Form                                     Indiana Individual Income Tax                                                  Do Not Mail
        IT-8879C                       DECLARATION OF ELECTRONIC FILING                                                            This Form
        State Form 55685
           (R8 / 8-22)                 For calendar year 2022, or other tax year beginning                                         To DOR 
                                    ____________, 2022 and ending ____________, ______

                                       Submission ID                            —                                                —

Corporation/Partnership/Fiduciary Name                                                         Federal Employer Identification Number

Street Address                              City                                State          ZIP Code                            Daytime Telephone Number

                              Part I.  Tax Return Information (See instructions on next page)
1.  Total net income (loss) from Form IT-20S/IT-65/IT-20/IT-41, line 1 ......................................................... 1.
2.  Total income as adjusted (Form IT-20S/IT-65, line 3; Form IT-20, line 21;Form IT-41, line 9) ...............                 2.
3.  IT-20S ONLY: Total income tax from Schedule B (IT-20S, line 13) .........................................................    3.
4.  Total tax (Form IT-20S, line 16; Form IT-65, line 7; Form IT-20, line 23; Form IT-41, line 12) ................              4.
5.  Subtotal (Form IT-20S, line 23; Form IT-65, line 14; Form IT-20, line 41; Form IT-41, line 15) ..............                5.
6.  Total amount due (Form IT-20S, line 27; Form IT-65, line 18; Form IT-20, line 45; Form IT-41, line 19) ....                  6.
7.  Overpayment/Refund (Form IT-20S, line 28; Form IT-65, line 19; Form IT-20, line 46; Form IT-41, line 20) .                   7.

                                                 Part II.  Electronic Settlement
8.  Type of settlement:  Direct Deposit of Refund
                         Direct Debit of Amount Owed              Amount                      Date of Withdrawal

9.  Routing number:                                   Do NotNote: The first two digits of the routing number must be 01 - 12 or 21 - 32.
                                                                   Mail
10. Account number:
                                                                                                                                   Do Not Mail
11. Type of account:    Checking       Savings
                                                                                                                                   This Form
12. Place an “X” in the box if refund will go to an account outside the United States. 
                                                                                                                                   To DOR 
My request for direct deposit of my refund, or direct debit of the amountThisI owe, includesFormmy authorization for the Indiana Department of 
Revenue to furnish my financial institution with my routing number, accountTonumber, accountDORtype, and Federal Employer Identification 
Number to ensure my refund or payment is properly processed.
                                                 Part III.  Declaration of Taxpayer
Under penalties of perjury, I declare that I am an officer of the corporation/partnership/fiduciary listed above and the amounts in Part I  I
agree with the amounts on the corresponding lines of the electronic portion of the corporation’s/partnership’s/fiduciary’s 2022 Indiana 
income tax returns. To the best of my knowledge and belief, this 2022 return is true, correct, and complete. I consent to my electronic    N
return originator (ERO) sending my return, this declaration, and accompanying schedule and statements to the Indiana Department 
of Revenue (DOR). I also consent to DOR sending my ERO and/or transmitter an acknowledgement of receipt of transmission and                D
an indication of whether or not my return is accepted and, if rejected, the reason(s) for the rejection. If the processing of my return or 
refund is delayed, I authorize DOR to disclose to my ERO and/or transmitter the reason(s) for the delay of when the refund was sent.
                                                                                                                                            I
In addition, by using a computer system and software to prepare and transmit my return electronically, I consent to the disclosure  
to DOR of all information pertaining to my use of the system and software and to the transmission of my tax return electronically.         A

Officer’s signature ► ___________________________________  Title ______________________________  Date   ______________________             N

                                       Part IV.  Declaration of ERO/Preparer/Transmitter                                                   A
I confirm that I am submitting this return in accordance with the IRS and Indiana Department of Revenue electronic filing programs. 
ERO’s EFIN ________________________________ PTIN (if preparer) ______________________________  Phone  _____________________
ERO’s Signature ► __________________________________________

ERO Must Retain This Form - See instructions.  Do Not Submit this form to DOR unless requested to do so.

                                      IT-8879C, Declaration of Electronic Filing

Purpose of This Form
Complete Form IT-8879C when the Practitioner PIN method is used or when the taxpayer authorizes the electronic return originator 
(ERO) to enter or generate the taxpayer’s personal identification number (PIN) on their electronically filed Indiana corporation/
partnership income tax return.

The ERO will:
1.       Enter the corporation’s/partnership’s/fiduciary’s name, address, federal identification number, and telephone number where 
         indicated at the top of the form.
2.       Enter the ERO’s Electronic Filing Identification Number (EFIN) in Part IV.
3.       The ERO will then enter its preparer tax identification number (PTIN) if the ERO is also the preparer.
4.  Enter the ERO’s phone number.
5.       Keep this form on file. 

NOTE: The ERO must receive the completed and signed Form IT-8879C from the taxpayer before the electronic return is transmitted.

Important Notes for the ERO
       • Do not send Form IT-8879C to DOR unless requested to do so by a DOR representative.
       • Keep the original IT-8879C, signed by the taxpayer(s), along with any wage or tax statements, forms requiring signatures, or 
         any other documentation that is used to verify Indiana deductions and credits in your files for three years from Dec. 31 of the 
         year the return was signed.
       • Provide the taxpayer(s) with a signed copy of the IT-8879C.

                                          IT-8879C Part I and Part II Instructions

Line 1:  Total net income (loss) from Form IT-20S/IT-65/IT-20/IT-41, line 1

Line 2:  Total income as adjusted (Form IT-20S/IT-65, line 3; Form IT-20, line 21;Form IT-41, line 9)

Line 3:  IT-20S ONLY: Total income tax from Schedule B (IT-20S, line 13)

Line 4:  Total tax (Form IT-20S, line 16; Form IT-65, lineDo7; Form IT-20,Notline 23; Form IT-41, line 12)
                                                                   Mail
Line 5:  Subtotal (Form IT-20S, line 23; Form IT-65, line 14; Form IT-20, line 41; Form IT-41, line 15)

Line 6:  Total amount due (Form IT-20S, line 27; Form IT-65, line 18; Form IT-20, line 45; Form IT-41, line 19)

Line 7:  Overpayment/Refund (Form IT-20S, line 28; Form IT-65, line 19; Form IT-20, line 46; Form IT-41, line 20)
                                                                This Form
Line 8:  Type of Electronic Settlement; indicate Direct Deposit of Refund or DirectToDebit ofDORAmount Owed.

                                                 IT-8879C Part III Instructions

An officer of the corporation/partnership/fiduciary must sign the declaration attesting that the corporation/partnership/fiduciary consents 
to having the ERO submit their return electronically.

                                                 IT-8879C Part IV Instructions

The ERO must enter its EFIN, PTIN (if also the preparer), and phone number, including area code.