'10 Draft 8453-B U.S. Electronic Large Partnership Declaration for an I.R

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Form

8453-B

Department of the Treasury
Internal Revenue Service

U.S. Electing Large Partnership Declaration
for an IRS e-file Return

2010

File electronically with the partnership’s tax return. Do not file paper copies.
For calendar year 2010, or tax year beginning
, 2010, ending
, 20

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Employer identification number

Name of Partnership

Part I

OMB No. 1545-2058

Tax Return Information (Whole dollars only)

1 Gross receipts or sales less returns and allowances (Form 1065-B, line 1c) .

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2 Gross profit (Form 1065-B, line 3)

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3 Taxable income (loss) from passive loss limitation activities (Form 1065-B, line 25)

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3

4 Taxable income (loss) from other activities (Form 1065-B, Schedule K, line 2) .

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5 Qualified dividends from other activities (Form 1065-B, Schedule K, line 3) .

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5

Part II

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Declaration of General Partner or Limited Liability Company Member Manager

6a

I authorize the U.S. Treasury and its designated Financial Agent to initiate an electronic funds withdrawal (direct debit)
entry to the financial institution account indicated in the tax preparation software for payment of the partnership’s federal
taxes owed on this return, and the financial institution to debit the entry to this account. To revoke a payment, I must
contact the U.S. Treasury Financial Agent at 1-888-353-4537 no later than 2 business days before the payment
(settlement) date. I also authorize the financial institutions involved in the processing of the electronic payment of taxes
to receive confidential information necessary to answer inquiries and resolve issues related to the payment.

b

I elect to receive an email regarding the partnership’s payment from the financial agent involved in processing the
electronic funds withdrawal. Enter your email address ▶

If the partnership is filing a balance due return, I understand that if the IRS does not receive full and timely payment of its tax liability,
the partnership will remain liable for the tax liability and all applicable interest and penalties.
Under penalties of perjury, I declare that I am a general partner or limited liability company member manager of the above partnership and that the information I
have given my electronic return originator (ERO), transmitter, and/or intermediate service provider (ISP) and the amounts in Part I above agree with the amounts
on the corresponding lines of the partnership’s 2010 federal income tax return. To the best of my knowledge and belief, the partnership’s return is true, correct,
and complete. I consent to my ERO, transmitter, and/or ISP sending the partnership’s return, this declaration, and accompanying schedules and statements to
the IRS. I also consent to the IRS sending my ERO, transmitter, and/or ISP an acknowledgement of receipt of transmission and an indication of whether or not
the partnership’s return is accepted, any indication of a refund offset, and, if rejected, the reason(s) for the rejection. If the processing of the partnership’s return
or refund is delayed, I authorize the IRS to disclose to my ERO, transmitter, and/or ISP the reason(s) for the delay, or when the refund was sent.

▲

Sign
Here

Part III

Date

Signature of general partner or limited liability company member manager

Declaration of Electronic Return Originator (ERO) and Paid Preparer (see instructions)

I declare that I have reviewed the above partnership’s return and that the entries on Form 8453-B are complete and correct to the best of my knowledge. If I am only a collector, I am not
responsible for reviewing the return and only declare that this form accurately reflects the data on the return. The general partner or limited liability company member manager will have
signed this form before I submit the return. I will give the general partner or limited liability company member manager a copy of all forms and information to be filed with the IRS, and have
followed all other requirements in Pub. 3112, IRS e-file Application and Participation, and Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers for Business
Returns. If I am also the Paid Preparer, under penalties of perjury, I declare that I have examined the above partnership’s return and accompanying schedules and statements, and to the
best of my knowledge and belief, they are true, correct, and complete. This Paid Preparer declaration is based on all information of which I have any knowledge.
ERO’s
signature

Date

▲

Firm’s name (or yours if
self-employed),
address, and ZIP code

Check if also
paid
preparer

Check if
selfemployed

ERO’s SSN or PTIN
EIN

▲

ERO’s
Use
Only

Phone no.

Under penalties of perjury, I declare that I have examined the above partnership’s return and accompanying schedules and statements, and to the best of my
knowledge and belief, they are true, correct, and complete. This declaration is based on all information of which I have any knowledge.

Paid
Preparer
Use Only

Print/Type preparer’s name
Firm’s name

Preparer’s signature

Date

▶

PTIN

Firm's EIN ▶

Firm’s address ▶

For Privacy Act and Paperwork Reduction Act Notice, see instructions.

Check
if
self-employed
Phone no.

Cat. No. 48214C

Form 8453-B (2010)