The TOTO(R) Ultramax(R) One-Piece Elongated 1.28 GPF WASHLET(R)+ and Auto Flush Ready Universal Height Toilet has a sleek and clean high-profile design, upholding TOTO's vision to create a culture of comfortable, healthy living. The TOTO Ultramax features a modern, one-piece design that will instantly elevate any bathroom décor. The one-piece design is not only aesthetically pleasing, but also offers the benefit of being easier to clean versus a two-piece toilet. By removing the gap between the tank and bowl, dirt and debris have no place to hide. An additional benefit of the one-piece toilet is that there is no threat of leaks from bolts or gaskets that can occur in two-piece toilets. The TOTO Ultramax features TOTO's TORNADO FLUSH, a hole-free rim design with dual-nozzles that creates a centrifugal washing action that assists in rinsing the bowl more efficiently. This one-piece toilet is designed with Universal Height, allowing for a more comfortable seated position across a wide range of users. This version of the Ultramax offers TOTO T40 WASHLET+ and Auto Flush compatibility for when you are ready to upgrade to a hands-free flush system with electronic bidet seat. WASHLET+ toilets feature an opening on the bowl surface to help conceal your WASHLET+ supply line and power cord creating a seamless integration. The Ultramax comes ready for install into a 12" rough-in. The Ultramax is ADA compliant and meets the standards for EPA WaterSense(R) and CALGreen requirements. Features a left-hand chrome trip lever and includes TOTO SoftClose(R) seat SS114. Additional items needed for installation and use must be purchased separately: Wax ring, toilet mounting bolts, and water supply lines.