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                                                                                                                                                                                        2020
                                        Form M-8453CR                                                                                                                                   Massachusetts
                                        Nonresident Composite Return                                                                                                                    Department of
                           Tax Declaration for Electronic Filing                                                                                                                        Revenue

Please print or type. Privacy Act Notice available upon request. For the year January 1–December 31, 2020.
Entity name                                                                                                                                                                                          Federal Identification number

Mailing address                              City/Town                                                State                                                                         Zip

Part 1. Tax Return Information for Electronic Filing
1 Total 5.0% income (from Form MA NRCR, line 7). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1
2  Income tax (from Form MA NRCR, line 14). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2
3  Refund amount (from Form MA NRCR, line 24). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                 3
4  Tax due (from Form MA NRCR, line 25). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .           4
Part 2. Declaration and Signature of Taxpayer
Under pains and penalties of perjury, I declare that I have reviewed the information on this return with the information I have provided to my Electronic
Re turn Originator and that the amounts above agree with the amounts shown on this 2020 Massachusetts return. To the best of my knowledge and belief
this information is true, correct and complete. I consent that this return, including this declaration and accompanying schedules, forms and statements be
sent to the Massachusetts Department of Revenue by my Electronic Return Originator. I authorize DOR to inform my Electronic Return Originator and/or
the transmitter when this electronic return has been accepted. In the event that it is rejected, I authorize DOR to identify the reasons for rejection so that
the return can be corrected and re-transmitted. If I have filed a balance due return, I understand that if DOR does not receive full and timely payment of
this tax liability, I will remain liable for the tax  liability and all applicable penalties and interest.
Your signature                                                                                                                      Date

Part 3. Declaration and Signature of Electronic Return Originator (ERO)
I declare that I have reviewed the above taxpayer’s return and that the entries on this M-8453CR are complete and correct to the best of my knowledge.
(Collectors are not responsible for reviewing the taxpayer’s return; however, they must ensure that the M-8453CR accurately reflects the data on the
return.) I have obtained the taxpayer’s signature before submitting this return to the Massachusetts Department of Revenue. I have provided the taxpayer
with a copy of all forms and information filed with the Massachusetts Department of Revenue. If I am also the paid preparer, under pains and penalties
of  perjury I declare that I have examined the above taxpayer’s return and accompanying schedules and statements and to the best of my knowledge and
belief, they are true, correct and complete. I declare that I have verified the taxpayer’s proof of account and it agrees with the name(s) shown on this form.
This declaration of paid preparer (other than taxpayer) is based on all information of which the preparer has any knowledge. Original Forms M-8453CR
should not be sent to DOR, but must instead be retained by the ERO on the ERO’s business premises for a period of three years from the date the return
to which the M-8453CR relates was filed.
ERO’s signature and SSN or PTIN                                                                                     Date                                                        EIN     Check if
                                                                                                                                                                                        self-employed
Firm name (or yours, if self-employed) and address                                                          City/Town                                                State      Zip     Check if also
                                                                                                                                                                                        paid preparer

Part 4. Declaration and Signature of Paid Preparer (if other than ERO)
Under pains and penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of
my knowledge and belief it is true, correct and complete. This declaration of paid preparer (other than taxpayer) is based on all information of which the
preparer has any knowledge.
Paid preparer’s signature and SSN or PTIN                                                                       Date                                                        EIN         Check if
                                                                                                                                                                                        self-employed
Firm name (or yours, if self-employed) and address                                                          City/Town                                                State      Zip






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