Form EL101 "E-File Declaration for Electronic Filing" - Maryland

Form EL101 or the "E-file Declaration For Electronic Filing" is a form issued by the Comptroller of Maryland.

Download a fillable PDF version of the Form EL101 down below or find it on the Comptroller of Maryland Forms website.

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Download Form EL101 "E-File Declaration for Electronic Filing" - Maryland

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2017
MARYLAND
e-File DECLARATION
FORM
FOR ELECTRONIC FILING
EL101
Keep this form for your records. Do not send this form to the State of Maryland unless specifically requested to do so. See Instructions on Page 2.
First Name
Initial
Last Name
SSN/Taxpayer Identification Number
Spouse's First Name
Initial
Spouse's Last Name
SSN/Taxpayer Identification Number
Part I
Tax Return Information (whole dollars only)
1. Amount of overpayment to be applied to 2018 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
REFUND
2. Amount of overpayment to be refunded to you . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
3. Total amount due (Pay in full by April 15, 2018. See instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
Part II
Taxpayer Declaration and Signature Authorization
Under penalties of perjury, I declare that I have compared the information contained on my electronic return with the information
that I provided to my Electronic Return Originator (ERO) or entered on-line and that the name(s) and amounts described above
agree with the amounts shown on the corresponding lines of my 2017 Maryland electronic income tax return. To the best of my
knowledge and belief, my return is true, correct and complete. I consent that my return, including accompanying schedules and
statements, be sent to the Maryland Revenue Administration Division by my Electronic Return Originator or by my electronic return
software provider.
Your PIN: check one box only
Enter five digits.
Do not enter all
I authorize __________________________________________ to enter or generate my PIN
zeros.
ERO firm name
as my signature on my tax year 2017 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Your signature _____________________________________________________________________________ Date _________________________
Spouse's PIN: check one box only
Enter five digits.
Do not enter all
I authorize __________________________________________ to enter or generate my PIN
zeros.
ERO firm name
as my signature on my tax year 2017 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Spouse's signature _________________________________________________________________________ Date _________________________
Practitioner PIN Method Returns Only
Part III Certification and Authentication - Practitioner PIN Method Only
Do not enter
ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.
all zeros.
I certify this numeric entry is my PIN, which is my signature for the tax year 2017 electronically filed income tax return for the
taxpayer(s). I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and the
Maryland MeF Handbook for Authorized e-file Providers.
ERO's signature ___________________________________________________________________________ Date _________________________
COM/RAD-059
2017
MARYLAND
e-File DECLARATION
FORM
FOR ELECTRONIC FILING
EL101
Keep this form for your records. Do not send this form to the State of Maryland unless specifically requested to do so. See Instructions on Page 2.
First Name
Initial
Last Name
SSN/Taxpayer Identification Number
Spouse's First Name
Initial
Spouse's Last Name
SSN/Taxpayer Identification Number
Part I
Tax Return Information (whole dollars only)
1. Amount of overpayment to be applied to 2018 estimated tax . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
REFUND
2. Amount of overpayment to be refunded to you . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
3. Total amount due (Pay in full by April 15, 2018. See instructions.) . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
Part II
Taxpayer Declaration and Signature Authorization
Under penalties of perjury, I declare that I have compared the information contained on my electronic return with the information
that I provided to my Electronic Return Originator (ERO) or entered on-line and that the name(s) and amounts described above
agree with the amounts shown on the corresponding lines of my 2017 Maryland electronic income tax return. To the best of my
knowledge and belief, my return is true, correct and complete. I consent that my return, including accompanying schedules and
statements, be sent to the Maryland Revenue Administration Division by my Electronic Return Originator or by my electronic return
software provider.
Your PIN: check one box only
Enter five digits.
Do not enter all
I authorize __________________________________________ to enter or generate my PIN
zeros.
ERO firm name
as my signature on my tax year 2017 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Your signature _____________________________________________________________________________ Date _________________________
Spouse's PIN: check one box only
Enter five digits.
Do not enter all
I authorize __________________________________________ to enter or generate my PIN
zeros.
ERO firm name
as my signature on my tax year 2017 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2017 electronically filed income tax return. Check this box only if you are
entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.
Spouse's signature _________________________________________________________________________ Date _________________________
Practitioner PIN Method Returns Only
Part III Certification and Authentication - Practitioner PIN Method Only
Do not enter
ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.
all zeros.
I certify this numeric entry is my PIN, which is my signature for the tax year 2017 electronically filed income tax return for the
taxpayer(s). I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and the
Maryland MeF Handbook for Authorized e-file Providers.
ERO's signature ___________________________________________________________________________ Date _________________________
COM/RAD-059
2017
MARYLAND
e-File DECLARATION
FORM
FOR ELECTRONIC FILING
EL101
INSTRUCTIONS
Purpose of Form
Note: The ERO must receive the completed and signed Form
EL101 from the taxpayer before the electronic return is
Form EL101 is the declaration document and signature
transmitted. Do not send this form to the State of Maryland
authorization for an electronically filed return by an Electronic
unless specifically requested to do so.
Return Originator (ERO). Complete Form EL101 when the
Practitioner PIN method is used or when the taxpayer authorizes
Taxpayer Responsibilities
the ERO to enter or generate the taxpayer's personal
1. Verify the accuracy of the prepared income tax return,
identification number (PIN) on his or her e-filed individual
including direct deposit or direct debit information if
income tax return. The ERO must retain Form EL101 for 3 years
applicable.
from the return due date. Note: Do not send this form to the
State of Maryland unless specifically requested to do so.
2. Check the appropriate box in Part II to authorize the ERO
to enter or generate your e-file PIN or do it yourself.
When and How to Complete
3. Indicate or verify your e-file PIN when authorizing the ERO
to enter or generate it (the e-file PIN must have five digits
IF the ERO is...
Then...
other than all zeroes).
Not using the Practitioner
Do not complete Form
4. Sign and date Form EL101. Taxpayers must sign Part II
PIN method and the taxpayer
EL101.
using handwritten signature, rubber stamp, mechanical
enters his or her own PIN
device (such as signature pen) or computer software
program.
Using the Practitioner PIN
Complete Form EL101,
method and is authorized to
Parts I, II, and III.
5. Return the completed Form EL101 to the ERO by hand
enter or generate the
delivery, US mail, private delivery service or fax. Note:
taxpayer’s PIN
The return will not be transmitted until the ERO receives
the signed EL101. Do not send this form to the State
Using the Practitioner PIN
Complete Form EL101,
of Maryland unless specifically requested to do so.
method and the taxpayer
Parts I, II and III.
enters his or her own PIN
Payment Due Date
Not using the Practitioner
Complete Form EL101,
PIN method and is
Parts I and II.
The due date for filing tax returns and making tax payments is
authorized to enter or
April 15th. If the due date falls on a Saturday, Sunday, or legal
generate the taxpayer’s PIN
holiday, the filing and/or payment must be made by the next
business day. If your return has a balance due and you are not
paying electronically, your payment must be made by the due
ERO Responsibilities
date. However, if your e-filed return is filed timely and you are
The ERO will:
paying electronically, you have until April 30th to make your
payment. Electronic payments can be made at www.
1. Enter the name(s) and Social Security number(s) of the
marylandtaxes.gov under Payments for Individual Taxpayers.
taxpayer(s) at the top of the form.
2. Complete Part I using the amounts from the 2017
Maryland tax return of the taxpayer(s).
3. Enter or generate, if the taxpayer(s) authorizes, the PIN of
the taxpayer(s) and enter it in the boxes provided in Part
II.
4. Enter on the authorization line on Part II the ERO firm
name (not the name of the person who prepared
the
return), if the ERO is authorized to enter the e-file PIN of
the taxpayer(s).
5. After completing (1) through (4), give the taxpayer(s)
Form EL101 for completion and review. The acceptable
delivery methods include hand delivery, US mail, private
delivery service, email and fax.
6. EROs may sign Part III of the form using a rubber stamp,
mechanical device (such as a signature pen), or computer
software program. The signature must include either a
facsimile of the signature of the Individual ERO or of the
printed name of the ERO.
COM/RAD-059
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