Edit, Download, and Sign the California Mandatory e-Pay Election Waiver Request

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How do I fill this out?

To fill out this form, start by providing your personal information including your name and social security number. Next, check the applicable boxes for discontinuation or waiver requests. Finally, sign the form and ensure that any required attachments are included.

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How to fill out the California Mandatory e-Pay Election Waiver Request?

  1. 1

    Provide your name and social security number.

  2. 2

    Select the applicable boxes for your request.

  3. 3

    Attach a physician's affidavit if required.

  4. 4

    Sign and date the form.

  5. 5

    Submit the form via mail or fax.

Who needs the California Mandatory e-Pay Election Waiver Request?

  1. 1

    Taxpayers with a tax liability exceeding $80,000.

  2. 2

    Individuals who have not made electronic payments exceeding $20,000.

  3. 3

    Taxpayers with temporary financial hardships.

  4. 4

    Individuals who are permanently physically or mentally impaired.

  5. 5

    Those needing to qualify for a waiver of electronic payments.

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What are the instructions for submitting this form?

To submit this form, mail it to STATE OF CALIFORNIA FRANCHISE TAX BOARD, PO BOX 942840, SACRAMENTO CA 94240-0040. Alternatively, you may fax it to 916.843.0468. Ensure all required fields are filled, and any necessary supporting documents are attached for a smooth process.

What are the important dates for this form in 2024 and 2025?

For 2024, ensure to submit your waiver request after receiving your participation notice. Important deadlines for tax filings and payments will apply annually. Keep abreast of any changes to tax regulations affecting your filing.

importantDates

What is the purpose of this form?

The primary purpose of this form is to allow taxpayers in California to formally request a waiver from the mandatory e-pay requirements. Taxpayers who do not meet the thresholds for electronic payments can alleviate potential penalties by submitting this request. This form ensures compliance while accommodating those who face challenges in fulfilling electronic payment obligations.

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Tell me about this form and its components and fields line-by-line.

The form consists of several key components designed to capture the taxpayer's information and waiver request.
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  • 1. Name: The full name of the taxpayer.
  • 2. Social Security Number: The taxpayer's social security number.
  • 3. Spouse/RDP Name: The name of the spouse or registered domestic partner.
  • 4. Spouse/RDP Social Security Number: The spouse or RDP's social security number.
  • 5. Address: The taxpayer's physical address.
  • 6. City, State, ZIP: The city, state, and ZIP code of the taxpayer's address.
  • 7. Request Type: Sections that allow the taxpayer to specify the type of request (discontinue or waiver).
  • 8. Signature: A space for the taxpayer and spouse/RDP to sign and date.
  • 9. Physician Affidavit: A section wherein a physician must provide their statements regarding the request.

What happens if I fail to submit this form?

Failure to submit this form may result in penalties for not complying with electronic payment requirements. Taxpayers will continue to be liable for any mandatory e-pay obligations until a waiver is granted. It’s critical to submit the form as soon as eligibility is established to avoid issues.

  • Penalties: You may incur penalties for failing to meet the mandatory e-pay requirements.
  • Continued Obligation: You will remain obligated to make electronic payments until a waiver is approved.
  • Tax Liability: Failure to comply can lead to increased tax liabilities.

How do I know when to use this form?

You should use this form if you meet the criteria of having not made significant electronic payments in the previous tax year or have financial hardships. This form is also applicable if you have a permanent physical or mental impairment impacting your ability to comply. Review the provided criteria to determine your eligibility.
fields
  • 1. Financial Hardship: Submitting when you're facing temporary financial difficulties.
  • 2. Physical/Mental Impairment: Applicable for those with permanent disabilities affecting compliance.
  • 3. Tax Liability Issues: When your estimated payments do not meet the electronic thresholds.

Frequently Asked Questions

What is the purpose of this form?

This form is used to request a waiver from mandatory electronic tax payments in California.

Who can submit this form?

Any taxpayer unable to comply with electronic payment requirements can submit this request.

What documents do I need to provide?

You may need to attach a physician's affidavit if applying for a permanent waiver.

How do I submit the form?

You can submit the form via mail or fax to the specified addresses.

Is there a deadline for submission?

It is advised to submit the form as soon as possible after receiving the participation notice.

Can I edit the form on PrintFriendly?

Yes, you can easily edit the PDF form using our user-friendly editing tools.

How can I sign the PDF?

You can add your signature directly within the PrintFriendly platform.

Is this form available in other languages?

Currently, the form is only available in English.

What if my waiver request is denied?

You will receive written notification, and you may have options for appealing the decision.

Where can I find more information on electronic payments?

Visit the California Franchise Tax Board website for detailed information.

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