Form 8878 - Irs E-File Signature Authorization For Form 4868 Or Form 2350 - 2014

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8878

IRS e-file Signature Authorization for

OMB No. 1545-0074

Form

Form 4868 or Form 2350

2014

Do not send to the IRS. This is not an application for an extension of time to file.

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Department of the Treasury

Keep this form for your records. Information about Form 8878 and its instructions is at

Internal Revenue Service

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Submission Identification Number (SID)

Taxpayer’s name

Social security number

Spouse’s social security number

Spouse’s name

Part I

Information from Extension Form—Tax Year Ending December 31, 2014 (Whole Dollars Only)

Check the box and complete the line(s) for the form you authorize your ERO to sign and file. Check only one box.

Form 4868, Application for Automatic Extension of Time To File U.S. Individual Income Tax Return

Amount you are paying from Form 4868, line 7 .

Form 2350, Application for Extension of Time To File U.S. Income Tax Return

a I request an extension of time until this date as shown on Form 2350, line 1 .

b Amount you are paying from Form 2350, line 5

Part II

Taxpayer Declaration and Signature Authorization

Under penalties of perjury, I declare that I have examined a copy of my electronic application for extension of time to file for the tax year ending December 31,

2014, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the information listed above is the information from my

electronic application for extension of time to file. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send

this form 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 form. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit)

entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or payment of

estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury

Financial Agent to terminate the authorization. To revoke (cancel) 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. I further acknowledge that the personal identification

number (PIN) below is my signature for my electronic application for extension of time to file and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only

I authorize

to enter or generate my PIN

ERO firm name

Enter five digits, but

do not enter all zeros

my signature for my electronic application for extension of time to file for the tax year ending December 31, 2014.

I will enter my PIN as my signature for my electronic application for extension of time to file for the tax year ending

December 31, 2014. Check this box only if you are entering your own PIN and your extension form is filed using

the Practitioner PIN method. The ERO must complete Part III below.

Your signature

Date

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Spouse’s PIN: check one box only

I authorize

to enter or generate my PIN

ERO firm name

Enter five digits, but

do not enter all zeros

my signature for my electronic application for extension of time to file for the tax year ending December 31, 2014.

I will enter my PIN as my signature for my electronic application for extension of time to file for the tax year ending December

31, 2014. Check this box only if you are entering your own PIN and your extension form is filed using the Practitioner PIN

method. The ERO must complete Part III below.

Spouse’s signature

Date

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Practitioner PIN Method for Form 4868 Only—continue below

Part III

Certification and Authentication—Practitioner PIN Method for Form 4868 Only

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 to authorize submission of the electronic Form 4868 and electronic funds withdrawal for

the taxpayer(s) indicated above. I confirm that I am submitting Form 4868 in accordance with the requirements of the Practitioner PIN method and Publication

1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.

Date

ERO’s signature

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ERO Must Retain This Form — See Instructions

Do Not Submit This Form to the IRS Unless Requested To Do So

8878

For Paperwork Reduction Act Notice, see your tax return instructions.

Form

(2014)

Cat. No. 32777M