*58E5AA*

58E5AA

SAMPLE

Last name Your social security number

Name of the financial institution

Routing transit number (RTN)

Depositor account number (DAN)

Please use ALL CAPITAL LETTERS in the spaces provided.

Form 8888

Department of the Treasury

Internal Revenue Service

Direct Deposit of Refund

© See instructions below and on back.

© Attach to Form 1040, 1040A, 1040EZ, 1040NR, or 1040NR-EZ.

OMB No. 1545-1473

Attachment

Sequence No. 06

- -

The first two numbers of the RTN must

be 01 through 12 or 21 through 32.

1

2

3 5 Ownership of account

Your first name and initial (as shown on your tax return)

Self Spouse Self and spouse

Purpose of Form

Use Form 8888 to request that we

deposit your tax refund into your

account at a financial institution instead

of sending you a check.

Why Use Direct Deposit?

● Takes less time than issuing a check.

● Is more secure—there’s no check to

get lost.

● Saves tax dollars. Making a direct

deposit costs less than issuing a check.

Requesting direct deposit is easy. Just

fill in the few lines above and attach the

form to your tax return. If you have other

forms or schedules to attach to your

return, be sure to attach Form 8888

directly behind Form 1040, 1040A,

1040EZ, 1040NR, or 1040NR-EZ.

How To Fill In Form 8888

Line 1.—Fill in the name of your

financial institution.

Line 2.—The routing transit number

(RTN) must be nine digits. If it does not

begin with 01 through 12 or 21 through

32, the direct deposit will be rejected

and a check sent. See the sample check

below for an example of where the RTN

may be shown.

Line 3.—The depositor account number

(DAN) can be up to 17 characters (both

numbers and letters). Include hyphens

but omit spaces and special symbols.

Enter the number from left to right and

leave any unused boxes blank. See the

sample check below for an example of

where the DAN may be shown.

Line 5.—The account designated to

receive the direct deposit must be in

your name. If you are married filing

jointly, the account can be in either

name or both your names. If you are

married filing separately, the account

can be in your name or in both your

name and your spouse’s name.

Caution: The account cannot include

the name of any other person except as

noted above.

1. To make sure the financial

institution will accept direct deposits.

TIP You can check with your

financial institution—

PAUL MAPLE

LILIAN MAPLE

123 Main Street

Anyplace, NY 10000

1234

15-0000/0000

PAY TO THE

ORDER OF

19

$

DOLLARS

ANYPLACE BANK

Anyplace, NY 10000

For

|:250000005|:200000"’86". 1234

RTN DAN

Cat. No. 21858A Form 8888 (1995)

4 Type of account

Checking Savings

For Paperwork Reduction Act Notice, see back.

Requesting Direct Deposit

For accounts payable through a

financial institution other than the one at

which the account is located, check with

your financial institution for the correct

Note: The RTN and DAN may appear in different places on your check.

2. To get the correct routing transit

number (RTN) and depositor account

number ( DAN).

Some financial institutions will not

allow a joint refund to be deposited into

an individual account. Check with your

financial institution.

RTN. Do not use a deposit slip to verify

the RTN.

(line 2) (line 3)
*N8E5AA*

N8E5AA

Checking on Your Refund

Automated refund information is

available on Tele-Tax. See your

instruction booklet for Form 1040,

1040A, or 1040EZ for the telephone

number to use. You can also contact

your financial institution to find out if the

direct deposit has been received.

Form 8888 (1995) Page 2

Who Should Not File Form

8888

You should not file Form 8888 if any of

the following apply:

● You file electronically. Instead, you can

request direct deposit on Form 8453,

U.S. Individual Income Tax Declaration

for Electronic Filing (or on Form 8453-OL

or 8453-NR).

● You file Form 1040PC. You can elect

direct deposit as part of your Form

1040PC tax return.

● You file a tax return other than Form

1040, 1040A, 1040EZ, 1040NR, or

1040NR-EZ. Only individuals filing one of

these forms can use Form 8888.

● You are filing a tax return for a prior

year. Form 8888 can only be used for

current year (1995) returns.

● You are filing a return for a taxpayer

who died, or filing a joint return as a

surviving spouse.

What Happens if There Is a

Problem With My Direct

Deposit Request?

If we are unable to honor your request

for a direct deposit, we will send you a

check instead. Some reasons for not

honoring a request include:

● The name(s) on your tax return does

not match the name(s) on the account.

See the instructions for line 5.

● You have requested that the IRS figure

your tax for you instead of figuring it

yourself.

● The refund amount you claimed differs

from the refund to which you are entitled

by more than $50.

● The financial institution rejects the

direct deposit because of an incorrect

DAN.

● You enter an incorrect RTN or DAN, or

do not check the correct box for line 4

or 5.

● You asked to have your refund directly

deposited into a foreign bank or a

foreign branch of a U.S. bank. The IRS

can only make direct deposits to

accounts in U.S. financial institutions

located in the United States.

Paperwork Reduction Act

Notice

We ask for the information on this form

to carry out the Internal Revenue laws of

the United States. 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. If you want your

refund directly deposited, you must give

us the information requested.

The time needed to complete and file

this form will vary depending on

individual circumstances. The estimated

average time is: Learning about the law

or the form, 3 min.; Preparing the

form, 8 min.; and Copying, assembling,

and sending the form to the IRS, 10

min.

If you have comments concerning the

accuracy of this time estimate or

suggestions for making this form

simpler, we would be happy to hear from

you. See the instructions for the tax

return with which this form is filed.