Form ABE
                       Affected Business Entity Election                                                 2022

Use this form to elect to become an affected business entity.

Include the election with the original return, and pay the tax by April 15 following the close of each taxable year. You 
must make a separate election for each taxable year.

The election must be signed by:
•    Each member of the electing entity who’s a member at the time the election is filed, or
•    Any officer, manager, or member of the electing entity who’s authorized.

If you’ve checked the ABE box on Forms 41S or 65 and the tax return is signed by an authorized officer, this form 
isn’t required to be included with the return. Electronic signatures are permitted. The entity must have documentation 
authorizing the officer to make the election on behalf of all members.
Federal Employer Identification Number (EIN)
                                                       Entity Type:   Partnership           S Corporation
Name of Entity

Address

City                                                                         State          Zip code

Phone number

By signing this form, I certify that the statements I made on this form are true and correct. I know that submitting false
information can result in criminal and civil penalties.

Name                                                         Title

Signature                                                                    Date

EFO00330     05-10-2022