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Form 8879-TE IRS e-file Signature Authorization OMB No. 1545-0047
for a Tax Exempt Entity
For calendar year 2021, or fiscal year beginning , 2021, and ending , 20
Department of the Treasury ▶ Do not send to the IRS. Keep for your records. 2021
Internal Revenue Service ▶ Go to www.irs.gov/Form8879TE for the latest information.
Name of filer EIN or SSN
Name and title of officer or person subject to tax
Part I Type of Return and Return Information
Check the box for the return for which you are using this Form 8879-TE and enter the applicable amount, if any, from the return. Form 8038-
CP and Form 5330 filers may enter dollars and cents. For all other forms, enter whole dollars only. If you check the box on line 1a, 2a, 3a, 4a,
5a, 6a, 7a, 8a, 9a, or 10a below, and the amount on that line for the return being filed with this form was blank, then leave line 1b, 2b, 3b, 4b,
5b, 6b, 7b, 8b, 9b, or 10b, whichever is applicable, blank (do not enter -0-). But, if you entered -0- on the return, then enter -0- on the
applicable line below. Do not complete more than one line in Part I.
1a Form 990 check here . . ▶ b Total revenue, if any (Form 990, Part VIII, column (A), line 12) . . 1b
2a Form 990-EZ check here . ▶ b Total revenue, if any (Form 990-EZ, line 9) . . . . . . . . 2b
3a Form 1120-POL check here ▶ b Total tax (Form 1120-POL, line 22) . . . . . . . . . . 3b
4a Form 990-PF check here . ▶ b Tax based on investment income (Form 990-PF, Part V, line 5) . 4b
5a Form 8868 check here . . ▶ b Balance due (Form 8868, line 3c) . . . . . . . . . . . 5b
6a Form 990-T check here . ▶ b Total tax (Form 990-T, Part III, line 4) . . . . . . . . . . 6b
7a Form 4720 check here . . ▶ b Total tax (Form 4720, Part III, line 1) . . . . . . . . . . 7b
8a Form 5227 check here . . ▶ b FMV of assets at end of tax year (Form 5227, Item D) . . . . 8b
9a Form 5330 check here . . ▶ b Tax due (Form 5330, Part II, line 19) . . . . . . . . . . 9b
10a Form 8038-CPcheck here ▶ b Amount of credit payment requested (Form 8038‐ CP, Part III, line 22) 10b
Part II Declaration and Signature Authorization of Officer or Person Subject to Tax
Under penalties of perjury, I declare that I am an officer of the above entity or I am a person subject to tax with respect to (name
of entity) , (EIN) and that I have examined a copy of the
2021 electronic return and accompanying schedules and statements, and, to the best of my knowledge and belief, they are true, correct, and
complete. I further declare that the amount in Part I above is the amount shown on the copy of the electronic return. I consent to allow my
intermediate service provider, transmitter, or electronic return originator (ERO) to send the 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 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 electronic return and, if applicable, the consent to
electronic funds withdrawal.
PIN: check one box only
I authorize to enter my PIN as my signature
ERO firm name Enter five numbers, but
do not enter all zeros
on the tax year 2021 electronically filed return. If I have indicated within this return that a copy of the return is being filed with a state
agency(ies) regulating charities as part of the IRS Fed/State program, I also authorize the aforementioned ERO to enter my PIN on the
return’s disclosure consent screen.
As an officer or person subject to tax with respect to the entity, I will enter my PIN as my signature on the tax year 2021 electronically
filed return. If I have indicated within this return that a copy of the return is being filed with a state agency(ies) regulating charities as part
of the IRS Fed/State program, I will enter my PIN on the return’s disclosure consent screen.
Signature of officer or person subject to tax ▶ Date ▶
Part III Certification and Authentication
ERO’s EFIN/PIN. Enter your six-digit electronic filing identification
number (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 2021 electronically filed return indicated above. I confirm that I
am submitting this return in accordance with the requirements of 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 Privacy Act and Paperwork Reduction Act Notice, see back of form. Cat. No. 31722T Form 8879-TE (2021)
