Form Wv 8453 PDF Details

In order to ensure taxpayers are properly credited for their contributions, the West Virginia State Tax Department has implemented Form Wv 8453. This form is used to verify and document donations made to qualified charities. Taxpayers who have made donations in accordance with the Internal Revenue Service's guidelines are urged to complete and submit a Form Wv 8453 to the department. Doing so will help ensure that they receive proper credit for their contributions. Additional information on the form can be found on the department's website. Thank you for your assistance in this matter.

QuestionAnswer
Form NameForm Wv 8453
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesPreparer, wv 8453 signature, EI, III

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STATE OF WEST VIRGINIA

INDIVIDUAL INCOME TAX

DECLARATION FOR ELECTRONIC FILING

For The Year January 1 - December 31, 2005

IRS DCN 0 0

WV-8453

Rev 10/05

6

2005

Your first name and initial

Last name

Your Social Security Number

 

 

 

 

 

If a joint return, spouse's first name and initial

Last name, if different

Spouse's Social Security Number

 

 

 

 

 

 

 

 

Home Address (number and street)

 

Daytime telephone #

 

 

 

 

 

City, town or post office, state and ZIP code

 

 

 

 

 

 

 

 

 

Part I

 

Tax Return Information

(Whole dollars only)

1.

Federal Adjusted Gross Income (Form IT-140, Line 1)

1

2.

West Virginia Income Tax (Form IT-140, Line 8)

2

3.

Balance Due ( IT-140, Line 17)

3

4.

Refund (Form IT-140, Line 22)

4

Part II

Direct Deposit or Electronic Funds Withdrawal (See Instructions)

 

 

 

The first two numbers of the RTN must be 01 through 12 or 21 through 32

5. Routing transit number (RTN)

 

 

6. Depositor account number (DAN)

 

 

7.

Electronic Funds Withdrawal (Checking Only; No Partial Payments)

 

 

8. Type of account: Checking

Savings (Direct Deposit Only)

S T A T E

Part III

Declaration of Taxpayer

I consent that my refund be directly deposited or my payment due be withdrawn by electronic debit as designated in Part II. I further authorize the State of West Virginia, to initiate debit entries and to initiate, if necessary, credit entries as adjustments for any entries in error into my Checking or Savings account as indicated above in Part II and the Financial Institution indicated above in Part II, to credit the same any amount(s) owed to me by the State of West Virginia. If I have filed a joint return, this is an irrevocable appointment of the other spouse as an agent to receive the refund or authorize the electronic debit.

Under penalties of perjury, I declare that I have compared the information contained on my return with the information I have provided to my Electronic Return Originator and that the amounts described in Part I above agree with the amounts shown on the corresponding lines of my 2005 West Virginia income tax return. To the best of my knowledge and belief, my return is true, correct and complete. I consent that my return, including this declaration and accompanying schedules and statements, be sent to the West Virginia State Tax Department . If I have filed a joint federal and state return, I understand that, if there is an error on either return,

my state return will be rejected. If the processing of my return or refund is delayed, I authorize the State Tax Department to disclose to my ERO and/or the transmitter the reason(s) for the delay, or when the refund was sent.

Please

 

 

 

 

 

Sign Here

 

 

 

 

 

Your signature

Date

 

Spouse's signature

Date

 

 

Part IV

Declaration & Signature of Electronic Return Originator (ERO) & Paid Preparer

 

 

 

 

 

 

 

Ideclare that I have reviewed the above taxpayer's return and that entries on Form WV-8453 are complete and correct to the best of my knowledge. (ERO's who are collectors are not responsible for reviewing the taxpayer's return; however, they must ensure that Form WV-8453 accurately reflects the data on the return.) I have obtained the taxpayer's signature on Form WV-8453 before submitting this return to the State Tax Department, have provided the taxpayer with a copy of all forms and information to be filed with the West Virginia State Tax Department , and have followed all other requirements described in the West Virginia Handbook for Electronic Filers of Individual Income Tax Returns (Tax Year 2005). If I am also the Paid Preparer, under penalty 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. Declaration of preparer is based on all information of which preparer has any knowledge.

 

 

D a t e

Check if:

Your PTIN/SSN

 

ERO's

 

Paid Preparer

 

 

Signature

 

 

Self - Employed

 

 

Firm's name

Phone #

EI No.

 

(or yours, if

 

 

 

 

self-employed)

 

Zip Code

 

and address

 

 

 

 

 

 

 

 

 

O F

W

E

S

T

V

I

R G I N I A

ERO's are instructed to retain the WV-8453 and all supporting documents for not less than three (3) years.

Under penalties of perjury, I declare that I have examined this return and accompanying schedules and statements and to the best of my knowledge and belief, they are true, correct and complete. Declaration

of preparer is based on all information of which preparer has any knowledge.

D a t e

Check if:

Preparer's PTIN/SSN

Paid

Preparer's

 

Self - Employed

 

Signature

 

 

 

 

 

 

 

 

 

 

Preparer's

Firm's name

 

Phone #

EI No.

 

 

Use

(or yours, if

 

 

 

 

 

 

 

Zip Code

Only

self - employed)

 

 

 

 

 

 

and address

 

 

 

 

NOTE: Part IV of this form MUST be completed in full as required. ERO's are required to file and hold this document and all attachments for three

(3) years from date filed.

DO NOT USE SPACE BELOW

How to Edit Form Wv 8453 Online for Free

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Be attentive when filling out this form. Make sure that all mandatory fields are filled in properly.

1. Start completing the EI with a selection of major blank fields. Collect all the required information and make sure nothing is omitted!

Ways to complete RTN portion 1

2. The third step is to fill out all of the following blanks: EROs Signature Firms name or yours, Check if Paid Preparer SelfEmployed, Phone, EI No, Zip Code, EROs are instructed to retain the, V I R G I N I A, Under penalties of perjury I, Preparers PTINSSN, D a t e, Check if, Paid Preparers Use Only, Preparers Signature, Firms name or yours if, and NOTE Part IV of this form MUST be.

Check if Paid Preparer SelfEmployed, Phone, and V I R G I N I A of RTN

Many people generally make some mistakes when filling out Check if Paid Preparer SelfEmployed in this part. You should reread what you type in right here.

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