Electronic Filing Information Worksheet 2017 1.• Keep for your records Name(s) Shown on Return Social Security Number Electronic Return Originator Information The ERO Information below will automatically calculate based on the preparer code entered on the SmartLook Worksheet. Calculates to the EFIN for the ERO that is responsible for filing this return based on the preparer code. For returns that are marked as a "Non-Paid Prepare( (XNP) or 'Self-Prepared" (XSP) can be changed but is required. ERO Name ERO Electronic Filers Identification Number (EFIN) ERO Address ERO Employer Identification Number City State ZIP Code ERO Social Security Number or PTIN Country Paid Preparer Information Firm Name Social Security Number or PTIN Name Employer Identification Number Address Phone Number Fax Number City State ZIP Code Country E-mail Address Amended Returns File another Amended Form 114 Report of Foreign Bank and Financial Accounts (FBAR) electronically Check this box to file another state and/or city amended return electronically ' Select the state and/or city amended return(s) to file electronically. State/City • EFTA01221894