Pennsylvania PA e-file Signature Authorization

PA e-file Signature Authorization
2023 Pennsylvania e-file Signature Authorization -- For PA-41 (PA-8879F)
IMPORTANT: FILL IN FORM MUST BE DOWNLOADED ONTO YOUR COMPUTER PRIOR TO COMPLETING
PENNSYLVANIA E-FILE SIGNATURE AUTHORIZATION – FOR PA-41
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PA-8879F (EX) 04-23
For Calendar Year 2023, or Fiscal Year Beginning,

2023

MMDD

MMDD

, 2023 and Ending,

, 20

Name of Estate or Trust

Declaration Control Number/Submission ID
Employer Identification Number

Name and Title of Fiduciary

SECTION I

TAX RETURN INFORMATION (whole dollars only)

1. Net PA taxable income (Form PA-41, Line 9) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1.
2. PA tax liability (Form PA-41, Line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2.
3. Total Payments and Credits (Form PA-41, Line 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3.
4. Overpayment (Form PA-41, Line 23) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4.
5. Total payment (tax due) (Form PA-41, Line 22) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5.

SECTION II

DECLARATION AND SIGNATURE AUTHORIZATION OF FIDUCIARY

Under penalties of perjury, I declare that the amounts above match the amounts shown on the corresponding lines of the electronic portion of the 2023
PA-41, Fiduciary Income Tax Return. I have also examined a copy of the return being filed electronically with the PA Department of Revenue and all
accompanying schedules and statements. I consent to allow my electronic return originator (ERO), transmitter, or intermediate service provider to send the
estate’s or trust’s return to the PA Department of Revenue and to receive from the PA Department of Revenue an acknowledgement of receipt or reason
of rejection of the transmission. If applicable, I authorize the PA Department of Revenue 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 estate’s or trust’s state taxes
owed on this return, and I authorize the financial institution to debit the entry to this account. To revoke a payment, I must contact the PA Department of
Revenue no later than two business days prior to the payment (settlement) date. I understand notification must be made in writing by email to
[email protected].
FIDUCIARY’S (PIN) Mark one oval only.
I authorize
2023 electronically filed income tax return.

to enter my PIN

as my signature on the estate’s or trust’s

As a fiduciary or officer representing the fiduciary of the estate or trust, I will enter my PIN as my signature on the estate’s or trust’s 2023 electronically
filed income tax return.
MMDDYYYY

Signature

SECTION III

Date

Signature of Officer – Please sign after printing

CERTIFICATION AND AUTHENTICATION – PRACTITIONER PIN PROGRAM PARTICIPANTS ONLY

ERO’S EFIN/PIN Enter your six-digit EFIN followed by your five-digit self-selected PIN

/

As a participant in the Practitioner PIN Program, I certify the above numeric entry is my PIN, which is my signature on the tax year 2023 electronically filed
income tax return for the estate or trust indicated above. I confirm I am participating in the Practitioner PIN Program in accordance with the requirements
established for this program.
MMDDYYYY

ERO’s Signature

Signature of ERO – Sign after printing

Date

The ERO must retain this form and supporting documents for three years.
DO NOT SUBMIT THIS FORM TO THE PA DEPARTMENT OF REVENUE UNLESS REQUESTED TO DO SO.

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