Form 8879 Department of the Treasury Internal Revenue Service	*IRS e-file* Signature Authorization** -Do not send to the IRS. This is not a tax return. -Keep this form for your records. -Information about Form 8879 and its instructions is at www.irs.gov/form8879.	OMB No. 1545-0074
2016

Form

8879

Department of the Treasury Internal Revenue Service

**IRS e-file Signature Authorization**

-Do not send to the IRS. This is not a tax return.
-Keep this form for your records.
-Information about Form 8879 and its instructions is at www.irs.gov/form8879.

OMB No. 1545-0074

2016

Submission Identification number(SID)
Taxpayer's name:
Social Security number:
Spouse's name:
Spouse Social Security number:

Part I

Tax Return Information—Tax Year Ending December 31, 2015 (Whole Dollars Only)

1. Adjusted gross income (Form 1040, line 38; Form 1040A, line 22; Form 1040EZ, line 4)	1
2. Total tax (Form 1040, line 63; Form 1040A, line 39; Form 1040EZ, line 12)	2
3. Federal income tax withheld (Form 1040, line 64; Form 1040A, line 40; Form 1040EZ, line 7)	3
4. Refund (Form 1040, line 76a; Form 1040A, line 48a; Form 1040EZ, line 13a; Form 1040-SS, Part I, line 13a).	4
5. Amount you owe (Form 1040, line 78; Form 1040A, line 50; Form 1040EZ, line 14)	5

Part II

Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return)

Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and statements for the tax year ending December 31, 2015, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from my electronic income tax return. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my 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 ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at 1-888-353-4537. Payment cancellation requests must be received 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 further acknowledge that the personal identification number (PIN) below is my signature for my electronic income tax return and, if applicable, my Electronic Funds Withdrawal Consent.

Taxpayer’s PIN: check one box only*

I authorize TAXIMUM to enter or generate my Pin as my signature on my tax year 2015 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2016 electronically filed income tax return. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

PIN : (Enter five digits, but do not enter all zeros)*

Your signature:*

Date*

Spouse’s PIN: check one box only

I authorize TAXIMUM to enter or generate my Pin as my signature on my tax year 2015 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2016 electronically filed income tax return. Check this box only if you are entering your own PIN and your return is filed using the Practitioner PIN method. The ERO must complete Part III below.

PIN : (Enter five digits, but do not enter all zeros)

Spouse's signature:

Date

Practitioner PIN Method Returns Only—continue below Part III

Certification and Authentication—Practitioner PIN Method Only

ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.

I certify that the above numeric entry is my PIN, which is my signature for the tax year 2015 electronically filed income tax return for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Publication 1345, Handbook for Authorized IRS e-file Providers of Individual Income Tax Returns.

ERO'S signature:__________________________________________________

Date:_____________________________________________________________

IRS e-file Signature Authorization