Form Nyc-579-Ein - Signature Authorization For E-Filed Unincorporated Business Tax Return For Estates And Trusts - 2017

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2017
NYC
NEW YORK CITY DEPARTMENT OF FINANCE
Signature Authorization for
579 EIN
TM
E-Filed Unincorporated Business Tax Return for Estates and Trusts
Department of Finance
ELECTRONIC RETURN ORIGINATORS (ERO): DO NOT MAIL THIS FORM TO THE DEPARTMENT OF FINANCE. KEEP THIS FOR YOUR RECORDS.
:
NAME OF ESTATE OR TRUST
EMPlOYER IDENTIFICATION NUMBER
:
:
n
NYC-5UBTI
n
NYC-EXT
EMAIl ADDRESS
TYPE OF FORM
n
NYC-202EIN
Financial Institution Information - must be included if electronic payment is authorized
:
:
:
AMOUNT OF AUTHORIZED DEBIT
FINANCIAL INSTITUTION ROUTING NUMBER
FINANCIAL INSTITUTION ACCOUNT NUMBER
Part A — Declaration and authorization of Taxpayer for Forms NYC-202EIN, NYC-EXT or NYC-5UBTI
Under penalty of perjury, I declare that I am the fiduciary for the above estate or trust and that I have examined the information on its 2017 New York City electronically
filed Unincorporated Business Tax return, including any accompanying schedules, attachments and statements or other report, and to the best of my knowledge and be-
lief, the electronically filed document is true, correct and complete. The ERO has my consent to send the 2017 New York City electronically filed Unincorporated Busi-
ness Tax return or other report checked above to the New York City Department of Finance through the Internal Revenue Service. I authorize the ERO to enter my
PIN as my signature on the 2017 New York City electronically filed Unincorporated Business Tax return or other report, as indicated above or I will enter my PIN as
my signature on the document indicated above. If I am paying the New York City Unincorporated Business Tax owed by electronic funds withdrawal, I authorize the
New York City Department of Finance and its designated financial agents to initiate an electronic funds withdrawal from the financial institution account indicated on
the Unincorporated Business Tax return or other report, and I authorize the financial institution to debit the amount from that account.
n
I authorize ___________________________________________________ to enter my PIN :
ERO FIRM NAME
as my signature on the 2017 Unincorporated Business Tax return or other report, as indicated above
n
As the fiduciary for the above estate or trust I will enter my PIN as my signature on the 2017 Unincorporated Business Tax return or other report, as indicated above.
_______________________________________________________
_____________________________________
____________________
Signature of Fiduciary
Print Name
Date
Part B — Declaration of electronic return originator (ERO) and paid preparer
Under penalty of perjury, I declare that the information contained in the above-named taxpayer’s 2017 New York City electronically filed unincorporated busi-
ness tax return or other report checked above is the information furnished to me by the fiduciary for the estate or trust. If the fiduciary furnished me with a com-
pleted 2017 New York City paper unincorporated business tax return or other report signed by a paid preparer, I declare that the information contained in the
taxpayer’s 2017 New York City electronically filed unincorporated business tax return or report is identical to that contained in the paper return. If I am the paid
preparer, under penalty of perjury I declare that I have examined this 2017 New York City electronically filed unincorporated business tax return or other report,
and, to the best of my knowledge and belief, the return is true, correct, and complete. I have based this declaration on all information available to me.
ERO EFIN/PIN: Enter your six-digit EFIN followed by your five digit PIN:
_________________________________________
_____________________________________
________________
ERO’s Signature
Print Name
Date
_________________________________________
_____________________________________
________________
Paid Preparer’s Signature
Print Name
Date
PURPOSE - A completed Form NYC-579-EIN provides documentation that an ERO has been authorized to electronically file the Unincorporated Business Tax return or other re-
port. The fiduciary for the estate or trust may designate the ERO to electronically sign the return or other report by entering the fiduciaryʼs personal identification number (PIN). The
form also authorizes payment of tax due on an electronically submitted return or report by an automatic clearing house (ACH) debit from a designated checking or savings account
of the estate or trust. You cannot revoke this authorization.
GENERAL INSTRUCTIONS
Part A - Part A must be completed by the taxpayer before the ERO transmits the electronically filed Form NYC-202EIN (Unincorporated Business Tax Return for Es-
tates and Trusts); NYC-EXT (Application for 6-Month Extension to File Business Income Tax Return); or NYC-5UBTI (Declaration of Estimated Unincorpo-
rated Business Tax for Individuals, Estates and trusts).
EROs/paid preparers must complete Part B prior to transmitting electronically filed unincorporated business tax returns or reports (Forms NYC-202EIN, NYC-EXT or
NYC-5UBTI). Both the paid preparer and the ERO are required to sign Part B. However, if an individual performs as both the paid preparer and the ERO, he or she
is only required to sign as the paid preparer. It is not necessary to include the ERO signature in this case.
Do not mail Form NYC-579-EIN to the Department of Finance. The EROs/paid preparers must keep the completed Form NYC-579-EIN for three years from the
due date of the return or report or the date the return or report was filed, whichever is later, and must present it to the Department of Finance upon request.
NYC-579-EIN 2017

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