Fillable Form 8453 (2021)

What is Form 8453?

Form 8453, U.S. Individual Income Tax Transmittal for an IRS E-File Return, is an Internal Revenue Service (IRS) form that is used by taxpayers in the United States to declare that their tax returns were e-filed. Additionally, this form is used to send any required paper forms or other supporting documentation.

How to fill out Form 8453?

To fill out Form 8453, one must provide the following information:

Applicant and Spouse Information

Social Security Number

Have the applicant enter his or her Social Security Number (SSN).

Spouse’s Social Security Number

Have the spouse of the applicant enter his or her Social Security Number (SSN).

First Name

Have the applicant enter his or her first name.

Initial

Have the applicant enter his or her initial.

Last name

Have the applicant enter his or her last name.

Spouse’s First Name

Have the spouse of the applicant enter his or her first name.

Spouse’s Initial

Have the spouse of the applicant enter his or her initial.

Spouse’s Last Name

Have the spouse of the applicant enter his or her last name.

Home Address

Have the applicant enter his or her home address including the number and street. The address the applicant is entering must match the address shown on his or her electronically filed tax return.

If the applicant has a P.O. box, enter the box number only if the post office does not deliver mail to his or her home address.

Apartment Number

Have the applicant enter his or her apartment number.

City

Have the applicant enter his or her city.

Town or Post Office

Have the applicant enter his or her town or post office.

State

Have the applicant enter his or her state.

ZIP Code

Have the applicant enter his or her ZIP code.

If the applicant has a foreign address, have him or her provide the following information:

Foreign Country Name

Have the applicant enter the name of his or her foreign country.

Foreign Province/State/County

Have the applicant enter the name of his or her foreign province, state, or county.

Foreign Postal Code

Have the applicant enter his or her foreign postal code.

Attachment Identification

This Form 8453 must only be filed by an applicant who is attaching one or more of the following forms or supporting documents.

Have the applicant mark appropriate boxes which correspond to the type of documents he or she has attached along with this Form 8453. The applicant may select:

• Form 1098-C, Contributions of Motor Vehicles, Boats, and Airplanes or other equivalent contemporaneous written acknowledgements
• Form 2848, Power of Attorney and Declaration of Representative or Power of Attorney that states the agent is granted authority to sign the return
• Form 3115, Application for Change in Accounting Method
• Form 3468, Investment Credit
  • Along with this form, the applicant must attach a copy of the first page of the National Park Service (NPS) Form 10-168, Historic Preservation Certification Application, Part 2 - Description of Rehabilitation, with an indication that it was received by the Department of the Interior or the State Historic Preservation Officer, together with proof that the building is a certified historic structure or that such status has been requested.
• Form 4136, Credit For Federal Tax Paid On Fuels
  • Along with this form, the applicant must attach the Certificate for Biodiesel and if it is applicable, he or she must also attach the Statement of Biodiesel Reseller or a certificate from the provider identifying the product as renewable diesel as well as a statement from the reseller if it applies.
• Form 5713, International Boycott Report
• Form 8283, Noncash Charitable Contributions
  • The applicant must submit Section A of this form if any statement or qualified appraisal is required.
  • The applicant must submit Section B, Donated Property and all other related attachments including any qualified appraisal or partnership.
• Form 8332, Release/Revocation of Release of Claim to Exemption for Child by Custodial Parent or certain pages from a divorce decree or separation agreement that went into effect after 1984 and before 2009
• Form 8858, Information Return of U.S. Persons With Respect to Foreign Disregarded Entities (FDEs) and Foreign Branches (FBs)
• Form 8864, Biodiesel and Renewable Diesel Fuels Credit
  • Along with this form, the applicant must attach the Certificate for Biodiesel and if it is applicable, he or she must also attach the Statement of Biodiesel Reseller or a certificate from the provider identifying the product as renewable diesel as well as a statement from the reseller if it applies.
• Form 8885, Health Coverage Tax Credit along with the following required documents:
  • All health plans which include the following:
    • An official letter reflecting that the applicant is an eligible individual from the months claimed on the said form
    • A copy of the applicant’s health insurance bills or The Consolidated Omnibus Budget Reconciliation Act (COBRA) payment coupons for each month the applicant is claiming the credit
  • All of the applicant’s bills must include the following:
    • The full legal name of the applicant
    • The name of the applicant’s health plan
    • The monthly premium amount of the applicant
    • The dates of coverage
    • The health plan identification numbers of the applicant
  • Proof of payment for each month the applicant is claiming the credit which include the following:
    • Copies of the applicant’s canceled checks including the front and back portions
    • The bank statements of the applicant
    • The credit card statements of the applicant
    • Money orders
  • The Consolidated Omnibus Budget Reconciliation Act (COBRA) Coverage
    • A copy of the applicant’s completed and signed COBRA Election Letter
    • A letter from the applicant’s former employer or COBRA administrator stating he or she has a COBRA coverage which includes the following:
      • The COBRA coverage start and end dates
      • The name of the applicant’s health plan
      • The applicant’s home address
      • The names of applicant’s covered family members, their dates of birth, their relationship with the applicant, and their social security numbers
    • A copy of “Notice of Rights to Continue Coverage”
  • Coverage through the employer of the applicant’s spouse
  • E-filed Return
• Form 8949, Sales and Other Dispositions of Capital Assets or a statement with the same information