Tax Return E-File

TAX RETURN E-FILE AUTHORIZATION

Taxpayer Identification

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

Taxpayer Identification Number (TIN)

Provide one: Social Security Number (SSN) OR Employer Identification Number (EIN). Complete the field that applies to the taxpayer listed above.

Tax Return Details

Tax year:   Tax form type:

Filing status (check one):

Single
Married Filing Jointly
Married Filing Separately
Head of Household
Qualifying Widow(er)

Electronic Filing Authorization

By signing below, the taxpayer authorizes the tax return preparer named in this form to electronically transmit the tax return identified above on behalf of the taxpayer and to perform all acts necessary to complete the electronic filing transaction, including, where applicable, transmitting taxpayer personal identification numbers (PINs) and receiving electronic acknowledgements from the tax authority.

Select any authorizations that apply:

I authorize the preparer to e-file my return.
I will provide my personal PIN for signature on the electronic return.
I authorize the preparer to enter a practitioner PIN on my behalf.
I authorize direct deposit of refund to the account below (complete bank information).
I authorize electronic debit for payment of tax due from the account below (complete bank information).

Bank Account for Direct Deposit / Debit (If applicable)

Checking    Savings

Preparer Information (if applicable)

Certification and Perjury Statement

Under penalties of perjury, I certify that I am the taxpayer (or an individual authorized to sign on behalf of the taxpayer), that the taxpayer identification number provided above is correct, and that I have examined the information provided on this form and to the best of my knowledge and belief it is true, correct, and complete.

I further certify and acknowledge the following:

1. I authorize the electronic filing of the return specified in this authorization and consent to the electronic transmission of my tax return and necessary attachments.

2. I authorize the preparer identified on this form to receive and transmit my return information, signatures, and any acknowledgement or rejection notices related to the electronic transmission.

3. I understand that I remain responsible for the accuracy of the return even if the preparer transmits the return electronically, and that false statements may subject me to civil or criminal penalties.

4. If I authorize direct deposit or direct debit, I certify that the bank account information provided is accurate and authorize the tax authority to deposit to or debit from the account indicated for any refund or payment due as a result of this return.

5. I consent to the use of an electronic signature or practitioner PIN as the legally binding signature for the electronic filing transaction, and authorize the preparer to use such signature method if indicated above.

Sign Now