Va-8879c - Virginia Corporation Income Tax E-File Signature Authorization printable pdf download

VA-8879C

Virginia Corporation Income Tax e-file Signature

Tax Year

Virginia Department

Authorization

2016

of Taxation

DO NOT SEND THIS VA-8879C TO THE VA DEPT OF TAXATION OR THE IRS.

IT MUST BE MAINTAINED IN YOUR FILES!

Corporation Name

Federal ID Number

Part I

Tax Return Information

Federal Taxable Income (Form 500, Page 2, Line 1)

Virginia Taxable Income (Form 500, Page 2, Line 7)

Income tax (Form 500, Page 2, Line 9)

Total payments and credits (Form 500, Page 2, Line 16)

Total due (Form 500, Page 2, Line 21)

Amount to be refunded (Form 500, Page 2, Line 24)

Part II Declaration and Signature Authorization of Officer

Under penalties of perjury, I declare to be the officer of the above corporation and that I have examined a copy of the corporation’s 2016 electronic return and

accompanying schedules and statements and to the best of my knowledge and belief, it is true, correct and complete. I further declare that the information provided

to my Electronic Return Originator (ERO), Transmitter, or Intermediate Service Provider including the amounts shown in Part I above agrees with the information and

amounts shown on the corresponding lines of the corporate electronic income tax return. If filing a balance due return, I authorize the Virginia Department of

Taxation and its designated Financial Agent to initiate an ACH electronic funds withdrawal entry to the financial institution account indicated on the 2016 Virginia

income tax return for payment of state taxes owed on this return. I also authorize the financial institutions involved in the processing of the electronic payment of

taxes to receive confidential information necessary to answer inquiries and resolve issues related to the payment. I certify that the transaction does not directly

involve a financial institution outside of the territorial jurisdiction of the United States at any point in the process.

I understand that if the Virginia Department of Taxation does not receive full and timely payment of the tax liability, the corporation will remain liable for the tax liability

and all applicable interest and penalties. I authorize my ERO, Transmitter or Intermediate Service Provider to transmit the complete return to the Virginia Department

of Taxation. I have selected a personal identification number (PIN) as my signature for the corporation’s electronic income tax return.

Officer’s e-File PIN: check one box only



I authorize the ERO named below to enter my e-File PIN

as my signature on the corporation’s 2016 electronic Virginia corporation

income tax return.

Do not enter all zeros

_____________________________________________________________________________________________________________________________

ERO Firm Name

I will enter my e-File PIN as my signature on the corporation’s 2016 electronic Virginia corporation income tax return. Check this box only if you are entering

your own e-File PIN and the return is filed using the Practitioner PIN method. The ERO must complete Part III below.

Your Signature

Date

________________________________________________________________________

_________________________________________

Part III Certification and Authentication



ERO’s EFIN/PIN: Enter your six digit EFIN followed by your five digit self-selected PIN.

Do not enter all zeros

I certify that the above numeric entry is my ERO EFIN/PIN, which is my signature for the 2016 Virginia corporation income tax return for the corporation indicated

above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and have followed all other requirements as

specified by the Department. EROs may sign the form using a rubber stamp, mechanical device, such as a signature pen, or computer software program.

ERO’s Signature

Date

________________________________________________________________________

_______________________________________

Form VA-8879C (REV 10/16)