Fillable Form 8879-I - Irs E-File Signature Authorization For Form 1120-F

8879-I

IRS e-file Signature Authorization for Form 1120-F

OMB No. 1545-0123

Form

2015

For calendar year 2015, or tax year beginning

, 2015, ending

, 20

Do not send to the IRS. Keep for your records.

▶

Department of the Treasury

Information about Form 8879-I and its instructions is at

▶

Internal Revenue Service

Employer identification number

Name of corporation

Part I

Tax Return Information

(Whole dollars only)

Total income (Form 1120-F, section II, line 11) .

Taxable income (Form 1120-F, section II, line 31) .

Total tax (Form 1120-F, Schedule J, line 9) .

Amount owed (Form 1120-F, page 1, line 7)

5a Overpayment (Form 1120-F, page 1, line 8a)

b Overpayment resulting from tax deducted and withheld under Chapter 3 (Form 1120-F, page 1, line 8b) .

Part II

Declaration and Signature Authorization of Officer (Be sure to get a copy of the corporation’s return)

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

2015 electronic income tax return 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 corporation’s

electronic income tax return. I consent to allow my electronic return originator (ERO), transmitter, or intermediate service provider to

send the corporation’s return to the IRS and to receive from the IRS (a) an acknowledgement of receipt or reason for rejection of the

transmission, (b) the reason for any delay in processing the return or refund, and (c) the date of any refund. If applicable, 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. I have selected a personal identification number (PIN) as my signature for the corporation’s

electronic income tax return and, if applicable, the corporation’s consent to electronic funds withdrawal.

Officer’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 corporation’s 2015 electronically filed income tax return.

As an officer of the corporation, I will enter my PIN as my signature on the corporation’s 2015 electronically filed income tax

return.

Title

Officer’s signature

Date

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Part III

Certification and Authentication

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 2015 electronically filed income tax return for the

corporation 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

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ERO Must Retain This Form — See Instructions

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

8879-I

For Paperwork Reduction Act Notice, see instructions.

Form

(2015)

Cat. No. 49681H

Form 8879-I - Irs E-File Signature Authorization For Form 1120-F - 2015

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