Form 8879-Pe - Irs E-File Signature Authorization For Form 1065 - 2012

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8879-PE
IRS e-file Signature Authorization for Form 1065
OMB No. 1545-2042
Form
2012
Do not send to the IRS. Keep for your records.
See instructions.
Department of the Treasury
Internal Revenue Service
For calendar year 2012, or tax year beginning
, 2012, ending
, 20
.
Name of partnership
Employer identification number
Part I
Return Information (Whole dollars only)
1
1
Gross receipts or sales less returns and allowances (Form 1065, line 1c) .
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Gross profit (Form 1065, line 3) .
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2
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Ordinary business income (loss) (Form 1065, line 22)
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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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Part II
Declaration and Signature Authorization of General Partner or Limited Liability Company Member Manager
(Be sure to get a copy of the partnership’s return)
Under penalties of perjury, I declare that I am a general partner or limited liability company member manager of the above partnership
and that I have examined a copy of the partnership’s 2012 electronic return of partnership income 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 amounts in Part I
above are the amounts shown on the copy of the partnership’s electronic return of partnership income. I consent to allow my
electronic return originator (ERO), transmitter, or intermediate service provider to send the partnership’s return to the IRS and to
receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission and (b) the reason for any delay in
processing the return. I have selected a personal identification number (PIN) as my signature for the partnership’s electronic return of
partnership income.
General Partner or Limited Liability Company Member Manager’s PIN: check one box only
I authorize
to enter my PIN
as my signature
ERO firm name
do not enter all zeros
on the partnership's 2012 electronically filed return of partnership income.
As a general partner or limited liability company member manager of the partnership, I will enter my PIN as my signature on
the partnership's 2012 electronically filed return of partnership income.
General partner or limited liability company member manager’s signature
Title
Date
Certification and Authentication
Part III
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 PIN, which is my signature on the 2012 electronically filed return of partnership income for
the partnership indicated above. I confirm that I am submitting this return in accordance with the requirements of 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.
ERO’s signature
Date
ERO Must Retain This Form — See Instructions
Do Not Submit This Form to the IRS Unless Requested To Do So
8879-PE
For Paperwork Reduction Act Notice, see instructions.
Form
(2012)
Cat. No. 48314D

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