Form PA-8879 "Pennsylvania E-File Signature Authorization" - Pennsylvania

What Is Form PA-8879?

This is a legal form that was released by the Pennsylvania Department of Revenue - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2018;
  • The latest edition provided by the Pennsylvania Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PA-8879 by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Revenue.

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Download Form PA-8879 "Pennsylvania E-File Signature Authorization" - Pennsylvania

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Pennsylvania e-file Signature Authorization
2019
PA-8879
(EX) 09-19
(FI)
START
Declaration Control Number/Submission ID
Primary Taxpayer’s Name
Social Security Number
Secondary Taxpayer’s Name
Social Security Number
SECTION I
TAX RETURN INFORMATION – TAX YEAR ENDING DEC. 31, 2019
(whole dollars only)
1. Adjusted PA Taxable Income (Form PA-40, Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.
2. PA Tax Liability (Form PA-40, Line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
3. Total PA Tax Withheld (Form PA-40, Line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
4. Refund (Form PA-40, Line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
5. Total Payment (Tax Due) (Form PA-40, Line 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
SECTION II
DECLARATION AND SIGNATURE AUTHORIZATION OF TAXPAYER
Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and
statements of my 2019 PA Tax Return (Form PA-40), and to the best of my knowledge and belief, it is true, correct and complete. In addition, by using a
computer system and software to prepare and transmit my return electronically, I consent to the disclosure of all information pertaining to my use of the
system and software and to the transmission of my tax return electronically to the PA Department of Revenue. I further declare that the amounts in Section
I above are the amounts shown on the copy of my electronic income tax return. If applicable, I authorize the PA Department of Revenue and its designated
financial agents to initiate an electronic funds withdrawal (direct debit) entry to my designated account for Pennsylvania taxes owed. I also authorize my
financial institution to debit the entry to my account and the financial institutions involved in the processing of my electronic payment of taxes to receive
confidential information necessary to answer inquiries and resolve issues related to payment. I certify the funds for this withdraw are originating from an
account within the United States or one of its territories. I have selected a personal identification number as my signature for my electronic income tax
return and, if applicable, my electronic funds withdrawal consent.
Primary Taxpayer’s Personal Identification Number (PIN): (mark one oval only)
I authorize
to enter my PIN
as my signature on my tax
year 2019 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2019 electronically filed income tax return.
MMDDYYYY
Signature of Primary Taxpayer – Please sign after printing
Signature
Date
Secondary Taxpayer’s PIN: (mark one oval only)
I authorize
to enter my PIN
as my signature on my tax
year 2019 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2019 electronically filed income tax return.
MMDDYYYY
Signature of Secondary Taxpayer – Please sign after printing
Signature
Date
Practitioner PIN Program Participants Only – Continue Below
SECTION III
CERTIFICATION AND AUTHENTICATION
/
ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN
As a participant in the Practitioner PIN Program, I certify the above numeric entry is my PIN, which is my signature on the tax year
2019 electronically filed income tax return for the taxpayer(s) indicated above. I confirm I am participating in the Practitioner PIN
Program in accordance with the requirements established for this program.
MMDDYYYY
Signature of ERO – Sign after printing
ERO’s signature
Date
ERO must retain this form and the supporting documents for three years.
DO NOT SUBMIT THIS FORM TO THE PENNSYLVANIA DEPARTMENT OF REVENUE
Reset Entire Form
TOP OF PAGE
PRINT
Pennsylvania e-file Signature Authorization
2019
PA-8879
(EX) 09-19
(FI)
START
Declaration Control Number/Submission ID
Primary Taxpayer’s Name
Social Security Number
Secondary Taxpayer’s Name
Social Security Number
SECTION I
TAX RETURN INFORMATION – TAX YEAR ENDING DEC. 31, 2019
(whole dollars only)
1. Adjusted PA Taxable Income (Form PA-40, Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1.
2. PA Tax Liability (Form PA-40, Line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2.
3. Total PA Tax Withheld (Form PA-40, Line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3.
4. Refund (Form PA-40, Line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4.
5. Total Payment (Tax Due) (Form PA-40, Line 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
SECTION II
DECLARATION AND SIGNATURE AUTHORIZATION OF TAXPAYER
Under penalties of perjury, I declare that I have examined a copy of my electronic individual income tax return and accompanying schedules and
statements of my 2019 PA Tax Return (Form PA-40), and to the best of my knowledge and belief, it is true, correct and complete. In addition, by using a
computer system and software to prepare and transmit my return electronically, I consent to the disclosure of all information pertaining to my use of the
system and software and to the transmission of my tax return electronically to the PA Department of Revenue. I further declare that the amounts in Section
I above are the amounts shown on the copy of my electronic income tax return. If applicable, I authorize the PA Department of Revenue and its designated
financial agents to initiate an electronic funds withdrawal (direct debit) entry to my designated account for Pennsylvania taxes owed. I also authorize my
financial institution to debit the entry to my account and the financial institutions involved in the processing of my electronic payment of taxes to receive
confidential information necessary to answer inquiries and resolve issues related to payment. I certify the funds for this withdraw are originating from an
account within the United States or one of its territories. I have selected a personal identification number as my signature for my electronic income tax
return and, if applicable, my electronic funds withdrawal consent.
Primary Taxpayer’s Personal Identification Number (PIN): (mark one oval only)
I authorize
to enter my PIN
as my signature on my tax
year 2019 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2019 electronically filed income tax return.
MMDDYYYY
Signature of Primary Taxpayer – Please sign after printing
Signature
Date
Secondary Taxpayer’s PIN: (mark one oval only)
I authorize
to enter my PIN
as my signature on my tax
year 2019 electronically filed income tax return.
I will enter my PIN as my signature on my tax year 2019 electronically filed income tax return.
MMDDYYYY
Signature of Secondary Taxpayer – Please sign after printing
Signature
Date
Practitioner PIN Program Participants Only – Continue Below
SECTION III
CERTIFICATION AND AUTHENTICATION
/
ERO’s EFIN/PIN. Enter your six-digit EFIN followed by your five-digit self-selected PIN
As a participant in the Practitioner PIN Program, I certify the above numeric entry is my PIN, which is my signature on the tax year
2019 electronically filed income tax return for the taxpayer(s) indicated above. I confirm I am participating in the Practitioner PIN
Program in accordance with the requirements established for this program.
MMDDYYYY
Signature of ERO – Sign after printing
ERO’s signature
Date
ERO must retain this form and the supporting documents for three years.
DO NOT SUBMIT THIS FORM TO THE PENNSYLVANIA DEPARTMENT OF REVENUE
Reset Entire Form
TOP OF PAGE
PRINT

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