Declaration Control Number (DCN)

0 0 – – – 7

U.S. Individual Income Tax Declaration OMB No. 1545-0074 8453-OL for an IRS e-file Online Return

Department of the Treasury

Internal Revenue Service

For the year January 1–December 31, 2006

© See instructions on back.

Your first name and initial Last name Your social security number L

A

B

E

L

H 

E

R

E

Use the

IRS label.

Otherwise,

please

print or

type.

If a joint return, spouse’s first name and initial Last name Spouse’s social security number

Home address (number and street). If you have a P.O. box, see instructions. Apt. no.

Daytime phone number

( )

City, town or post office, state, and ZIP code

Tax Return or Request for Refund Information (Whole dollars only)

1 Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4) 1

2 Total tax (Form 1040, line 63; Form 1040A, line 37; Form 1040EZ, line 11) 2

3 Federal income tax withheld (Form 1040, line 64; Form 1040A, line 38; Form 1040EZ, line 7) 3

4 Refund (Form 1040, line 74a; Form 1040A, line 45a; Form 1040EZ, line 12a; Form 1040EZ-T, line 1a) 4

5 Amount you owe (Form 1040, line 76; Form 1040A, line 47; Form 1040EZ, line 13) (see instructions) 5

Declaration of Taxpayer. Be sure to keep a copy of your tax return or request for refund.

I consent that my refund be directly deposited as designated in the refund section of my 2006 federal income tax

return (or Form 1040EZ-T, request for refund, or Form 8888, if applicable). If I have filed a joint return, or request

for refund, this is an irrevocable appointment of the other spouse as an agent to receive the refund.

Sign

Here© Your signature Date

IRS Use Only—Do not write or staple in this space.

Part II

If I have filed a balance due return, I understand that if the IRS does not receive full and timely payment of my tax liability,

I will remain liable for the tax liability and all applicable interest and penalties. If I have filed a joint federal and state tax

return, or request for refund, and there is an error on my state return, I understand my federal return, or request for refund, 

will be rejected.

Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return, or request

for refund, and accompanying schedules and statements for the tax year ending December 31, 2006, and to the best of my 

knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts

shown on the copy of my electronic income tax return, or request for refund. I consent to allow my intermediate service

provider and/or transmitter to send my return, or request for refund, to the IRS and to receive the following information from 

the IRS: (a) an acknowledgment of receipt or reason for rejection of the transmission, (b) an indication of any refund offset, 

(c) the reason for any delay in processing the return or refund, (d) notification that Form 8453-OL signature documents have 

not been received for the past two years, if required, and (e) the date of any refund.

Spouse’s signature. If a joint return, or request for refund,

both must sign.

© Date

Important!

You must enter

your SSN(s) above.

¶ ¶

6a

b I do not want direct deposit of my refund or I am not receiving a refund.

I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal entry 

to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed

on this return and/or a payment of estimated tax. I further understand that this authorization may apply to future

federal tax payments that I direct to be debited through the Electronic Federal Tax Payment System (EFTPS). In

order for me to initiate future payments, I request that the IRS send me a personal identification number (PIN) to

access EFTPS. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent 

to terminate the authorization. To revoke a payment, I must contact the U.S. Treasury Financial Agent at

1-888-353-4537 no later than 2 business days prior to the payment (settlement) 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.

c

Part I Form

2006
Form 8453-OL (2006) Page 2

Paperwork Reduction Act Notice. We ask for

the information on this form to carry out the

Internal Revenue laws of the United States. You

are required to give us the information. We need

it to ensure that you are complying with these

laws and to allow us to figure and collect the

right amount of tax.

P.O. box. Enter your box number only if the

post office does not deliver mail to your home.

Note. The address must match the address

shown on your electronically filed return, or

request for refund.

Part II—Declaration of Taxpayer

● Routing number.

message. Clearly print or type the DCN in the

top left corner of Form 8453-OL. The first two

digits are always “00”. The next six digits are

the electronic filer identification number

(EFIN). The next five digits are the batch

number and serial number. The “7” 

represents the year the return is filed (2007).

Refunds. Your refund should be issued within

3 weeks after the IRS has accepted your

return, or request for refund. However, some

refunds may be delayed because of

compliance reviews to ensure that returns, or

a request for refund, are accurate.

Example. The EFIN is 509325. The batch

number is 000. The serial number is 56. The

DCN is 00-509325-00056-7.

Name and address. If you received a

peel-off name and address label from the

IRS, put the label in the name area. Cross out

any incorrect information and print the correct

information. Add any missing items, such as

your apartment number. If you did not receive

a label, print or type the information in the

spaces provided.

When and Where To File

Mail Form 8453-OL to the IRS on the next

working day after you have received

acknowledgment from your intermediate

service provider and/or transmitter that the

IRS has accepted your electronically filed

return, or request for refund. The address

should be included in your acknowledgment

message. If not, mail Form 8453-OL to the

IRS at the applicable address shown in the

chart below. If you do not receive an

acknowledgment, you must contact your

intermediate service provider and/or

transmitter.

Who Must File

If you are filing a 2006 Form 1040, 1040A, 1040EZ,

or 1040EZ-T through an intermediate service

provider and/or transmitter and you do not use a

self-select PIN, you must file a signed 2006 Form

8453-OL with the Internal Revenue Service (IRS).

You are not required to provide the

information requested on a form that is subject

to the Paperwork Reduction Act unless the form

The average time and expenses required to

complete and file this form will vary depending

on individual circumstances. For the estimated

averages, see the instructions for your income

tax return.

IF you live in: THEN mail Form 8453-OL to:

Connecticut, Delaware, District of Columbia, Illinois, Indiana, Kansas, Maine, Maryland,

Massachusetts, Michigan, Minnesota, Missouri, New Hampshire, New Jersey, New York, Ohio,

Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia, Wisconsin, APO/FPO New York

addresses

Alabama, Alaska, Arizona, Arkansas, California, Colorado, Florida, Georgia, Hawaii, Idaho,

Iowa, Kentucky, Louisiana, Mississippi, Montana, Nebraska, Nevada, New Mexico, North

Carolina, North Dakota, Oklahoma, Oregon, South Carolina, South Dakota, Tennessee, Texas,

Utah, Washington, Wyoming, APO/FPO addresses (other than APO/FPO New York addresses)

foreign and U.S. possession addresses, returns containing U.S. possession forms or Forms

2555, 2555-EZ, 8833, 8854, or 8891

Internal Revenue Service

Attn: Shipping and Receiving, 0254

Receipt and Control Operations

Andover, MA 05544-0254

Internal Revenue Service

Attn: Shipping and Receiving, 0254

Receipt and Control Branch

Austin, TX 73344-0254

General Instructions

Social security number (SSN). Be sure to

enter your SSN in the space provided on

Form 8453-OL. If a joint return, or request for

refund, list the SSNs in the same order as the

first names.

Note. You must check all applicable boxes

on line 6.

● Account number.

● Type of account (checking or savings).

● Debit amount.

● Debit date (date you want the debit to

occur).

Signatures. Your electronically transmitted

return, or request for refund, will not be

considered complete, and therefore filed,

unless and until the IRS receives your signed

Form 8453-OL. If a joint return, or request for

refund, your spouse must also sign. A Form

8453-OL signed by an agent must have a

power of attorney attached that specifically

authorizes the agent to sign the return, or

request for refund. To do this, you can use

Form 2848, Power of Attorney and

Declaration of Representative. Refer to Pub.

947, Practice Before the IRS and Power of

Attorney, for guidance.

Part I—Tax Return or Request for

Refund Information

Line 5. Do not include any payment with

Form 8453-OL. The method of payment

depends on whether you check the box on

line 6b or 6c. For details, see the instructions

for Part II.

If you check box 6c, you must ensure that

the following information relating to the

financial institution account is provided in the

tax preparation software.

If there is an amount on line 5 and you check

box 6b and are paying by check or money

order, do not attach your payment to

Form 8453-OL. Instead, mail it by April 16,

2007, with Form 1040-V to the IRS at the

applicable address shown on that form. If

displays a valid OMB control number. Books or

records relating to a form or its instructions must

be retained as long as their contents may

become material in the administration of any

Internal Revenue law. Generally, tax returns and

return information are confidential, as required

by Internal Revenue Code section 6103. If you have suggestions for making this form

simpler, we would be happy to hear from you.

See the instructions for your income tax return.

Note. Do not mail a copy of your electronically

filed Form 1040, 1040A, 1040EZ, or 1040EZ-T to

the IRS.

You may be able to file a completely

paperless return, or request for refund!

Your tax preparation software should

contain information about using a self-select

personal identification number (PIN) instead of

filing Form 8453-OL. Or, you can go to the

IRS website at www.irs.gov.

Purpose of Form

Use Form 8453-OL to:

● Authenticate the electronic portion of your

2006 Form 1040, 1040A, 1040EZ, or 1040EZ-T,

● Provide your consent to directly deposit any

refund and/or authorize an electronic funds

withdrawal for payment of federal taxes owed

and/or a payment of estimated tax.

● Send any required paper forms (do not

send Forms W-2, W-2G, or 1099-R), and

Refund information. You can check on the

status of your 2006 refund if it has been at

least 3 weeks from the date you filed your

return, or request for refund. To check on the

status of your 2006 refund, do one of the

following:

● Go to www.irs.gov and click on Where’s

My Refund.

● Call 1-800-829-1954.

● Call 1-800-829-4477 for automated refund

information and follow the recorded

instructions.

TIP

Line Instructions

Declaration control number (DCN). The DCN

is a 14-digit number assigned to your return,

or request for refund, by your intermediate 

service provider and/or transmitter. It should

be included in your acknowledgment

you live in Maine, Maryland, Massachusetts,

New Hampshire, New York, Vermont, or the

District of Columbia you have until April 17,

2007. If you do not have a Form 1040-V, you

may be able to get it from your intermediate

service provider and/or transmitter. You can

also see your tax return instruction booklet for

other ways to get forms or go to the IRS

website at www.irs.gov.

If you are filing Form 8453-OL only

because of Form 1040EZ-T, you will

need to complete line 4 in Part I.

Lines 1, 2, 3, and 5 should be left blank.

However, you will still need to complete

Part II.

CAUTION