You are on page 1of 1
rom 8879 IRS e-file Signature Authorization seam aie eae Depart of the Teasey > ERO must obtain and retain completed Form 8878. 2022 Irom Rowen Senice > Go to www.jrs.gov/Foms679 forthe latest information. soon eraton nner) ‘nero | Soest asco nmr 770 JAVIER LEMUS PINEDA | 025-06-0244 Sree rane Spouses sou scr norber [PartT|__Tax Return Information - Tax Year Ending December 31, 2022 (Enter year you are authorizing.) Enter whole dollars only on lines 1 through 5. Note: Fam 1040S Hes ute ie 4 ony. Leave ne 1,2, 3, and tank 1 Adjusted gross income 4 2. Total tax i 3 Federal income tax withheld ftom Form(s) W-2 and Form(s) 1099 a 4 Amount you want refunded to you ....... ++ 4] 5 Amount you owe 5 4,080 [Paréll| Taxpayer Declaration and Signature Authorization (Be sure you get and Keop a copy of your return) Une penis of pry. dete that | have examined copy fhe ncone axrelun rghl a ended) an now aorang, ard the est of Imyknaeage ara beet t's we, coven and compe fur doce athe amaune Pat | above ar th aunts rom ts neome ae ‘lun (orginal or amended | am row authoring. Icanseno alow my intrmedale serwoe prover, Vansmit,o decrani elu ait ERO) {bend my eum tobe IRS ad to rece forme 8 (a) an aelnowlegemert of fecal or eason fr rapetion of the wanarasse, (the reason {or any dely m procesing te reli rota, a () We dat tay akon applesb, | sumone he U.S. Treasury anata desganed Francis ‘Agent oiitte an AGH eecrorc funds wisraval (ect debi) ert the franca nsituonsccaurt incised in he ax preparation stars for payment of my federal tees owed en this relum andlor a pay of eabmate ax, andthe nana insin ode tho ey this acsaur. Tis Sutnoation foreman in fulforse and elect ul ntl he US Tress Final Agent totermnate the utnerzaion. To rvoce (cance) 3 ayment rust coon te U.S. Tressry nen Ago at 1888-269-4837 Parent canclaion requsts must be receive ola than 2 Eitiness days por‘ the payment (setlemant) dt. sso authorize he tna Inston ingled inthe processing ofthe slectrenc pay of {noo rooawe confer information races sary to aie Ingues an reso fesuoe rtd Tos paymon fuer ackrawladg a Derona eniicalen number PIN) belowis my sgntre or te income tex eur (oginal ar arene) am row cuherzng on, ¥ appt, my Eero Funds Watrawal Consent ‘Taxpayer's PIN: chock one box only [x] Nauthorize Rrmacco AND compaNy, 2c. tocenter or generate my PIN ERO Hrovname signature on the income tax return (original oF amended) | am now authorizing, dont enteral zeros twit enter my PIN my signature on the income tax retum (original or amended) | am now authorizing. Check this box only if you are entering your own PIN and your return sled using the Practtoner PIN method. The ERO mist complete Par I below elo ‘Date » Spouse's PIN: check one box only | authorize to center or generate my PIN asmy ERO Tame Ramee signature on the income tax return (original or amended) | am now authorizing 1 twit enter ny PIN as my signature on the income tx tu (original or amended) | am now authorizing. Check his box only if you ae entering your ov PIN and your rtum i fled using the Pracitoner PIN method. The ERO must complete Pa Il below. Spouse's signature > Date » Practitioner PIN Method Retums Only -continue below Partlll| Certification and Authentication - Practitioner PIN Method Only ERO's EFINIPIN. Enter your six-dgit EFIN followed by your five-igit self-selected PIN. 933260-07429 ‘ont enter a zoe | oerfy tate above numeric erty ie my PIN, which is my signature for the electronic india income tx return (orginal or amended) | am now ‘authored oil for ax your nea above forthe taxpayers) indicated above, | conf that | am subsniting this return in accordance with the requirements ofthe Pri for Authorzed IRS o-fl Prowders of Individual Income Tax Ret. fae Date» 03-17-2023 ERO Must Retain This Form - See Instructions Don't Submit This Form to the IRS Unless Requested To Do So For Paperwork Redustion Act Notice, seo your tax roturn Instructions. Form 8878 (Rev. 01-2027)

You might also like