ERO MUST RETAIN THIS FORM
DO NOT SUBMIT THIS FORM TO
GEORGIA DEPARTMENT OF REVENUE
UNLESS REQUESTED TO DO SO.
IRS DCN OR SUBMISSION ID
GA-8453 S
2012
GEORGIA S CORPORATE INCOME TAX DECLARATION FOR ELECTRONIC FILING SUMMARY OF AGREEMENT BETWEEN TAXPAYER AND ERO OR PAID PREPARER
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UET Annualiztion Exception attached |
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Initial Net Worth |
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Extension |
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C Corp Last Year |
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2012 |
Income Tax Return |
2013 |
Net Worth Return |
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Composite Return Filed |
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Name Change |
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Beginning ____________________ |
Beginning ____________________ |
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Original Return |
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Address Change |
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Ending |
_____________________ |
Ending |
_____________________ |
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Amended Return |
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Final |
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Federal Employer I.D. Number |
Name (Corporate title) |
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Date admitted into GA |
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Location of Books (City & State) |
Business Address |
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Incorporated under laws of |
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what state |
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Telephone Number |
City or Town |
State |
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Zip Code |
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NAICS Code |
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PART I |
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TAX RETURN INFORMATION |
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1. |
Federal ordinary income (Form 600S, Line J) |
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1. |
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2. |
Total Income for Georgia purposes (Form 600S, Sch 8, Line 11) |
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2. |
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3. |
Net Worth (Form 600S, Sch 3, Line 4) |
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3. |
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4. |
Net Worth Taxable by Georgia (Form 600S, Sch 3, Line 6) |
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4. |
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5. |
Tax Amounts (Form 600S, Sch 4, Line 1) |
Income |
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..... Net Worth |
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6. |
Balance of Tax due with return (Form 600S, Sch 4, Line 10) |
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6. |
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7. |
...Refund (Form 600S, Sch 4, Line 11) Credited to 2013 |
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...... Refunded |
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PART II |
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DECLARATION OF CORPORATE OFFICER |
Underpenaltiesofperjury,IdeclarethattheinformationIhaveprovidedtothecorporation’sElectronicReturnOriginator(ERO)and/orOnlineServiceProviderand/ortransmitter
andtheamountsshowninPartIagreewiththeamountsshownonthecorrespondinglinesoftheelectronicportionofthecorporation’s2012GeorgiaCorporateIncomeTaxReturn.
IdeclarethatIhaveexaminedthecorporation’staxreturn,includingaccompanyingschedulesandstatements,andtothebestofmyknowledgeandbelief,thecorporation’sreturnis true,correctandcomplete. Iconsentthattheelectronicportionofthecorporation’sreturnmaybesentbymyERO/OnlineServiceProvider/transmitter.
SIGN
HERE |
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SIGNATURE OFOFFICER |
DATE |
TITLE |
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PRINT NAME |
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E-MAIL |
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PART III DECLARATION OF ELECTRONIC RETURNS ORIGINATOR AND PAID PREPARER
IDECLARETHATIHAVEREVIEWEDTHEABOVECORPORATION’SRETURNANDTHATTHEENTRIESONTHEGA-8453SARECOMPLETE ANDCORRECTTOTHEBESTOFMYKNOWLEDGE.
ERO’s Signature _________________________________________________________________ |
Date _______________________ |
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Firm’s Name |
__________________________________________________________________ |
Check if also paid preparer |
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Address |
__________________________________________________________________ |
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__________________________________________________________________ |
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IF PREPARED BYA PERSON OTHER THAN THE TAXPAYER, THIS DECLARATION IS BASED ONALLTHE INFORMATION OFWHICH THE TAXPAYER HAS KNOWLEDGE.
Paid Preparer’s Signature _________________________________________________________ |
Date _______________________ |
Firm’s Name |
__________________________________________________________________ |
FEIN/PTIN _________________ |
Address |
__________________________________________________________________ |
SSN/TIN ___________________ |
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__________________________________________________________________ |
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GA-8453 S (REV 5/12) |
KEEP A COPY WITH YOUR RECORDS |
General Instructions
PURPOSE OF FORM
The GA-8453 S is a signature form summarizing the agreement between the taxpayer and ERO or paid preparer. It may also be used by the Georgia Department of Revenue (GADOR) to authenticate the electronic portion of form GA 600S. A corporate officer must review and sign this form. If you file the GA 600 please use form GA-8453 C. This form should not be mailed but should be kept for a period of 3 years from the end of the year for which the return is filed. This is in accordance with Georgia Regulation 560-7-8-.41.
LINE INSTRUCTIONS
Enter either the DCN or Submission ID.
IRS DCN – This is the IRS’s Declaration Control Number. This is a 14 digit number assigned to each return by the electronic returns originator (ERO). This number will be the same as on the Federal return.
SUBMISSION ID - This is a distinct number assigned to every return that is submitted. This number can be used in tracking the return. CORPORATE INFORMATION - This information must reflect and be the same as the information transmitted on the return.
PART I – TAX RETURN INFORMATION
Enter the required data from the Georgia tax return. All lines must reflect the amounts transmitted on the return.
Payment of Balance Due - It is the responsibility of the taxpayer/corporation who owes additional tax to make payment to the Georgia Department of Revenue using one of the following methods:
•Mail a check with the PV-CORP. This voucher and other forms can be found online at www.etax.dor.ga.gov
•ACH credit (must be registered with the DOR EFT division).
•ACH debit payment is available online using the e-File and e-Pay system at https://gaefile.dor.ga.gov and through the payment option within tax software programs.
•Credit card payments via Official Payment Corp (OPC) can be made either online at www.officialpayment.com or by phone by calling 1-800-2PAY-TAX using jurisdiction code 2006 for Business taxes.
PART II – DECLARATION OF CORPORATE OFFICER
After the return has been prepared and before the return is transmitted, a corporate officer must verify the information on the return, sign and date the completed GA-8453 S. The ERO must provide the taxpayer/corporation with a copy of this form.
If an ERO makes changes to the electronic return after the GA-8453 S has been signed by the corporate officer, but before transmittal, the ERO must have the corporate officer complete and sign a corrected GA-8453 S.
PART III – DECLARATION OF ELECTRONIC RETURNS ORIGINATOR AND PAID PREPARER
The Georgia DOR requires that the ERO sign this form and keep it with the required attachments for three (3) years. A preparer must sign the GA-8453 S in the space provided for the preparer. If the preparer is also the ERO, do not complete the Preparer Section; instead, check the box labeled “Check if also paid preparer” in the ERO section.
TAXPAYER COPY: The ERO must provide the taxpayer/corporation a copy of the completed GA-8453 S and all other relevant and required information, to the taxpayer/corporation.
TELEPHONE ASSISTANCE: |
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GTC Questions |
1-877-423-6711 |
Compliance issues |
404-417-6391 |
Composite return issues |
1-877-423-6711 |
Secretary of State |
404-656-2817 |
E-MAIL ASSISTANCE: |
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Corporate tax questions |
taxpayer.services@dor.ga.gov |
Electronic filing questions |
ecorp@dor.ga.gov |
Georgia Tax Center (GTC) |
http://www.gataxinfo.org/ |
For Rules and Regulations, Frequently Asked Questions and forms please visit our website at www.etax.dor.ga.gov |
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KEEP THIS FORM FOR YOUR RECORDS |
REPORTING FRAUD |
404-417-4266 or http://www.dor.ga.gov/inctax/fraudreport.html |
A fraud hotline has been established for practitioners and taxpayers to report tax-related activities that they believe are illegal or incorrect. The hotline can be used to report suspected illegal activity for all tax types. Persons submitting reports may remain anonymous.