Fillable Form 8879 - Irs E-File Signature Authorization

8879

IRS e-ﬁle Signature Authorization

OMB No. 1545-0074

Form

2014

Do not send to the IRS. This is not a tax return.

Keep this form for your records.

Department of the Treasury

Information about Form 8879 and its instructions is at

Internal Revenue Service

Submission Identi cation Number (SID)

Taxpayer’s name

Social security number

Spouse’s name

Spouse’s social security number

Part I

Tax Return Information—Tax Year Ending December 31, 2014 (Whole Dollars Only)

Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4) .

Total tax (Form 1040, line 63; Form 1040A, line 39; Form 1040EZ, line 12)

Federal income tax withheld (Form 1040, line 64; Form 1040A, line 40; Form 1040EZ, line 7)

Refund (Form 1040, line 76a; Form 1040A, line 48a; Form 1040EZ, line 13a; Form 1040-SS, Part I, line 13a)

Amount you owe (Form 1040, line 78; Form 1040A, line 50; Form 1040EZ, line 14) .

Part II

Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)

Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements

for the tax year ending December 31, 2014, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts

in Part I above are the amounts from my electronic income tax return. I consent to allow my intermediate service provider, transmitter, or electronic return

originator (ERO) to send my return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, (b) the

reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial

Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the nancial institution account indicated in the tax preparation software for payment

of my federal taxes owed on this return and/or a payment of estimated tax, and the nancial institution to debit the entry to this account. This authorization is to

remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S.

Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be received no later than 2 business days prior to the payment (settlement)

date. I also authorize the nancial institutions involved in the processing of the electronic payment of taxes to receive con dential information necessary to

answer inquiries and resolve issues related to the payment. I further acknowledge that the personal identi cation number (PIN) below is my signature for my

electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only

Pilot-Tax/Specialty Tax Services

I authorize

to enter or generate my PIN

ERO ﬁrm name

Enter ﬁve digits, but do

not enter all zeros

as my signature on my tax year 2014 electronically led income tax return.

I will enter my PIN as my signature on my tax year 2014 electronically led income tax return. Check this box only if you are

entering your own PIN and your return is led using the Practitioner PIN method. The ERO must complete Part III below.

Your signature