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U.S. S Corporation Income Tax Declaration OMB No. 1545-0123
Form 8453-S
for an IRS e-file Return
▶ File electronically with the corporation’s tax return. (Don’t file paper copies.)
Department of the Treasury ▶ Go to www.irs.gov/Form8453S for the latest information. 2021
Internal Revenue Service For calendar year 2021, or tax year beginning , 2021, and ending , 20 .
Name of corporation Employer identification number
Part I Tax Return Information (whole dollars only)
1 Gross receipts or sales less returns and allowances (Form 1120-S, line 1c) . . . . . . 1
2 Gross profit (Form 1120-S, line 3) . . . . . . . . . . . . . . . . . . . . 2
3 Ordinary business income (loss) (Form 1120-S, line 21) . . . . . . . . . . . . . 3
4 Net rental real estate income (loss) (Form 1120-S, Schedule K, line 2) . . . . . . . . 4
5 Income (loss) reconciliation (Form 1120-S, Schedule K, line 18) . . . . . . . . . . 5
Part II Declaration of Officer (see instructions) Be sure to keep a copy of the corporation’s tax return.
6 a I consent that the corporation’s refund be directly deposited as designated on the Form 8050, Direct Deposit of
Corporate Tax Refund, that will be electronically transmitted with the corporation’s 2021 federal income tax return.
b I do not want direct deposit of the corporation’s refund orthe corporation is not receiving a refund.
c 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 corporation’s 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 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.
If the corporation is filing a balance due return, I understand that if the IRS doesn’t receive full and timely payment of its tax liability,
the corporation will remain liable for the tax liability and all applicable interest and penalties.
Under penalties of perjury, I declare that I’m an officer of the above corporation and that the information I’ve given my electronic return originator (ERO),
transmitter, and/or intermediate service provider (ISP) and the amounts in Part I above agree with the amounts on the corresponding lines of the corporation’s
2021 federal income tax return. To the best of my knowledge and belief, the corporation’s return is true, correct, and complete. I consent to my ERO, transmitter,
and/or ISP sending the corporation’s return, this declaration, and accompanying schedules and statements to the IRS. I also consent to the IRS sending my
ERO, transmitter, and/or ISP an acknowledgement of receipt of transmission and an indication of whether or not the corporation’s return is accepted and, if
rejected, the reason(s) for the rejection. If the processing of the corporation’s return or refund is delayed, I authorize the IRS to disclose to my ERO, transmitter,
and/or ISP the reason(s) for the delay, or when the refund was sent.
▲ ▲
Sign
Here Signature of officer Date Title
Part III Declaration of Electronic Return Originator (ERO) and Paid Preparer (see instructions)
I declare that I’ve reviewed the above corporation’s return and that the entries on Form 8453-S are complete and correct to the best of my knowledge. If I’m only
a collector, I’m not responsible for reviewing the return and only declare that this form accurately reflects the data on the return. The corporate officer will have
signed this form before I submit the return. I’ll give the officer a copy of all forms and information to be filed with the IRS, and I’ve followed all other requirements
in 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. If I’m also the Paid Preparer, under penalties of perjury I declare that I’ve examined the above corporation’s return and accompanying schedules and
statements, and to the best of my knowledge and belief, they are true, correct, and complete. This Paid Preparer declaration is based on all information of which
I’ve any knowledge.
▲
ERO’s ERO’s Date Check if Check if ERO’s SSN or PTIN
also paid self-
signature preparer employed
▲
Use Firm’s name (or EIN
Only yours if self-employed),
address, and ZIP code Phone no.
Under penalties of perjury, I declare that I’ve examined the above corporation’s return and accompanying schedules and statements, and to the best of my
knowledge and belief, they are true, correct, and complete. This declaration is based on all information of which I’ve any knowledge.
Print/Type preparer’s name Preparer’s signature Date Check if PTIN
Paid self-
employed
Preparer ▶ Firm’s EIN ▶
Firm’s name
Use Only Firm’s address ▶ Phone no.
For Privacy Act and Paperwork Reduction Act Notice, see instructions. Cat. No. 64422I Form 8453-S (2021)
