Sunteți pe pagina 1din 2

i..:"1¡'.i '::4:, :l,.

t l
Fcrm 887S IRS *fífe Signature Authorization
Departrnent oi the Treasury
l*terr¡al Rer¡enlle Seruice
) ERO must ofibtn añd retá¡n completed Form 8879.
> Go tó www.irs"govlForrn88/9 for the lalÉst informat¡on^
...," l9
Submission ldentification Éllumber (S¡D) )
r|3'oÉ §seiai sm¡Irity n¡Imber
MIGUEL á GTL 052- 66-699t'
s nálr1a social secúrily nurrlber
SUSAN,fA SANCI{ET 887 -61*62 1ü
Part I ax ax eat
1 Adjusted grose income {Fom 1040 or J040-SFl, line &b; Form 104S-ftR, tine 35} 1 28" $ 1,S
2 Tota{ tax {Form 104S or 104ü-§H, line 16; Form 104S-NR. iine 61} 2 761
J Federal incor-ne tax withhetd from Forms W-2 aftd 1099 {Form 104ü or 1$4ü-§H, iine 17: Forrn 104ü-¡lR,
tine 62a) 3 'l ü-?1
4 Refund {Form 104ü or 1ü40-§F}, line ?1a; Fcrm 1*4ú-1,}Ft, line 73a; Form 1ú40*§$, Part l, tine 13a} 4
5 Amount O'r'JE 1040 or 1ü4ü"$R. ii*e 23; Ferm IinÉ A

Part ll Tax sure a


Uñder penalties ol periury, i doctare that I have exaflftified a copy ol rny efectronic individual iñcürie tax ret$rñ a*d acÉompanyins Échédules and
statemenis for the tax year e*ding §ecernl:er 31, 201S, and to lhe beat af rny knouledg€ sñd t]§lief, they aré t¡us, ccrra(:t. afid comp{eté. I further
deolare tiret the amounts in Pa$ I absve are thÉ amoufits ffi]rn rny eleclranic incorfle tax retuÍn. I consent tc altow rny intermedi¿tÉ seruic€ provader,
transmitter, or electronic réturn críginatür (EFiO) to send my retürn to tha IHS and ts rese¡ve früm the NRS tal an aeknot¡r¡edgeffient ol receipt úr reasoñ
for rejecticn üf the transmission, (b) the reflssn for afili delñy in prscéssing the Éturn or refurrd, and lt¡ the daté of Éñy réfilnd. tf applicabie, { authorize
the U.§. Treasury and its designated Fin¡¡ncial AEeñt to ¡nitiate en ACI-{ etectral¿c fufids r¡J¡thdrawan {direct debit} entry to the financial in§litutiún
accol¡nt indicafed ¡n the tax preparatisr¡ software for payméilt ol rfiy federal táxes owed on Éiris rÉtum and/ar a pay$lent o{ éstimated tax" and ihe
financiÉl institutioil to debit the entry tú this aceúunt. This authorizstion is tú r€fiain in ful! force arid effest ufttit I rr$tify the U.S" Treazury Financial
Agent tó terminatÉ the authürizalion. To revúke {cancefi a páyrEent, I must contaet the U.§. Ireasury Í:inencial AgÉnt at l-ffi-nff-4É**?" payment
cancellati*n r€quests nrus{ be recsivÉd ñü tater thán 2 trusiJ]ess days prior to the pai,fiefit {settÍemen{) date. i afso authorize thé fiflancÉal inttitutron§
iftvolvsd in th€ process¡ng of the *lectronic paymÉfit üf taxes to receive canfídentlal infarrnation n€§essary to añswer inquiries ánd resolve issues
related to the páyment. I furthe¡ acknqwledge that th€ perconal id€ntificatioNr numller {Ftzu} befow is n}y $igratilre for my eiectronic inc$r,'te tax retuñ
and, ii applicable" my Electroníc Funds Withdrawal Consenl.
Taxpayer's PIN: check one box ohly
H lauthori¿e A e C §OLLITIONS & s§RVICfi,§, r$¿C io errler or qerrerate my Pltrj ¿; L ! ,*
as t-I]v
EfiOfrm nme E¡ller fiva digits, büt
don't enter ¿ll zerus
signature on !'ny tax yea!' 2019 electronically filed income tax retum.

il t w¡tt enter my Ft§l as my signature qn my tax year 2019 electronicaliy filed ineome tax reium. üheck this box only if you are
enierirrg y.:ilr yoL¡r reti..¡rft is filed usinE the Practiti*ner PiF,l ffiethsd. fhe ERO nlust romplete Fart {fl be{ow.

Ycul r,'rlnalr,rr l> Sate >

§pou§€"§ Flhl: check oné bsx only


[i lauthorize A & C SOLIJTIOI{5 & sgRVIC§s I}']C ie enter sr generate my PtN 1 ,a ?- I ü as fi'ly
EESlirm flane EstÉr five dlqjts, hüt
d0n't ente. a¡i zercs
signature ün rny tax year 2$1S electrsnically filed incor** táx relürn.

il t w¡¡i efiter my PtN as my my tax year 2ü'19 eiectrúnicalÍy filed incoffle ta.¡{ retur*. Cheek this hox omly if you are
entering your cvrn Pii',.} üs¡ng thé Fractitioner F[h,l méthsd. The ERO fflust conrplete Part lil below,

DatÉ >
below
Part lll and

ERO's EFÍN/FIN. Enier ),,oilr six dig¡i EFIN fcliowt:cl b.v'ior:r frvr:-drgit self-selected Plf'i. :] s lrl 1 5 0 I {)
S6fi't efitef all zélos

¡csrti8 thát the frtlove nurneric enlry is my PlN, which is my signature for the tax year 201§ Électrcntcálly ñled incor*e t&x r€tun] f$r the taxpayer{si
¡ñd¡cáted above. I conti¡rrl that I adr'¡ submittifig th¡s return ifi accordance with th€ requirements of lhe trrEctitk)ñer FIN rnethorl and Fub" 1345,
Handbook for Al,theri:ed lR§ e-fi,e Providers af Individual lncome fax Return§.

ERO's signalur"e ) Date >


ER0 Must Fletaín This Form * §ee lnstructions
Don't §ubmit This Form to the IRS Unless Requested To Do §o
For Paperwork Reduction Act ñotrce, see yüur tax relurn instftrclions. rr ¡.. r.r.1/r.if,t.tL.l ¡¡,"q $§J§ ,;¡1',,'
BAA
i.'\jS'..i ':ri., ti.l
Fsrm 887§ IRS *fíle Signature Authorization
:r

Deparkneni oi ihe Treasury


IÍtemal Rev€n€ Service
) ERO must otrtain and retain completed Ferm 6879.
> Go to www.irs.gavlFormS8l9 for the látsst infclrmátion^ 1r';19
§ui:mission {dentificatian Number (§¡D} }
tSrne §ssia¡ security ¡ürnber
MIGUEL A 6IL 0 5:-- 66 -6I9ü
Spouse's mme Süuse'§ scÉ{al Ésü1Jrity r¡umher
SUSANA SANCHEZ 8fl ? *61" 6210
Pañ I ax ear
1 Adjr.rsted gross income (Form 104S or 1040-§R, line 8b; For¡ri 1040-filFt, tine 3§| 1 2* ñ1¡
2 Total tax {Fom 1M0 or 1040-§H, line 16; Forrn 104ü-NR, iine 61} ¿ ]$t
o Federal inconne tax withhetd from Forms !{-2 and 1S§g {Forffi 104ü or 1048-§fi, iine 17; Form 104ü-l',1fi,
tine 62a) 3 1 Ea 1

4 Refund (Form 1040 or 1048-§8, lin* 21a; Form 1*40-NFl, line 73a; Farm 1ü40-§S, Part l, line 13a) 4
5 Ar¡ourl oTr'e 1ü4ü or "104ü-SR, li*e 23; F*rm 1 line
Part ll sure a
Under penalties of perjury, i doclare that I have exarnined a copy of rny electroníe individua] inc{}rñe tax reJurfi end accompanyrng scheduies áñd
stelemeftts for lhe tax year ending Oecember 31, 2019, and ta lhe tlest of rny knowledg€ snd t]éliéf, they are flue, corrsút, and comp{ete. I further
.ie.lare t¡rat th* amou*ts in Parl I above are lhe amounts from rny électicnic incñfie tax ret¿JrÍ. f cúnsÉrt t$ sll*$ my intefixediéte servrce Früvider,

for rejection of the transmissisn, tb) the reas+n fcr *ny deláy in prücessing the €iurft er refu$d, añd {c} the dáte of áñy refund. tf appl¡üáble, { authorizñ
the U.§. Treasury aniJ its desigil¿ted Fineñüiál Agent to irxitlet6 es A§H elsctroflic fund§ $i¡thdrawal {direct debit} Éntry to the financial insiitufion
account indicateci ¡n the tax preparatioí¡ sottware for payment $f n"iy federal taxes s$íed on thís rÉturn ar'\d/ar a pay$ient Gf estimated tax, and the
finañc¡al institutiofi to debit the ¿ntry to th¡s aÉcüúnt. This authorizátíon is to reflain ifi lull force and effect untll I no§fy the U.S. Treasury Financial
Agent to tarminate lhe el¡thorization. To revüke {cáncel} a payment, } mu$t contact the U.S. Treasury Finaücial AgÉñt at 1-§98-55*{,ii*?. Paymeñt
cancellaticn r6que$ts r*ust be received ño látÉ,r than 2 business days prifir to the paynrslt iseltlement) dats. i afso authcrrize t|le financ¡a, iflstitutiofls
involved ¡n the pi'ccessing of the electffr¡ic pÉymént of tares tü receive confide*tiai ¡irfürmat¡cn nécessary Io an$wer inguiries and resclve issu€s
reláted tú th€ payment. I furthe¡ acknowlsdgs that fhe perscnal idÉntificetian ñumber Ft¡{} t}elow is nly signfltl¡re for my eiectrcníc ific*rñe tax retürn
afid, if applicát)le, my Electroníü Fuilds Withdrawai Consefii.
Taxpayer's Plltl: check one box only
H lar¡thorize A e C sol.uTlot\¡s e sERl¡ICEs, f!'€C Io enler or oerrerate ily Pll,J {i L I
l
I ti as fiy
EflOñm ame Ent6r fivé disits, but
don't ehter all zero$
signature sn my tax yÉar 201§ electr$ni*atly fit+d income tax returfi.

il I w¡tt enter ffy PIN as my signature {n my tax year 2ü1S electror¡ically tiled income tax retum. üheck this t}ox orrly if you are
entering your yot¡r retilrn is filed *síng the Fractiti*ner P}t{ n'lethsd. The ERO must cornptete Fart }fl be{ow.

Ycul slunalr;rr ) llate >


§pouse's PIH: check one box cnly
ffi lauthorize A & C sor"uTlüNs e s§RVdcEs 7-hTe rc enter or üenerate my PIN I 7 t i) a§ rny
EEO ñrm name Enter five drgits. t](,1
dún't enter all ze¡os
s¡gnature ún my ta:c year 2§19 électronically filed insom€ tax relürn.

Ü t w¡li eñter úy PtN as my my taa yeer 2019 e¡ectrcnicáUy filed ineome tax reiurn, Check this box enly if ycu are
enlerinq your cwn Pil',1 ]S L¡s¡nS thé Practitior:er Pllll method. The ERO must complete Part llt beiow,

> Date )
PIN beIow
Part lll
It
ERO's EFIN/PIN- Enter r,,orr riix.drgrt IFlN fclk;wed by,iorr five-digrl se]l-selecteci Pll.i. t] s Irl I : Ci I 1
noñlt Éntét att ¿eto*

I cert¡fy that the átlove numeríc eBtry is my PlN, which is my signáture for the tax year 2019 eloútrGnícdlly fiied incor¡e tax r€tui}1 for the taxpáyer{si
indicáfed above. I confirm that I em subn*tting this retürn in aceordáncÉ w¡th th€ requirements of the Fractitbner Ftl.l rnethod and Pub. {345,
Handbook lor Authorized IRS e-fde Providers af krdividual ¿r¡come Tsx Éeturn§.

EBO s signalure ) .Date )


ERO Must Fletain This Form * See instructions
Don't Submit This Form to the IRS Unless Requested To Oo §o
For Paperwork Redt¡ction Act ñotice, see your t¿x return instftrclions. BAA , l, l] ]
.,,
zjii |.1,.i,j ¡¡,"¡ $§J§,;1,',,1

S-ar putea să vă placă și