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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^
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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"$R. ii*e 23; Ferm IinÉ A
il t w¡tt enter my Ft§l as my signature qn my tax year 2019 electronicaliy filed ineome tax reium. üheck this box only if you are
enierirrg y.:ilr yoL¡r reti..¡rft is filed usinE the Practiti*ner PiF,l ffiethsd. fhe ERO nlust romplete Fart {fl be{ow.
il t w¡¡i efiter my PtN as my my tax year 2ü'19 eiectrúnicalÍy filed incoffle ta.¡{ retur*. Cheek this hox omly if you are
entering your cvrn Pii',.} üs¡ng thé Fractitioner F[h,l méthsd. The ERO fflust conrplete Part lil below,
DatÉ >
below
Part lll and
ERO's EFÍN/FIN. Enier ),,oilr six dig¡i EFIN fcliowt:cl b.v'ior:r frvr:-drgit self-selected Plf'i. :] s lrl 1 5 0 I {)
S6fi't efitef all zélos
¡csrti8 thát the frtlove nurneric enlry is my PlN, which is my signature for the tax year 201§ Électrcntcálly ñled incor*e t&x r€tun] f$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§.
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.
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§.