Form 8453-Pe - U.s. Partnership Declaration For An Irs E-File Return

8453-PE

OMB No. 1545-0123

U.S. Partnership Declaration for an IRS e-file Return

Form

2016

File electronically with the partnership’s return. Do not file paper copies.

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Information about Form 8453-PE and its instructions is at

▶

Department of the Treasury

Internal Revenue Service

For calendar year 2016, or tax year beginning

, 2016, and ending

, 20

Name of partnership

Employer identification number

Part I

Return Information (Whole dollars only)

Gross receipts or sales less returns and allowances (Form 1065, line 1c) .

Gross profit (Form 1065, line 3) .

Ordinary business income (loss) (Form 1065, line 22)

Net rental real estate income (loss) (Form 1065, Schedule K, line 2) .

Other net rental income (loss) (Form 1065, Schedule K, line 3c) .

Part II

Declaration of General Partner or Limited Liability Company Member Manager (see instructions)

Be sure to keep a copy of the partnership’s Return of Partnership Income.

Under penalties of perjury, I declare that I’m a general partner or limited liability company member manager of the above partnership and that the information I’ve given my

electronic return originator (ERO), transmitter, and/or intermediate service provider (ISP) and the amounts in Part I above agree with the amounts on the corresponding lines

of the partnership’s 2016 federal return of partnership income. To the best of my knowledge and belief, the partnership’s return is true, correct, and complete. I consent to

my ERO, transmitter, and/or ISP sending the partnership’s return, this declaration, and accompanying schedules and statements to the IRS. I also consent to the IRS

sending my ERO, transmitter, and/or ISP an acknowledgement of receipt of transmission and an indication of whether or not the partnership’s return is accepted and, if

rejected, the reason(s) for the rejection. If the processing of the partnership’s return is delayed, I authorize the IRS to disclose to my ERO, transmitter, and/or ISP the

reason(s) for the delay.

Sign

Here

Signature of general partner or limited liability company

Date

Title

member manager

Part III

Declaration of Electronic Return Originator (ERO) and Paid Preparer (see instructions)

I declare that I’ve reviewed the above partnership’s return and that the entries on Form 8453-PE are complete and correct to the best of my knowledge. If I’m only a

collector, I’m not responsible for reviewing the return and only declare that this form accurately reflects the data on the return. The general partner or limited liability

company member manager will have signed this form before I submit the return. I’ll give the general partner or limited liability company member manager a copy of all forms

and information to be filed with the IRS, and I’ve followed all other requirements in Pub. 3112, IRS e-file Application and Participation, and Pub. 4163, Modernized e-file

(MeF) Information for Authorized IRS e-file Providers for Business Returns. If I’m also the Paid Preparer, under penalties of perjury, I declare that I’ve examined the above

partnership’s return and accompanying schedules and statements, and to the best of my knowledge and belief, they are true, correct, and complete. This Paid Preparer

declaration is based on all information of which I’ve any knowledge.

ERO’s

Date

ERO’s SSN or PTIN

Check if

ERO’s

also paid

self-

Use

preparer

employed

signature

Only

Firm’s name (or

EIN

yours if self-employed),

address, and ZIP code

Phone no.

Under penalties of perjury, I declare that I’ve examined the above partnership’s 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’ve any knowledge.

Print/Type preparer’s name

Preparer’s signature

Date

PTIN

Paid

Check

self-employed

Preparer

Use Only

Firm’s name

Firm’s EIN