U.S. Corporation Income Tax Declaration
for an IRS e-file Return
Department of the Treasury
Internal Revenue Service
File electronically with the corporation's tax return. Do not file paper copies.
Information about Form 8453-C and its instructions is at www.irs.gov/form8453c.
For calendar year 2014, or tax year beginning , 2014, ending , 20
OMB No. 1545-0123
Name of corporation Employer identification number
Part I Tax Return Information (Whole dollars only)
1 Total income (Form 1120, line 11) . . . . . . . . . . . . . . . . . . . . . 1
2 Taxable income (Form 1120, line 30) . . . . . . . . . . . . . . . . . . . .
3 Total tax (Form 1120, line 31) . . . . . . . . . . . . . . . . . . . . . .
4 Amount owed (Form 1120, line 34) . . . . . . . . . . . . . . . . . . . . 4
5 Overpayment (Form 1120, line 35) . . . . . . . . . . . . . . . . . . . . .
Part II Declaration of Officer (see instructions) Be sure to keep a copy of the corporation’s tax return.
I consent that the corporation’s refund be directly deposited as designated on the Form 8050, Direct Deposit of
Corporate Tax Refund, that will be electronically transmitted with the corporation’s 2014 federal income tax return.
I do not want direct deposit of the corporation’s refund or the corporation is not receiving a refund.
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 corporation’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 prior to 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.
If the corporation is filing a balance due return, I understand that if the IRS does not receive full and timely payment of its tax
liability, the corporation will remain liable for the tax liability and all applicable interest and penalties.
Under penalties of perjury, I declare that I am an officer of the above corporation 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 corporation’s 2014 federal income tax
return. To the best of my knowledge and belief, the corporation’s return is true, correct, and complete. I consent to my ERO, transmitter, and/or ISP sending the
corporation’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
acknowledgment of receipt of transmission and an indication of whether or not the corporation’s return is accepted, and, if rejected, the reason(s) for the rejection. If the
processing of the corporation’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
Signature of officer
Part III Declaration of Electronic Return Originator (ERO) and Paid Preparer (see instructions)
I declare that I have reviewed the above corporation’s return and that the entries on Form 8453-C 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 corporate officer will have signed this
form before I submit the return. I will give the officer 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 corporation’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 SSN or PTIN
Firm’s name (or
yours if self-employed),
address, and ZIP code
Under penalties of perjury, I declare that I have examined the above corporation’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.
Print/Type preparer’s name Preparer's signature Date
For Privacy Act and Paperwork Reduction Act Notice, see instructions.
Cat. No. 33331U
Form 8453-C (2014)