Enlarge image | IRS e-file Electronic Funds Withdrawal Form(Rev. December 2008)8878-A OMB No. 1545-1927 Authorization for Form 7004 Department of the Treasury Internal Revenue Service ©See instructions. Do not send to the IRS. Keep for your records. For calendar year 20 or tax year beginning , 20 , ending , 20 Name on Form 7004 Identifying number Part I Information From Form 7004 (Whole Dollars Only) 1 Tentative total tax (Form 7004, line 6) 1 2 Total payments and credits (Form 7004, line 7) 2 3 Balance due (Form 7004, line 8) 3 Part II Authorized Person’s Declaration and Signature Authorization Under penalties of perjury, I declare that I have been authorized by the above taxpayer to make this authorization and that I have examined a copy of the taxpayer’s electronic Form 7004 for the tax year indicated above. I further declare that the amounts in Part I above are the amounts shown on the copy of the taxpayer’s electronic Form 7004. I consent to allow my electronic return originator (ERO), transmitter, or intermediate service provider to send this authorization to the IRS with the electronic Form 7004 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. 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 taxpayer’s balance due on Form 7004, 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 taxpayer’s consent to electronic funds withdrawal. Authorized Person’s PIN: check one box only I authorize to enter my PIN as my signature ERO firm name do not enter all zeros for the taxpayer’s consent to electronic funds withdrawal for the balance due on the taxpayer’s electronic Form 7004 for the tax year indicated above. I will enter my PIN as my signature for the taxpayer’s consent to electronic funds withdrawal for the balance due on the taxpayer’s electronic Form 7004 for the tax year indicated above. Authorized person’s signature © Date © Title © 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 to authorize submission of the electronic funds withdrawal authorization with the electronic Form 7004 for the taxpayer indicated above. I confirm that I am submitting this authorization with Form 7004 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 © ERO Must Retain This Form — See Instructions Do Not Submit This Form to the IRS Unless Requested To Do So For Paperwork Reduction Act Notice, see instructions. Cat. No. 39223B Form 8878-A (Rev. 12-2008) |
Enlarge image | Form 8878-A (Rev. 12-2008) Page 2 Purpose of Form Authorized Person ● See Pub. 3112 and Pub. 4163 for more information. Also, go to Form 8878-A is not an Responsibilities www.irs.gov/efile and select Tax application for an extension The authorized person will: Professionals. of time to file. Taxpayers ● Check the appropriate box in Part II to CAUTION must file Form 7004, either authorize the ERO to enter the Paperwork Reduction Act Notice. We Application for Automatic Extension of authorized person’s PIN or to choose to ask for the information on this form to Time To File Certain Business Income enter it in person; carry out the Internal Revenue laws of Tax, Information, and Other Returns. the United States. You are required to A person authorized to sign an ● Indicate or verify his or her PIN when give us the information. We need it to electronic funds withdrawal authorization authorizing the ERO to enter it (the PIN ensure that you are complying with and an electronic return originator (ERO) must be five numbers other than all these laws and to allow us to figure and use Form 8878-A to use a personal zeros); collect the right amount of tax. identification number (PIN) to authorize ● Sign, date, and enter his or her title in You are not required to provide the an electronic funds withdrawal of the Part II; and information requested on a form that is balance due on an electronic Form Return the completed Form 8878-A to subject to the Paperwork Reduction Act ● 7004. the ERO by hand delivery, U.S. mail, unless the form displays a valid OMB Do not send this form to the IRS. private delivery service, or fax. control number. Books or records The ERO must retain Form 8878-A. relating to a form or its instructions must The taxpayer’s Form 7004 with an be retained as long as their contents ERO Responsibilities electronic funds withdrawal authorization may become material in the The ERO will: will not be transmitted to the IRS until administration of any Internal Revenue the ERO receives the signed Form law. Generally, tax returns and return ● Enter the name and identifying number 8878-A. information are confidential, as required of the taxpayer at the top of the form; by Internal Revenue Code section 6103. Important Notes for EROs ● Complete Part I using the amounts (zeros may be entered when appropriate) ● Do not send Form 8878-A to the IRS The time needed to complete this from the taxpayer’s Form 7004; unless requested to do so. Retain the form will vary depending on individual completed Form 8878-A for 3 years from circumstances. ● Enter on the authorization line in Part the return due date or IRS received date, The estimated average time is: II the ERO firm name (not the name of whichever is later. Form 8878-A can be the individual preparing the return) if the retained electronically in accordance Recordkeeping 3 hrs., 21 min. ERO is authorized to enter the with the recordkeeping guidelines in Learning about the authorized person’s PIN; Rev. Proc. 97-22, which is on page 9 of law or the form 6 min. ● Give the authorized person Form Internal Revenue Bulletin 1997-13 at Preparing the form 9 min. 8878-A for completion and review—this www.irs.gov/pub/irs-irbs/irb97-13.pdf. can be done by hand delivery, U.S. mail, ● You should confirm the identity of the If you have comments concerning the private delivery service, email, or Internet authorized person. For additional accuracy of these time estimates or website; and guidance, see Pub. 3112, IRS e-file suggestions for making this form Application and Participation. simpler, we would be happy to hear ● Complete Part III including a signature ● Enter the authorized person’s PIN on from you. You can write to Internal and date. Revenue Service, Tax Products the input screen only if that person has Coordinating Committee, You must receive the authorized you to do so. SE:W:CAR:MP:T:T:SP, 1111 Constitution completed and signed Form Ave. NW, IR-6526, Washington, DC 8878-A from the authorized ● Provide the authorized person with a CAUTION person before an electronic copy of the signed Form 8878-A upon 20224. Form 7004 with an electronic request. Do not send the form to this address. funds withdrawal authorization is Instead, keep it for your records. transmitted (or released for transmission). ● Provide the authorized person with a corrected copy of Form 8878-A if changes are made to Form 7004 (for example, based on the authorized person’s review). |