Form
8878-A
Department of the Treasury
Internal Revenue Service
IRS e-file Electronic Funds Withdrawal
Authorization for Form 7004
OMB No. 1545-1927
Name on Form 7004
Identifying number
Information From Form 7004 (Whole Dollars Only)
Authorized Person’s Declaration and Signature Authorization
Part I
Part II
ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN.
ERO Must Retain This Form — See Instructions
Do Not Submit This Form to the IRS Unless Requested To Do So
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 39223B
Form 8878-A (Rev. 12-2008)
Tentative total tax (Form 7004, line 6)
Total payments and credits (Form 7004, line 7)
1
2
ERO’s signature
©
Date
©
1
2
For calendar year 20 or tax year beginning , 20 , ending , 20
©
See instructions. Do not send to the IRS. Keep for your records.
Certification and Authentication
do not enter all zeros
I certify that the above numeric entry is my PIN, which is my signature to authorize submission of the electronic funds withdrawal
authorization with the electronic Form 7004 for the taxpayer indicated above. I confirm that I am submitting this authorization with
Form 7004 in accordance with the requirements of 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.
Part III
Authorized Person’s PIN: check one box only
I authorize to enter my PIN as my signature
I will enter my PIN as my signature for the taxpayer’s consent to electronic funds withdrawal for the balance due on the
taxpayer’s electronic Form 7004 for the tax year indicated above.
Authorized person’s signature
©
Title
©
ERO firm name
do not enter all zeros
3
Balance due (Form 7004, line 8)
3
Under penalties of perjury, I declare that I have been authorized by the above taxpayer to make this authorization and that I have
examined a copy of the taxpayer’s electronic Form 7004 for the tax year indicated above. I further declare that the amounts in Part
I above are the amounts shown on the copy of the taxpayer’s electronic Form 7004. I consent to allow my electronic return originator
(ERO), transmitter, or intermediate service provider to send this authorization to the IRS with the electronic Form 7004 and to receive
from the IRS (a) an acknowledgement of receipt or reason for rejection of the transmission, and (b) the reason for any delay in
processing the form. 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 taxpayer’s balance
due on Form 7004, 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 1-888-353-4537 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. I have selected a personal identification number (PIN) as my signature
for the taxpayer’s consent to electronic funds withdrawal.
Date
©
(Rev. December 2008)
for the taxpayer’s consent to electronic funds withdrawal for the balance due on the taxpayer’s electronic Form 7004 for
the tax year indicated above.
click to sign
signature
click to edit
dd mmm yyyy
click to sign
signature
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dd mmm yyyy
You must receive the
completed and signed Form
8878-A from the authorized
person before an electronic
Form 7004 with an electronic
funds withdrawal authorization is
transmitted (or released for transmission).
Form 8878-A (Rev. 12-2008)
Page 2
Purpose of Form
Provide the authorized person with a
corrected copy of Form 8878-A if
changes are made to Form 7004 (for
example, based on the authorized
person’s review).
Enter the authorized person’s PIN on
the input screen only if that person has
authorized you to do so.
See Pub. 3112 and Pub. 4163 for
more information. Also, go to
www.irs.gov/efile and select Tax
Professionals.
The time needed to complete this
form will vary depending on individual
circumstances.
You should confirm the identity of the
authorized person. For additional
guidance, see Pub. 3112, IRS e-file
Application and Participation.
Provide the authorized person with a
copy of the signed Form 8878-A upon
request.
If you have comments concerning the
accuracy of these time estimates or
suggestions for making this form
simpler, we would be happy to hear
from you. You can write to Internal
Revenue Service, Tax Products
Coordinating Committee,
SE:W:CAR:MP:T:T:SP, 1111 Constitution
Ave. NW, IR-6526, Washington, DC
20224.
The estimated average time is:
Learning about the
law or the form 6 min.
Preparing the form 9 min.
The ERO will:
Enter the name and identifying number
of the taxpayer at the top of the form;
ERO Responsibilities
Authorized Person
Responsibilities
The taxpayer’s Form 7004 with an
electronic funds withdrawal authorization
will not be transmitted to the IRS until
the ERO receives the signed Form
8878-A.
Important Notes for EROs
Do not send Form 8878-A to the IRS
unless requested to do so. Retain the
completed Form 8878-A for 3 years from
the return due date or IRS received date,
whichever is later. Form 8878-A can be
retained electronically in accordance
with the recordkeeping guidelines in
Rev. Proc. 97-22, which is on page 9 of
Internal Revenue Bulletin 1997-13 at
www.irs.gov/pub/irs-irbs/irb97-13.pdf.
Enter on the authorization line in Part
II the ERO firm name (not the name of
the individual preparing the return) if the
ERO is authorized to enter the
authorized person’s PIN;
Give the authorized person Form
8878-A for completion and review—this
can be done by hand delivery, U.S. mail,
private delivery service, email, or Internet
website; and
Complete Part I using the amounts
(zeros may be entered when appropriate)
from the taxpayer’s Form 7004;
A person authorized to sign an
electronic funds withdrawal authorization
and an electronic return originator (ERO)
use Form 8878-A to use a personal
identification number (PIN) to authorize
an electronic funds withdrawal of the
balance due on an electronic Form
7004.
Do not send the form to this address.
Instead, keep it for your records.
CAUTION
Form 8878-A is not an
application for an extension
of time to file. Taxpayers
must file Form 7004,
Application for Automatic Extension of
Time To File Certain Business Income
Tax, Information, and Other Returns.
Paperwork Reduction Act Notice. We
ask for the information on this form to
carry out the Internal Revenue laws of
the United States. You are required to
give us the information. We need it to
ensure that you are complying with
these laws and to allow us to figure and
collect the right amount of tax.
You are not required to provide the
information requested on a form that is
subject to the Paperwork Reduction Act
unless the form displays a valid OMB
control number. Books or records
relating to a form or its instructions must
be retained as long as their contents
may become material in the
administration of any Internal Revenue
law. Generally, tax returns and return
information are confidential, as required
by Internal Revenue Code section 6103.
Do not send this form to the IRS.
The ERO must retain Form 8878-A.
Complete Part III including a signature
and date.
CAUTION
The authorized person will:
Indicate or verify his or her PIN when
authorizing the ERO to enter it (the PIN
must be five numbers other than all
zeros);
Sign, date, and enter his or her title in
Part II; and
Check the appropriate box in Part II to
either authorize the ERO to enter the
authorized person’s PIN or to choose to
enter it in person;
Return the completed Form 8878-A to
the ERO by hand delivery, U.S. mail,
private delivery service, or fax.
Recordkeeping 3 hrs., 21 min.
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