Declaration Control Number (DCN)

0 9 0 – – –

U.S. Individual Income Tax Declaration OMB No. 1545-1397 8453-OL for On-Line Filing

Form

Department of the Treasury

Internal Revenue Service

For the year January 1–December 31, 1998

© 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 a P.O. box, see instructions. Apt. no.

Telephone number (optional)

( )

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

For Paperwork Reduction Act Notice, see instructions.

Tax Return Information (Whole dollars only)

1 Total income (Form 1040, line 22; Form 1040A, line 14; Form 1040EZ, line 4) 1

2 Total tax (Form 1040, line 56; Form 1040A, line 34; Form 1040EZ, line 10) 2

3 Federal income tax withheld (Form 1040, line 57; Form 1040A, line 35; Form 1040EZ, line 7). 3

4 Refund (Form 1040, line 66a; Form 1040A, line 41a; Form 1040EZ, line 11a) 4

5 Amount you owe (Form 1040, line 68; Form 1040A, line 43; Form 1040EZ, line 12). See instructions 5

Declaration of Taxpayer

Attach Copy B of your Forms

W-2, W-2G, and 1099-R here.

I consent that my refund be directly deposited as designated in the electronic portion of my 1998 Federal income

tax return. If I have filed a joint return, this is an irrevocable appointment of the other spouse as an agent to

receive the refund.

Sign

Here © Your signature Date

Part I

Cat. No. 15907C Form 8453-OL (1998)

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 and there is an error on my state return, I understand my Federal return will be

rejected.

Under penalties of perjury, I declare that the information I have given my on-line service provider and/or transmitter

and the amounts in Part I above agree with the amounts on the corresponding lines of the electronic portion of

my 1998 Federal income tax return. To the best of my knowledge and belief, my return is true, correct, and

complete. I consent that the electronic portion of my return be sent to the IRS by my on-line service provider

and/or transmitter.

© Spouse’s signature. If a joint return, BOTH must sign. Date

1998

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 (1) the U.S. Treasury and its designated Financial Agents to initiate an ACH debit (automatic withdrawal)

entry to my financial institution account designated in the electronic portion of my 1998 Federal income tax

return for payment of my Federal taxes owed, and (2) my financial institution to debit the entry to my account.

I also authorize the financial institutions involved in the processing of my electronic payment of taxes to receive

confidential information necessary to answer inquiries and resolve issues related to my payment.

c
Form 8453-OL (1998) 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.

Part I—Tax Return Information

Part II—Declaration of Taxpayer

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. You

can write to the Tax Forms Committee,

Western Area Distribution Center, Rancho

Cordova, CA 95743-0001. DO NOT send

the form to this address. Instead, see

When and Where To File on this page.

Line 5. Do not attach your check or

money order to Form 8453-OL. Instead,

mail it by April 15, 1999, with Form 1040-V

to the IRS at the applicable address shown

in the chart below. If you do not have a

● Routing number

Line Instructions

Declaration Control Number (DCN). The

DCN is a 14-digit number assigned to your

Refunds. Your refund should be issued

within 3 weeks after the IRS has accepted

your return. However, some refunds may

be delayed because of compliance reviews

to ensure that the returns are accurate.

Refund information is available on TeleTax.

See your tax return instruction booklet for

the phone number.

Example. The EFIN is 509325. The

batch number is 000. The serial number is

56. The DCN is 00-509325-00056-9.

Name and Address. If you received a

peel-off name and address label from the

IRS, place it in the name area. Cross out

any errors 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

You must mail this form to the IRS on the

next working day after you have received

acknowledgment from your on-line service

provider and/or transmitter that the IRS

has accepted your electronically filed

return. 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.

Purpose of Form

Use Form 8453-OL to:

Who Must File

If you are filing a 1998 Form 1040, 1040A,

or 1040EZ through an on-line service

provider and/or transmitter, you must file a

signed 1998 Form 8453-OL with the IRS. If

you do not, you will not have filed a valid

return for 1998, and we may not allow you

to file electronically next year.

You are not required to provide the

information requested on a form that is

subject to the Paperwork Reduction Act

unless the form displays a valid OMB

The time needed to complete and file

this form will vary depending on individual

circumstances. The estimated average time

is 15 minutes.

IF you live in . . . THEN mail Form 8453-OL

to this address . . .

Connecticut, Delaware, District of Columbia, Maine,

Maryland, Massachusetts, New Hampshire, New Jersey,

New York, Pennsylvania, Rhode Island, Vermont, Virginia,

and all APO and FPO addresses (except Asian/Pacific)

Illinois, Iowa, Kansas, Minnesota, Missouri, New Mexico,

Oklahoma, Texas, Wisconsin

Florida, Indiana, Kentucky, Michigan, Ohio,

South Carolina, West Virginia

Alabama, Arkansas, Georgia, Louisiana, Mississippi,

North Carolina, Tennessee

Alaska, Arizona, California, Colorado, Hawaii, Idaho,

Montana, Nebraska, Nevada, North Dakota, Oregon,

South Dakota, Utah, Washington, Wyoming, and all

Asian/Pacific APO and FPO addresses

AND mail any payment with

Form 1040-V to this address . . .

Receipt and Control Branch

Shipping and Receiving

310 Lowell Street

Andover, MA 05501

Receipt and Control Branch

Shipping and Receiving

P.O. Box 1231

Austin, TX 78767-1231

Cincinnati, OH 45999

P.O. Box 1898

Attn: 8453-OL

Memphis, TN 38101

Stop 6052

1160 West 1200 South

Ogden, UT 84201

P.O. Box 371361

Pittsburgh, PA 15250-7361

P.O. Box 970016

St. Louis, MO 63197-0016

P.O. Box 6223

Chicago, IL 60680-6223

P.O. Box 7704

San Francisco, CA 94120-7704

P.O. Box 1214

Charlotte, NC 28101-1214

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.

General Instructions

● Authenticate the electronic portion of

your 1998 Form 1040, 1040A, or 1040EZ,

● Send any accompanying paper

schedules or statements (such as Forms

W-2 or 1099-R), and

● Provide your consent to directly deposit

any refund or authorize an ACH debit

(automatic withdrawal).

Social Security Number (SSN). Be sure to

enter your SSN in the space provided on

Form 8453-OL. If a joint return, list the

SSNs in the same order as the first names.

Note: You must check the box on line 6a,

line 6b, or line 6c. If you check the box on

line 6c, you must ensure that the following

information relating to the financial

institution account is provided in the

electronic portion of the tax return:

● Account number

● Type of account (checking or savings)

● Debit amount

● Debit date (date you want the debit to

occur, but not later than April 15, 1999)

Your electronically transmitted return will

not be considered complete, and therefore

filed, unless and until the IRS receives your

signed Form 8453-OL. If a joint return,

your spouse must also sign.

return by your on-line service provider

and/or transmitter. It is included in your

acknowledgment message. Clearly type or

print 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 “9” represents the year the

return is filed (1999).

Form 1040-V, you may be able to get it

from your on-line service provider and/or

transmitter. You can also see your tax

return instruction booklet for other ways to

get forms, including using the IRS’s

Internet Web Site (www.irs.ustreas.gov).