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Get PA PA-8879 2020-2021

PA-8879 EX 04-18 FI Pennsylvania e-file Signature Authorization START Declaration Control Number/Submission ID Primary Taxpayer s Name Social Security Number Secondary Taxpayer s Name PARt i tax Return information tax year Ending Dec. 31 2018 Whole dollars only 1. Adjusted PA Taxable Income Form PA-40 Line 11. 2. PA Tax Liability Form PA-40 Line 12. 3. Total PA Tax Withheld Form PA-40 Line 13. 4. Refund Form PA-40 Line 30. 5. Total Payment Tax Due Form PA-40 Line 28. PARt 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 2018 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 Part 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. I authorize tax year 2018 electronically filed income tax return* to enter my PIN as my signature on my I will enter my PIN as my signature on my tax year 2018 electronically filed income tax return* MMDDYYYY Signature of Primary Taxpayer Please sign after printing Signature Date Signature of Secondary Taxpayer Please sign after printing Practitioner PiN Program Participants Only Continue below PARt 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 2018 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* ERO s signature Signature of ERO Sign after printing 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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