Ia 8453-Pe, 2015, Iowa Partnership Declaration For An E-File Return
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1Iowa Department of Revenue
2015 IA 8453-PE
https://tax.iowa.gov
Iowa Partnership Declaration for an e-File Return
For calendar year 2015 or tax year beginning
, 2015, ending
, 20
Name of Partnership:
Federal Employer Identification Number (FEIN):
Part I Tax Return Information
1. Federal partnership taxable income (loss) from federal Schedule K (IA 1065, Part III, line 1) ... 1.
2. Total additions (IA 1065, Part III, line 4) ..................................................................................... 2.
3. Total Reductions (IA 1065, Part III, line 7) ................................................................................. 3.
4. Total all-source partnership income (IA 1065, Part III, line 9) ..................................................... 4.
Part II Declaration of General Partner or Limited Liability Company Member Manager
(Be sure to keep a copy of the tax return)
Under penalties of perjury, I declare that I am a partner or member of the above partnership and that the information
provided to my Electronic Return Originator (ERO) and the amounts shown in Part I agree with the amounts shown
on the corresponding lines of the Iowa partnership return of income. To the best of my knowledge and belief the
partnership’s return is true, correct, and complete. I consent that the Iowa partnership return, including any
accompanying schedules and statements, be sent to the Internal Revenue Service (IRS) by my ERO and retrieved
by the Iowa Department of Revenue (IDR). If there is an error on my federal return, I understand my state return
may be rejected. If the processing of my return is delayed, I authorize the IDR to disclose to my ERO and/or
transmitter the reason(s) for the delay. I also consent to the IDR sending to my ERO and/or transmitter an
acknowledgment of receipt of transmission and indication of whether or not my return is accepted, and, if rejected
the reason(s) for the rejection. I understand that this declaration with required attachments must be forwarded upon
request to the IDR. In addition, by using a computer system and software to prepare and transmit my return
electronically, I consent to the disclosure to IDR of all information pertaining to my use of the system and software
and to the transmission of my tax return electronically.
Signature of Partner or Member:
Date:
Title:
Part III Declaration of Electronic Return Originator (ERO) and Paid Preparer
I declare that I have reviewed the above return and that entries on form IA 8453-PE are complete and correct to the
best of my knowledge. If I am only a collector, I am not responsible for reviewing the return and only declare that this
form accurately reflects the data on the return. A partner or member will have signed this return before submitting to
the IRS. I have provided the partner or member with a copy of all forms and information to be filed with the IDR and
have followed all other requirements described in the Iowa Modernized e-File (MeF) Developer Guide and
Information for e-File Providers. I will keep form IA 8453-PE, with attachments, on file for three years from the due
date of the return or the filing date, whichever is later, and I will make a copy available to the IDR upon request. If I
am the paid preparer, under penalties of perjury, I declare that I have examined the above partnership return and
accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and
complete. This declaration is based on all information of which I have any knowledge
.
Check if
Check if
ERO
also paid
self-
Signature
Date
preparer
employed
ERO PTIN
Firm’s name (or yours
FEIN
if self-employed)
Phone
Address and zip code
Number (
)
Paid Preparer
Check if self-
Signature
Date
employed
Preparer PTIN
Firm’s name (or yours
FEIN
if self-employed)
Phone
Address and zip code
Number (
)
41-022a (09/08/2015)
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