Form 8453-I - Foreign Corporation Income Tax Declaration For An Irs E-File Return

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8453-I
Foreign Corporation Income Tax
OMB No. 1545-0123
Form
Declaration for an IRS e-file Return
File electronically with the corporation's tax return. Do not file paper copies.
2014
Information about Form 8453-I and its instructions is at
Department of the Treasury
Internal Revenue Service
For calendar year 2014, or tax year beginning
, 2014, ending
, 20
Employer identification number
Name of corporation
Part I
Tax Return Information (Whole dollars only)
1
1
Total income (Form 1120-F, Section II, line 11)
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2
Taxable income (Form 1120-F, Section II, line 31)
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2
3
Total tax (Form 1120-F, Schedule J, line 9) .
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3
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4
Amount owed (Form 1120-F, page 1, line 7)
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5 a Overpayment (Form 1120-F, page 1, line 8a)
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5a
b Overpayment resulting from tax deducted and withheld under Chapter 3 (Form 1120-F, page 1,
line 8b)
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5b
Part II
Declaration of Officer (see instructions) Be sure to keep a copy of the corporation’s tax return.
6 a
I consent that the corporation’s refund be directly deposited as designated on the Form 8302, Electronic Deposit of Tax
Refund of $1 Million or More, that will be electronically transmitted with the corporation’s 2014 federal income tax return.
b
I do not want direct deposit of the corporation’s refund or the corporation is not receiving a refund.
c
I authorize the U.S. Treasury and its designated Financial Agent 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 federal taxes
owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must contact the
U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days prior to the payment (settlement) date. I
also authorize the financial institutions involved in the processing of the electronic payment of taxes to receive confidential
information necessary to answer inquiries and resolve issues related to the payment.
If the corporation is filing a balance due return, I understand that if the IRS does not receive full and timely payment of its tax
liability, the corporation will remain liable for the tax liability and all applicable interest and penalties.
Under penalties of perjury, I declare that I am an officer of the above corporation and that the information I have 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 corporation’s 2014 federal income tax
return. To the best of my knowledge and belief, the corporation’s return is true, correct, and complete. I consent to my ERO, transmitter, and/or ISP sending the
corporation’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
acknowledgment of receipt of transmission and an indication of whether or not the corporation’s return is accepted, and, if rejected, the reason(s) for the rejection. If the
processing of the corporation’s return or refund is delayed, I authorize the IRS to disclose to my ERO, transmitter, and/or ISP the reason(s) for the delay, or when the refund
was sent.
Sign
Here
Signature of officer
Date
Title
Part III
Declaration of Electronic Return Originator (ERO) and Paid Preparer (see instructions)
I declare that I have reviewed the above corporation’s return and that the entries on Form 8453-I 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. The corporate officer will have signed this
form before I submit the return. I will give the officer a copy of all forms and information to be filed with the IRS, and have 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 am also the Paid
Preparer, under penalties of perjury I declare that I have examined the above corporation’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 have any knowledge.
Date
Check if
Check if self-
ERO's SSN or PTIN
ERO’s
ERO's
also paid
employed
preparer
signature
Use
Firm’s name (or yours
EIN
Only
if self-employed),
address, and ZIP code
Phone no.
Under penalties of perjury, I declare that I have examined the above corporation’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 have any knowledge.
Print/Type preparer’s name
Preparer's signature
Date
PTIN
Paid
Check
if
self-employed
Preparer
Firm’s name
Firm's EIN
Use Only
Firm's address
Phone no.
8453-I
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Form
(2014)
Cat. No. 49728F

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