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RETAIN FORYOUR RECORDS. IRS DCN 0  0 –  –  – 1  \n8453-K  \n42A740-S22  \nDepartment of Revenue  \nKENTUCKY INDIVIDUAL INCOME TAX  \nDECLARATION FOR ELECTRONIC FILING ➤ For calendar year January 1, 2010, through December 31, 2010.  \n2010  \n\n| Use Kentucky label if correct. Otherwise print or type. | ➤\u003Cbr>L\u003Cbr>A\u003Cbr>B\u003Cbr>E\u003Cbr>L\u003Cbr>➤ | Last name |  | First name (Joint or combined return, give both names and initials.) |  |  |  |  | B. | Your Social Security number\u003Cbr>|  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  | Mailing address—Number and [street or P.O. box](street or P.O. box) |  |  |  |  |  | Apt. number | A. | Spouse’s Social Security number\u003Cbr>|  |  |\n|  |  | City, town or post office |  |  | State | ZIP code |  |  |  |  |  |  |\n| PART I—Tax Return Information (Whole Dollars Only) |  |  |  |  |  |  |  | A Spouse |  |  | B Taxpayer | K\u003Cbr>E\u003Cbr>N\u003Cbr>T\u003Cbr>U\u003Cbr>C\u003Cbr>K\u003Cbr>Y |\n| 1. Kentucky taxable income\u003Cbr>2. Total tax liability\u003Cbr>3. Total payments\u003Cbr>4. Refunded to you\u003Cbr>5. Amount you owe |  |  | 740, line 11\u003Cbr>740, line 30\u003Cbr>740, line 33\u003Cbr>740, line 41\u003Cbr>740, line 45 |  | 740-EZ, line 3\u003Cbr>740-EZ, line 10\u003Cbr>740-EZ, line 15\u003Cbr>740-EZ, line 16 |  | 1 2\u003Cbr>3 4\u003Cbr>5 | .00 |  |  | .00 |  |\n|  |  |  |  |  |  |  |  |  |  |  | .00 |  |\n|  |  |  |  |  |  |  |  |  |  |  | .00 |  |\n|  |  |  |  |  |  |  |  |  |  |  | .00 |  |\n|  |  |  |  |  |  |  |  |  |  |  | .00 |  |\n| PART II—􀂆 Direct Deposit of Refund or 􀂆 Direct Debit of Tax Amount Due (See Instructions) |  |  |  |  |  |  |  |  |  |  |  |  |\n| 6. Routing transit number (RTN)\u003Cbr>\u003Cbr>The first two numbers of the RTN must be 01 through 12 or 21 through 32.\u003Cbr>7. Depositor account number (DAN)\u003Cbr>\u003Cbr>8. Type of account: 􀂆 Savings 􀂆Checking 9. Debit amount   Debit date  M M  / D D  /  Y Y Y Y \u003Cbr>10. In order to comply with new electronic banking regulations, please answer the following questions.\u003Cbr>a. Direct Deposit—Will these funds be going to an account outside of the United States? Yes 􀂆 No 􀂆\u003Cbr>b. Direct Debit—Will these funds come from an account located outside of the United States? Yes 􀂆 No 􀂆 |  |  |  |  |  |  |  |  |  |  |  |  |\n\nPART III—Declaration of Taxpayer (Sign only after Part I is completed.)  \n\n| 11. 􀂆 I consent that my refund be directly deposited as designated in Part II, and declare that the information shown on lines 6 through 10 is correct. If I have filed a joint return, this is an irrevocable appointment of the other spouse as an agent to receive the refund.\u003Cbr>12. 􀂆 I do not want direct deposit of my refund or am not receiving a refund.\u003Cbr>13. 􀂆 I authorize the Kentucky Department of Revenue and its designated Financial Agent to initiate an ACH electronic funds withdrawal entry to the financial institution account indicated above for payment of my state taxes owed on this return.To revoke a payment, I must contact the Kentucky Department of Revenue at (502) 564-4581 no later than two business days prior to the payment (debit) 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.\u003Cbr>If I have filed a balance due return, I understand that if the Kentucky Department of Revenue does not receive my full and timely payment of my tax liability, I will remain liable for the tax liability and all applicable interest and penalties.\u003Cbr>Under penalties of perjury, I declare that the information I have given my electronic return originator (ERO) or transmitter and the amounts in Part I above agree with the amounts on the corresponding lines of the electronic portion of my 2010 Kentucky income tax return. To the best of my knowledge and belief, my return is true, correct and complete. I consent to my ERO or transmitter sending my return and accompanying schedules and statements to the Kentucky Department of","cbCailjORjDhqniq","https://ap.wps.com/l/cbCailjORjDhqniq","pdf",74602,"English","# Part I—Tax Return Information (Whole Dollars Only)\n# Part II—Direct Deposit of Refund or Direct Debit of Tax Amount Due\n# Part III—Declaration of Taxpayer\n# Part IV—Declaration and Signature of Electronic Return Originator and Paid Preparer","[{\"question\":\"What tax year does this electronic filing declaration cover?\",\"answer\":\"It covers the 2010 calendar year from January 1, 2010 through December 31, 2010.\"},{\"question\":\"Which sections does the taxpayer need to complete and sign?\",\"answer\":\"The taxpayer completes Part I and Part II as applicable, then signs in Part III after Part I is completed. Both spouses must sign for joint or combined returns.\"},{\"question\":\"What is authorized in the electronic payments section?\",\"answer\":\"The taxpayer authorizes the Kentucky Department of Revenue and its designated financial agent to initiate ACH electronic funds withdrawal for state taxes, and provides consent for related electronic processing and acknowledgments.\"}]","Kentucky Individual Income Tax Declaration for Electronic Filing - 2010 | PDF",1789807034]