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       Illinois Department of Revenue
                                                                                                                                                      -  Submission ID                - 
       20   19 IL-8453              Illinois Individual Income Tax Electronic Filing Declaration 
       (Do not mail Form IL-8453 to the Illinois Department of Revenue unless it is requested for review.)
Step 1: Provide taxpayer information
      _________________________________________________________________________________________                                                                   ____  ____  ____ –____  ____  –____  ____  ____  ____    
      First name and middle initial        Spouse’s first name (and last name if different)             Last name                                                 Social Security number
 Print   _________________________________________________________________________________________                                                                ____  ____  ____  –____  ____  –____  ____  ____ ____    
  or  Mailing address                                                                                                                                             Spouse’s Social Security number
type 
        _________________________________________________________________________________________                                                                (       )
       City                                                                                         State                                        ZIP              Daytime phone number
Step 2: Complete information from tax return
1    Net income from Form IL-1040, Line 11                                                                                                                                                 1 
2    Tax from Form IL-1040, Line 12                                                                                                                                                        2
3    Illinois Income Tax withheld from Form IL-1040, Line 25 only (enter “0” if none)                                                                                                      3 
4    Overpayment from Form IL-1040, Line 35                                                                                                                                                4 
5    Total amount due from Form IL-1040, Line 39                                                                                                                                           5 
6    Filing status:  ___ Single  ___ Married filing jointly  ___ Married filing separately  ___ Widowed  ___ Head of household
Step 3: Complete direct deposit of refund or electronic funds withdrawal information (Optional) 
To initiate a payment or refund transaction, the information in this Step must be included within the electronic transmission. Illinois 
does not support international ACH transactions. IDOR will only perform direct transactions (e.g., debit, deposit) with financial institutions located 
within the United States or those not funded by international funds. Electronic payments will not be accepted and refunds will be via paper check.
7    Routing no. (RN): ___ ___ ___ ___ ___ ___ ___ ___ ___   
8    Account no. (AN):  ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___ ___
9    Type of account:    ___ Checking      ___ Savings 
10   Date the payment is to be electronically withdrawn:  ___/___/______ 
11   Electronic funds withdrawal amount:                                                  
12   Name on account: ____________________________________________________________________________________________
Step  4: Taxpayer declaration and signature (Sign only after completing Step 2 and, if applicable, Step 3.)
        I consent that my refund may be directly deposited as designated in Step 3 and declare the information on Lines 7 through 9 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.
        I authorize the Illinois Department of Revenue (IDOR) and its designated financial agent to initiate an ACH electronic funds                                                                                       
       withdrawal as designated in the electronic portion of my 2019 Illinois Individual Income Tax return. I authorize the financial institutions   
       involved in the processing of an electronic overpayment of taxes to receive confidential information necessary to answer inquiries                                                                                  
       and resolve issues related to the payment. 
        I do not want direct deposit of my refund, or an electronic funds withdrawal (direct debit) of my balance due.
Under penalties of perjury, I declare the information on my electronic Form IL-1040 and the information I provided to my electronic return 
originator (ERO) are identical. To the best of my knowledge, my return is true, correct, and complete.  I consent that my return, this declaration, 
and accompanying information may be sent to IDOR by my ERO. I authorize IDOR to inform my ERO and/or the transmitter when my return has 
been accepted or rejected. If rejected, I authorize IDOR to identify the reason(s) so the return may be corrected and retransmitted if possible.
Sign   _____________________________________________________________________                    __________________________________________________________________                                                        
 here  Your signature                                            Date                                   Spouse’s signature (if joint return,both must sign)                                          Date
Step 5: Electronic return originator (ERO) and paid preparer declaration and signature 
I declare that I have examined this taxpayer’s electronic Form IL-1040, the information on this Form IL-8453, and accompanying information. I 
have followed all requirements of this program and declare, under penalties of perjury, that to the best of my knowledge the taxpayer’s return 
and accompanying information are true, correct, and complete.
                                                                                                                                                                Check if paid preparer:            (See instructions.)
      ERO’s signature                                                                                                           Date                               
                                                                                                                                                                  ____  ____  ____   ____  ____   ____   ____  ____  ____ 
 ERO  Firm’s name or your name if self-employed                                                                                                                   Your PTIN
use 
only                                                                                                                                                              ____ ____ – ____ ____ ____ ____ ____ ____    ____   
      Mailing address                                                                                                                                             Federal employer identification number (FEIN)
                                                                                                                                                                  (       )
      City                                                                              State                               ZIP                                   Daytime phone number
Step 6: Attach required documents (e.g., W-2 forms, 1099 forms, IL-1310).                                                            
             Do not mail Form IL-8453 and these documents unless requested for review.
Printed by authority of the State of Illinois, web only, 1. This form is authorized as outlined under the Illinois Income Tax Act.  Disclosure of                                       *67412191W*
IL‑8453 (R‑12/19)                                                                       this information is required.  Failure to provide information could result in a penalty.
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Form IL-8453 Instructions

General Information Illinois does not support international ACH transactions. IDOR will
only perform direct transactions (e.g. , debit, deposit) with financial
Form IL-8453 is for electronic return originators' (EROs) use institutions located within the United States or those not funded by
only. Taxpayers who file Form IL-1040, Illinois Individual Income international funds. Electronic payments will not be accepted and
Tax Return, using the Tax-Prep Software method must not use
Form IL-8453. refunds will be via paper check.
EROs are required to retain all original IL-8453 forms and supporting IDOR is not responsible if a financial institution rejects a direct
documents at their site for a three-year period. These records may be deposit or electronic funds withdrawal transaction.
maintained electronically. The Illinois Department of Revenue (IDOR) Some financial institutions
will request selected IL-8453 forms for inspection.Do not send any •may not allow a refund to be deposited into an account if
IL-8453 forms unless requested. the names on the account are not the same names that
appear on the refund. If a direct deposit fails, a paper
Where do I mail Form IL-8453 if requested for review? check will be automatically issued.
If we send you a letter requesting Form IL-8453 and any supporting
documentation, we will provide our mailing address on the letter. •do not allow electronic funds withdrawals from some types of
savings accounts. If an electronic funds withdrawal fails, the
What if I have questions? taxpayer will receive a notice from IDOR that may include
If you have questions, call us weekdays at 217 524-4767 between penalty and interest.
8 a.m. and 4 p.m.
Step 4: Taxpayer declaration and signature
Step -by-Step Instructions The taxpayer must check one of the boxes in Step 4, and sign
Submission ID Form IL-8453.
The submission ID is a 20-character number assigned to each If the ERO changes the electronic Form IL-1040 after the taxpayer
electronic return by the software. If we request the Form IL-8453, you has signed Form IL-8453, and the electronic Form IL-1040 has not
must enter the submission ID at the top of the form. been transmitted, the taxpayer must sign a corrected Form IL-8453 if
Step 1: Provide taxpayer information either of the following applies:
Print or type the taxpayer's name, mailing address, Social Security • the net income on Form IL-8453, Step 2, Line 1, differs more
number (SSN) and daytime telephone number. Also, include the than $50 from the amount on the electronic Form IL-1040, or
spouse's information (if applicable). Enter the SSN(s) in the same • the tax on Form IL-8453, Step 2, Line 2, the tax withheld
order as on the transmitted electronic Form IL-1040.
on Step 2, Line 3, the overpayment on Step 2, Line 4, or the
Note: All information on Form IL-8453 must be identical to the total amount due on Step 2, Line 5, differ from the corresponding
information on the transmitted electronic Form IL-1040. amount on the electronic Form IL-1040 by more than $14.
Step 2: Complete information from tax return Step 5: Electronic return originator (ERO) and paid
(whole dollars only) preparer declaration and signature
1 Net income – Amount from Form IL-1040, Line 11. Form IL-8453 must be completed and signed by the ERO. If the
2 Tax – Amount from Form IL-1040, Line 12. ERO and the paid preparer are the same entity, the paid preparer
3 Illinois Income Tax withheld – Amount from Form IL-1040, box must be checked. When the ERO and paid preparer are different,
Line 25. If the amount is zero or blank, enter zero.Do not a copy of Form IL-1040 must be signed by the preparer and attached
include amounts from Lines 15, 16, 17, 26, 27, or 28. to the back of Form IL-8453.
4 Overpayment – Amount from Form IL-1040, Line 35. Collector: If for the purpose of electronic filing, you collected but did
5 Total amount due – Amount from Form IL-1040, Line 39. not prepare the return, sign as the ERO and date the declaration.
Complete the business’ information, including the FEIN and
6 Filing status – Indicate the same filing status as transmitted on telephone number. In this case, no Preparer Tax Identification
the electronic Form IL-1040. Number (PTIN) is required.
Step 3: Complete direct deposit of refund or
electronic funds withdrawal information Step 6: Attach required documents
The taxpayer can choose to directly deposit a refund or have the Attach to the front of Form IL-8453:
amount of tax due automatically withdrawn from their checking or • "Copy 2" of all W-2 and 1099 forms (W-2, W-2G, 1099-DIV,
savings account. 1099-G, 1099-INT, 1099-K, 1099-MISC, 1099-OID, and 1099-R).
7 The routing number (RN) must be nine digits. The first two numbers Attach to the back of Form IL-8453:
must be 01 through 12 or 21 through 32. • Form IL-1310, Statement of Person Claiming Refund Due a
8 The account number (AN) may contain up to 17 alphanumeric Deceased Taxpayer, if filing a Form IL-1040 on behalf of a
characters. Include hyphens, but omit spaces and special deceased taxpayer.
symbols. Write the AN from the left, leaving any blank spaces at
the right end. Note: Substitute wage and tax statement forms (federal Form 4852
9 Check the type of account. or Illinois Form IL-4852) cannot be attached to Form IL-8453 or
10 Date the taxpayer authorizes the payment to be electronically submitted later instead of W-2, W-2G, 1099-G, and 1099-R forms.
withdrawn. Form IL-1040 returns that include 4852 forms must be filed on a
11 Amount of payment the taxpayer authorizes to be paper Form IL-1040.
electronically withdrawn.
12 Name on the checking or savings account.
Note: To initiate a payment or refund transaction, the information in
this Step must be included within the electronic transmission. *ZZZZZZZZZ*

IL‑8453 (R‑12/19)

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