Tax Federal E-File Form

Tax Federal E-File Form

Use this form to authorize the electronic filing of the federal tax return(s) identified below and to certify the accuracy of the information provided. The taxpayer named below authorizes electronic transmission of the tax return and related schedules, and acknowledges the terms and certifications set forth in this document.

Taxpayer Identification

Taxpayer Name:

Daytime Telephone:    Email Address:

Entity Type

Indicate the entity type (check one or more as applicable):
Individual / Sole Proprietor C Corp S Corp Partnership Trust / Estate LLC Other

Return Period

Tax Year Ending: Month Year

Taxpayer Identification Number (TIN)

Enter only one: Social Security Number or Employer Identification Number. Leave the other blank.

Authorization and Certification

By signing this form the taxpayer certifies and authorizes as follows:

1. The taxpayer authorizes the electronic transmission of the federal tax return and any accompanying schedules and forms for the return period identified above, and consents to the use of an electronic signature or Personal Identification Number (PIN) in lieu of a handwritten signature for filing purposes.
2. The taxpayer declares under penalties of perjury that the information contained in the electronically filed return is true, correct, and complete to the best of the taxpayer's knowledge and that the taxpayer is authorized to execute and file the return.
3. The taxpayer authorizes the electronic return originator, transmitter, and any financial institution necessary to effect an electronic funds withdrawal or direct debit to initiate entries to the taxpayer's account as directed on the electronically filed return, if payment authorization is provided on the return.
4. The taxpayer authorizes the disclosure of taxpayer information to third parties solely as necessary to prepare, transmit, or process the electronic filing of the return, including but not limited to electronic return originators, transmitters, and financial institutions, and acknowledges that such disclosures are limited to the purpose of filing and payment processing.
5. The taxpayer affirms that the taxpayer will retain copies of the filed return, supporting documentation, and any authorization records for the period required by law and will provide such records upon request by authorized officials or as required for audit or review.
6. The taxpayer acknowledges that intentional false statements or willful failure to provide information required by law may subject the taxpayer to civil or criminal penalties under applicable law.

Taxpayer Acknowledgment

Under penalties of perjury, I declare that I have examined this form and accompanying information, and to the best of my knowledge and belief it is true, correct, and complete. I authorize the electronic filing of the above-referenced federal tax return and certify that I have the legal authority to execute this authorization.

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