Tax E-File Acknowledgement

TAX E-FILE ACKNOWLEDGEMENT

Tax Year:   Tax Period Ending (if applicable):

Taxpayer Information

Individual / Sole Proprietor C Corporation S Corporation Partnership Trust / Estate LLC Other

Taxpayer Identification Number (TIN)

Provide the appropriate TIN used on the return. Enter only one: Social Security Number or Employer Identification Number.

Certification and Consent to Electronic Filing

By signing below, the taxpayer certifies and authorizes as follows:

1. I authorize the designated tax preparer and the preparer's firm to electronically transmit the tax return identified above to the appropriate federal and state tax authorities on my behalf and to receive acknowledgements and related correspondence associated with the electronic filing.

2. I consent to the use of my handwritten, typed, or electronic signature to authorize electronic filing of my tax return(s). I understand that my signature on this form authorizes the electronic filing and constitutes my signature on the electronic return and any accompanying forms or schedules required for filing.

3. I have reviewed the information in the return and to the best of my knowledge and belief it is true, correct, and complete. I understand that, under penalty of perjury, I may be held legally responsible for any false statements or omissions on the tax return.

4. I authorize the preparer to transmit my banking information (if necessary for direct deposit or direct debit) to the electronic filing system for the sole purpose of processing the return, refunds, or payments. I understand that banking routing and account numbers will be handled with reasonable confidentiality by the preparer.

5. I agree to accept electronic acknowledgements of filing and copies of the electronically filed returns in lieu of paper acknowledgements. I understand that I may request a paper copy, but the preparer may charge for production and delivery.

I have read and agree to the certifications and consent statements above. I authorize electronic filing for the return identified on this form.

Preparer Information (if preparer will file)

Penalty of perjury statement: I declare under penalty of perjury that I have examined this acknowledgement and, to the best of my knowledge, the facts contained herein are true, correct, and complete.

Sign Now