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pdfVersion A, Cycle 10
8979
Form
(December 2018)
Department of the Treasury
Internal Revenue Service
Type
or
Print
Partnership Representative Revocation, Designation,
and Resignation Form
▶ Go
OMB No. 1545-0123
to www.irs.gov/Form8979 for instructions and the latest information.
Name of Partnership
Employer identification number
Number, street, and room or suite no. If a P.O. box, see instructions.
Tax Year Ending
/
/
City or town, state, and ZIP code. If a foreign address, enter city, province or state, postal code, and country. Follow the country’s practice for entering the postal code.
Check here if this form is being filed with an Administrative Adjustment Request (Form 8082 or Form 1065X) ▶
Part I
Reason for Filing
The person signing this form affirmatively states that (check applicable boxes):
1
The partnership is revoking (check box 1a, 1b, or 1c):
The entity partnership representative and (check box 1a(i) or 1a(ii)):
a
Designating an entity partnership representative and appointing a designated individual. Complete
i
Part II, Section A and Part III, Section A. Sign Part IV, Section A.
Designating an individual partnership representative. Complete Part II, Section A and Part III, Section
ii
B. Sign Part IV, Section A.
b
INTERNAL USE ONLY
DRAFT AS OF
July 25, 2018
c
2
3
4
The individual partnership representative and (check box 1b(i) or 1b(ii)):
Designating an entity partnership representative and appointing a designated individual. Complete
i
Part II, Section B and Part III, Section A. Sign Part IV, Section A.
Designating an individual partnership representative. Complete Part II, Section B and Part III, Section
ii
B. Sign Part IV, Section A.
The designated individual and appointing a successor designated individual. Complete Part II, Section A and
Part III, Section A. Sign Part IV, Section A.
The partnership representative is resigning (check box 2a or 2b).
a
The entity partnership representative is resigning. Complete Part II, Section A and sign Part IV, Section B.
The individual partnership representative is resigning. Complete Part II, Section B and sign Part IV, Section C.
b
The designated individual is resigning. Complete Part II, Section A and sign Part IV, Section D.
There is no partnership representative designation in effect so the partnership is (check box 4a or 4b):
Designating an entity partnership representative and appointing a designated individual. Complete Part III,
a
Section A and sign Part IV, Section E.
Designating an individual partnership representative. Complete Part III, Section B and sign Part IV, Section E.
b
Part II
Revocations or Resignations
Part II, Section A Revocation or Resignation of an Entity Partnership Representative or Designated Individual
If the entity partnership representative or the designated individual is being revoked or is resigning, complete this entire
section.
Taxpayer identification number
Name of entity partnership representative
Street address
City or Town
Last Name of Designated Individual
State or Province Country Code ZIP or Postal Code Area code and telephone number
First Name
Middle Initial Suffix
Taxpayer identification number
Street address
City or Town
State or Province Country Code ZIP or Postal Code Area code and telephone number
For Paperwork Reduction Act Notice, see instructions.
Cat. No. 37803V
Form 8979 (12-2018)
Version A, Cycle 10
Page 2
Form 8979 (12-2018)
Part II, Section B
Revocation or Resignation of an Individual Partnership Representative
If the individual partnership representative is being revoked or is resigning, complete this section.
Middle Initial Suffix Taxpayer identification number
Last Name of individual partnership representative First Name
Street address
State or Province Country Code ZIP or Postal Code Area code and telephone number
City or Town
Part III Designations and/or Appointment
Part III, Section A Designation of Entity Partnership Representative and/or Appointment of a Designated
Individual. Both the successor partnership representative and the appointed designated individual
must have substantial presence in the United States. See instructions.
If an entity partnership representative is being designated or a designated individual is being appointed, complete this entire
section.
Taxpayer identification number
Name of partnership representative
U.S. street address
City or Town
State
Last Name of Designated Individual
ZIP Code
U.S. area code & telephone number
Middle Initial Suffix
First Name
Taxpayer identification number
INTERNAL USE ONLY
DRAFT AS OF
July 25, 2018
U.S. street address
City or Town
Part III, Section B
State
ZIP Code
U.S. area code & telephone number
Designation of an Individual Partnership Representative. The successor partnership
representative must have substantial presence in the United States. See instructions.
If the partnership representative being designated is an individual, complete this section.
Middle Initial Suffix
Last Name of partnership representative First Name
Taxpayer identification number
U.S. street address
City or Town
State
ZIP Code
U.S. area code & telephone number
Part IV Signature Section
Part IV, Section A Signature for Revocation by the Partnership. If this form is being filed to revoke either the
partnership representative or the designated individual and to designate/appoint a successor,
complete this section.
The undersigned declares under penalties of perjury that:
I am duly authorized by the partnership or LLC to (1) revoke the designation of the partnership representative or the appointment of
the designated individual and (2) make a designation of a successor partnership representative (and appointment of a designated
individual, if applicable) or make an appointment of a successor designated individual.
Print/Type name of authorized person
If the above name is an entity, print/type name of authorized person and title
Signature of authorized person
Date (mm/dd/yyyy)
/
/
Form 8979 (12-2018)
Version A, Cycle 10
Page 3
Form 8979 (12-2018)
Part IV, Section B
Signature for Resigning Entity Partnership Representative
If this form is being filed by a designated individual for the resignation of the entity partnership representative, complete this section.
Print/Type name of resigning entity partnership representative
Print/Type name of designated individual
Signature of designated individual
Date (mm/dd/yyyy)
/
Part IV, Section C
/
Signature for Resigning Individual Partnership Representative
If this form is being filed by an individual partnership representative to resign, complete this section.
Print/Type name of resigning individual partnership representative
Signature of resigning individual partnership representative
Part IV, Section D
Date (mm/dd/yyyy)
/
Signature for Resigning Designated Individual
/
If this form is being filed by a designated individual to resign, complete this section.
Print/Type name of resigning designated individual
Signature of resigning designated individual
Date (mm/dd/yyyy)
INTERNAL USE ONLY
DRAFT AS OF
July 25, 2018
Part IV, Section E
Signature for Designation of a Partnership Representative Without Revocation
/
/
If this form is being filed to designate a partnership representative (and appoint a designated individual if applicable) because no
partnership representative designation is in effect, complete this section.
Under penalties of perjury I declare that I am duly authorized by the partnership or LLC to make this designation of the partnership
representative (and appointment of a designated individual, if applicable).
Print/Type name of authorized person
If the above name is an entity, print/type name of authorized person and title
Signature of authorized person
Date (mm/dd/yyyy)
/
/
Form 8979 (12-2018)
File Type | application/pdf |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |