtain signature of taxpayer(s)                   provided in the tax preparation software:
                                                                                                     If the ERO cannot obtain the paid preparer’s
                                                    Routing Number, Account Number, Type
 Attach the Kentucky copy of Forms W-2,                                                             signature on Form 8453-K, a copy of the tax
                                                    of Account (Checking or Savings), Debit
  W-2G and 1099-R; any documents verifying                                                           return with the paid preparer’s signature
                                                    Amount, Debit Date (through April 15,
  credit amounts; any schedules explaining                                                           should be attached to the 8453-K.
                                                    2009).
  “Other” adjustments to income; and any
                                                                                                     Refund Information—The Automated Refund
                                                    Note: Select any date until April 15 to
  documents with required signatures.
                                                                                                     and Tax Information System (ARTIS) is
                                                    have the payment withdrawn from your
 Provide the taxpayer with copies of                                                                available to provide information by telephone
                                                    account. Actual withdrawal of funds
  the completed 8453-K and all other                                                                 on the receipt of your tax return.The automated
                                                    may be later, but will be considered
  information.                                                                                       system telephone number is (502) 564-1600.
                                                    timely. Please allow up to two weeks for
                                                                                                     It is available 24 hours a day, 7 days a week.
 Retain form for three years.                      processing.

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8453-K - Kentucky Individual Income Tax Declaration For Electronic Filing - Form 42A740-S22

  • 1. DO NOT MAIL! RETAIN FOR YOUR RECORDS. IRS DCN 00– – –9 KentucKy IndIvIdual Income tax 8453-K declaratIon For electronIc FIlIng 2008 42A740-S22 ➤ For calendar year January 1, 2008, through December 31, 2008. Department of Revenue Last name First name (Joint or combined return, give both names and initials.) Your Social Security number Use ➤ B. Kentucky L label if A Mailing address—Number and street or P box .O. Apt. number Spouse’s Social Security number A. correct. B Otherwise E print or L City, town or post office State ZIP code type. ➤ PART I—Tax Return Information (Whole Dollars Only) K A Spouse B Taxpayer E 1. Kentucky taxable income 740, line 11 740-EZ, line 3 1 .00 .00 2. Total tax liability 740, line 28 740-EZ, line 10 2 .00 N 3. Total Kentucky withholding 740, line 30a 740-EZ, line 11 3 .00 4. Total estimated payments 740, line 30b 4 .00 T 5. Refunded to you 740, line 39 740-EZ, line 15 5 .00 6. Amount you owe 740, line 43 740-EZ, line 16 6 .00 U  Direct Debit of Tax Amount Due (See Instructions) PART II— Direct Deposit of Refund or C Attach Copy of Forms W-2, W-2G and 1099-R Here The first two numbers of the RTN must be 01 through 12 or 21 through 32. 7. Routing transit number (RTN) K 8. Depositor account number (DAN) Y MM DD YYYY 9. Type of account:   Savings  Checking 10. Debit amount __________________________ Debit date __ __ / __ __ / __ __ __ __ PART III—Declaration of Taxpayer (Sign only after Part I is completed.) 11.  I consent that my refund be directly deposited as designated in Part II, and declare that the information shown on lines 7 through 9 is correct. If I have filed a joint return, this is an irrevocable appointment of the other spouse as an agent to receive the refund. 12.  I do not want direct deposit of my refund or am not receiving a refund. 13.  I authorize the Kentucky Department of Revenue and its designated Financial Agent to initiate an ACH electronic funds withdrawal entry to the financial institution account indicated above for payment of my state taxes owed on this return. To revoke a payment, I must contact the Kentucky Department of Revenue at (502) 564-4581 no later than two business days prior to the payment (debit) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. If I have filed a balance due return, I understand that if the Kentucky Department of Revenue does not receive my full and timely payment of my tax liability, I will remain liable for the tax liability and all applicable interest and penalties. Under penalties of perjury, I declare that the information I have given my electronic return originator (ERO) or transmitter and the amounts in Part I above agree with the amounts on the corresponding lines of the electronic portion of my 2008 Kentucky income tax return. To the best of my knowledge and belief, my return is true, correct and complete. I consent to my ERO or transmitter sending my return and accompanying schedules and statements to the Kentucky Department of Revenue. I also consent to the Kentucky Department of Revenue sending my ERO and/or transmitter an acknowledgment of receipt or transmission and an indication of whether or not my return is accepted, and, if rejected, the reason(s) for the rejection.  ➤ ➤  Your Signature (If joint or combined return, both must sign) Spouse’s Signature Date Signed Telephone Number (daytime) PART IV—Declaration and Signature of Electronic Return Originator and Paid Preparer I declare that I have reviewed the above taxpayer’s return and that the entries on Form 8453-K are complete and correct to the best of my knowledge. If I am only a collector, I am not responsible for reviewing the return and only declare that this form accurately reflects the data on this return. If Part II is completed, I declare that I have verified the taxpayer’s proof of account and it agrees with the name shown on this form. The taxpayer will have signed this form before I submit the return. I will give the taxpayer a copy of all forms and information to be filed with the Kentucky Department of Revenue, and have followed all other requirements in Kentucky Publication KY-1345, Kentucky Handbook for Electronic Filers of Individual Income Tax Returns (Tax Year 2008). If I am also the paid preparer, under penalties of perjury I declare that I have examined the above taxpayer’s return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct and complete. This declaration is based on all information of which I have any knowledge.  if also paid preparer.  if self-employed. Check Check ERO’s Use Only Signature Date I.D. Number of ERO Firm’s name (or FEIN yours if self-employed) ZIP code and address  if self-employed. Paid Preparer’s Check Use Only Preparer’s Signature Date I.D. Number of Preparer Firm’s name (or FEIN yours if self-employed) and address ZIP code ➤ Keep this form with your tax return. Do not mail!
  • 2. Instructions for Form 8453-K Kentucky Individual Income Tax Declaration for Electronic Filing Filing Requirements Part I—Tax Return Information Line 7—The routing transit number must be nine digits and begin with 01 through 12 or Enter the required data from the Kentucky tax  Federal/State E-file With a Federal PIN—For 21 through 32. return. Lines 1 through 4 and either Line 5 or returns filed via this method, an 8453-K is 6 must be completed. not required. Line 8—The depositor account number can Part II—Direct Deposit of Refund or Direct  Federal/State E-file Without a Federal be up to 17 characters (both numbers and Debit of Tax Amount Due PIN—For returns filed via this method, letters). Include hyphens but omit spaces and an 8453-K is required to be completed. Direct Deposit of Refund—If there is an special characters. If fewer than 17 characters, Do not mail this form. Electronic return amount on Line 5 (Refunded to you), the enter the numbers from left to right and leave originators (EROs) must retain them for a taxpayer can choose to have their refund the unused boxes blank. period of three years. directly deposited by completing Part II, Lines Note: Taxpayers should use a check, form, 7, 8 and 9, and checking the box on Part III, Line  Online Filing—For returns filed via this report or other statement generated by their 11.Taxpayers can choose direct deposit for the method, an 8453-K is required to be financial institution to verify the routing transit Kentucky income tax refund regardless of the completed and retained for a period of number and depositor account number. choice for federal purposes. three years. Do not mail this form. Do not use a deposit slip as it may contain Payment of Balance Due—Penalty and interest Completing the Form internal routing numbers. If there is any doubt will begin to accrue on any tax due that has about the correct routing transit number, the You must complete your Kentucky individual not been paid by April 15, 2009. taxpayer should ask the financial institution income tax return before you complete Form If there is an amount on Line 6 (Amount for the routing transit number to use for direct 8453-K. You must also complete this form you owe), the taxpayer can choose from the deposit (Electronic Funds Transfer). before signing it. Taxpayers, EROs and paid following methods of payment: preparers must not sign the form before it Part III—Declaration of Taxpayer (1) Pay by check or money order—Taxpayers is completed. should submit their payment using Form Declaration Control Number (DCN) An electronically transmitted return will not be 740-V, Kentuck y Electronic Payment considered true, accurate and complete unless The DCN, located in the upper right corner Voucher. Form 8453-K is signed by the taxpayer(s) prior of the form, must be identical on the federal (2) Pay by Credit Card or eCheck—Pay your to transmitting the electronic return. electronic return, the federal Form 8453 and 2008 Kentucky individual income tax the Kentucky Form 8453-K. by MasterCard or VISA credit card or The taxpayer must sign and date Form 8453-K by eCheck (electronic check) through Name, Address and Social Security Number after it has been completed to verify that the April 15, 2009. Access the Department information is correct and that the taxpayer You must enter your name, address and Social of Revenue’s secure Web site (www. agrees with the information on the completed Security number on Form 8453-K. revenue.ky.gov) to make electronic tax return. payments over the Internet. Click on Taxpayer Responsibilities the KY E-Tax logo or choose Electronic EROs and tax preparers are prohibited from Taxpayer(s) that use an ERO must: Services from the menu, then click on obtaining taxpayer signatures on blank or  Verify all information on the Form 8453-K, Electronic Payment. If you do not have incomplete forms. including Social Security number. access to the Internet, you may call the Department of Revenue at (502) When an error is corrected after the taxpayer  Inspect the paper copy of the return and 564-4581. has signed Form 8453-K, and the corrected ensure the information is correct. Kentucky taxable income varies more than To make a credit card payment, the  Sign Form 8453-K after the return has been $50, or the corrected refund or balance due following information is needed: credit prepared but before it is transmitted. varies more than $14, a new Form 8453-K card type, credit card number, expiration Taxpayer(s) that file from home must: must be completed for taxpayer signature. date, and the cardholder’s address as it appears on the credit card billing  Complete Form 8453-K. PART IV—Declaration and Signature of ERO statement. To make an eCheck payment,  Attach the Kentucky copy of Forms W-2, and Paid Preparer the following information is needed: bank W-2G and 1099-R; any documents verifying name, bank account number, and bank This section must be completed and signed credit amounts; any schedules explaining routing number. by the ERO. “Other” adjustments to income; and any (3) Pay by Direct Debit—The taxpayer documents with required signatures. can choose to pay the amount due by If the ERO is also the paid preparer, the ERO completing Part II, Lines 7 through 10, and  Keep this form with your tax return. Do not must check the paid preparer box, but is not checking the box on Line 13. Taxpayers mail. required to complete or sign the Paid Preparer can choose direct debit for Kentucky Section. ERO Responsibilities regardless of the choice for federal A paid preparer who is not the ERO must purposes. The taxpayer must ensure The ERO must: complete, sign and date the Paid Preparer that the following information relating  Complete Form 8453-K Declaration. to the financial institution account is  Obtain signature of taxpayer(s) provided in the tax preparation software: If the ERO cannot obtain the paid preparer’s Routing Number, Account Number, Type  Attach the Kentucky copy of Forms W-2, signature on Form 8453-K, a copy of the tax of Account (Checking or Savings), Debit W-2G and 1099-R; any documents verifying return with the paid preparer’s signature Amount, Debit Date (through April 15, credit amounts; any schedules explaining should be attached to the 8453-K. 2009). “Other” adjustments to income; and any Refund Information—The Automated Refund Note: Select any date until April 15 to documents with required signatures. and Tax Information System (ARTIS) is have the payment withdrawn from your  Provide the taxpayer with copies of available to provide information by telephone account. Actual withdrawal of funds the completed 8453-K and all other on the receipt of your tax return.The automated may be later, but will be considered information. system telephone number is (502) 564-1600. timely. Please allow up to two weeks for It is available 24 hours a day, 7 days a week.  Retain form for three years. processing.