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PENNSYLVANIA e-file SIGNATURE AUTHORIZATION

PA-8879-C

Form

FOR CORPORATE TAX REPORT RCT-101

See instructions. Do not send this form to the PA Department of Revenue. Keep for your records.

Pennsylvania

2007

Department of Revenue

For calendar year 2007, or tax year beginning

, 2007, ending

, 20___

Name of Corporation

Employer Identification Number

Corporation Address

City

State

ZIP Code

PA Account ID Number

PART I

TAX REPORT INFORMATION (Whole dollars only)

1. Total book income (Form RCT-101, Section A, Line 2)

2. Capital Stock/Foreign Franchise Tax (Form RCT-101, Section A, Line 18)

3. Income or Loss from Federal return on a separate company basis (Form RCT-101, Section C, Line 1)

4. PA Taxable Income (or Loss) (Form RCT-101, Section C, Line 12)

5. Corporate Net Income Tax (Form RCT-101, Section C, Line 13)

PART II

DECLARATION AND SIGNATURE AUTHORIZATION OF OFFICER (Be sure to keep a copy of the corporation's tax report.)

Under penalties of perjury, I declare that I am an officer of the above corporation and that I have examined a copy of the corporation's 2007

electronic tax report and accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct and com-

plete. I further declare that the amounts in Part I above are the amounts shown on the copy of the corporation's electronic tax report. I con-

sent to allow my Electronic Return Originator (ERO) and/or transmitter to send the corporation's report to the PA Department of Revenue

and to receive from the PA Department of Revenue: (a) an acknowledgement of receipt or reason for rejection of the transmission, and if

applicable; (b) I authorize the PA Department of Revenue and its designated Financial Institution to initiate an Electronic Funds Withdrawal

(direct debit) entry to the financial institution account indicated in the tax preparation software for payment of the corporation's state taxes

owed on this report; and (c) the financial institution to debit the entry to this account. To revoke a payment, I must contact the PA

Department of Revenue by one of the following methods: e-mail at ra-mef@state.pa.us; or fax (717) 772-4805; or telephone (717) 705-

2131 no later than two business days prior to the payment (settlement) date. I also authorize the financial institutions involved in the pro-

cessing of the electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to

the payment. I have selected a Federal Self-Select PIN as my signature for the corporation's electronic tax report and, if applicable, the

corporation's consent to Electronic Funds Withdrawal.

Officer’s Federal Self-Select PIN: (check one box only)

I authorize ________________________________________________ to enter my Federal Self-Select PIN

_______________

as my signature

ERO firm name

Do not enter all zeros.

on the corporation’s 2007 electronically filed tax report.

As an officer of the corporation, I will enter my Federal Self-Select PIN as my signature on the corporation’s 2007 electronically filed

tax report.

Officer’s Signature

Date

Title

Social Security Number

Address

City

State

ZIP Code

PART III

CERTIFICATION AND AUTHENTICATION

ERO’s EFIN/PIN: (Enter your six-digit EFIN followed by your five-digit Federal Self-Selected PIN.)

Do not enter all zeros.

I certify that the above numeric entry is my Federal Self-Selected PIN, which is my signature on the 2007 electronically filed tax report for the

corporation indicated above. As a participant in the Practitioner PIN Program, I certify that the above numeric entry is my Federal Self-Selected

PIN, which is my signature on the tax year 2007 electronically filed Corporate tax report for the taxpayer(s) indicated above. I confirm that I

am participating in the Practitioner PIN Program in accordance with the requirements established for this program.

ERO’s Signature

_______________________________________________________________________________________________ Date

_________________________________

ERO must retain this form and the supporting documents for three years.

DO NOT SUBMIT THIS FORM TO THE PA DEPARTMENT OF REVENUE UNLESS REQUESTED TO DO SO.

See instructions.

Form Pa-8879-C - Pennsylvania E-File Signature Authorization For Corporate Tax Report Rct-101 (2007)

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