8453-PE
OMB No. 1545-0123
U.S. Partnership Declaration for an IRS e-file Return
Form
2017
File electronically with the partnership’s return. Do not file paper copies.
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Go to for the latest information.
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Department of the Treasury
Internal Revenue Service
For calendar year 2017, or tax year beginning
, 2017, and ending
, 20
.
Name of partnership
Employer identification number
Part I
Return Information (Whole dollars only)
1
Gross receipts or sales less returns and allowances (Form 1065, line 1c) .
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2
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Gross profit (Form 1065, line 3) .
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3
Ordinary business income (loss) (Form 1065, line 22)
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3
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Net rental real estate income (loss) (Form 1065, Schedule K, line 2) .
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Other net rental income (loss) (Form 1065, Schedule K, line 3c) .
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5
Part II
Declaration of Partner or Member (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 partner or member 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 2017 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 partner or member
Date
Title
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 partner or member will have signed this
form before I submit the return. I’ll give the partner or member 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
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
if
self-employed
Preparer
Use Only
Firm’s name
Firm’s EIN
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Firm’s address
Phone no.
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8453-PE
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Form
(2017)
Cat. No. 48316Z