U.S. Partnership Declaration and OMB No. 1545-0970

Signature for Electronic Filing Form 8453-P

Department of the Treasury

Internal Revenue Service

For calendar year 2004, or fiscal year beginning , 2004, and ending , 20 .

Name of partnership Employer identification number

Partnership Return Information

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

2 Gross profit (Form 1065, line 3) 2

3 Ordinary business income (loss) (Form 1065, line 22) 3

4 Net rental real estate income (loss) (Form 1065, Schedule K, line 2) 4

5 Other net rental income (loss) (Form 1065, Schedule K, line 3c) 5

Date Preparer’s SSN or PTIN

Preparer’s

signature

Paid

Preparer’s

Use Only

Check

if selfemployed 

Firm’s name (or yours

if self-employed),

address, and ZIP code

Cat. No. 13880C Form 8453-P (2004)





 See instructions on back.

Part III

Part I

Part II

Declaration of General Partner or Limited Liability Company Member

Under penalties of perjury, I declare that the above amounts (or the amounts on the attached listing) agree with the amounts shown on the corresponding

lines of the electronic portion of the 2004 U.S. Return(s) of Partnership Income. I have also examined a copy of the return(s) being filed electronically

with the Internal Revenue Service, and all accompanying schedules and statements. To the best of my knowledge and belief, they are true, correct,

and complete. If I am not the transmitter, I consent that the return(s), including this declaration and accompanying schedules and statements, be sent

to the Internal Revenue Service by the return transmitter. I also consent to the IRS’ sending the transmitter an acknowledgment of receipt of transmission

Sign and an indication of whether or not the return is accepted, and, if rejected, the reason(s) for the rejection.

Here

 Signature of general partner or limited liability company member  Date

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

Under penalties of perjury, I declare that I have examined the above partnership return(s) and accompanying schedules and statements, and to the

best of my knowledge and belief, they are true, correct, and complete. Declaration of preparer is based on all information of which the preparer has

any knowledge.

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

EIN 

Phone no. ( )

Part IV

Transmitter Information

6 Transmitter’s name

Telephone number

Number, street, and room or suite no. (or a P.O. box if mail is not delivered to a street address)

City or town, state, and ZIP code

( )

I declare that I have reviewed the above partnership return(s) and that the entries on Form 8453-P are complete and correct to the best of my

knowledge. If I am only a collector, I am not responsible for reviewing the return(s), and only declare that this form accurately reflects the data on the

return(s). A general partner or limited liability company member will have signed this form before I submit the return(s). I will give the general partner

or limited liability company member a copy of all forms and information to be filed with the IRS, and have followed all other requirements described

in Pub. 1524, Procedures for the 1065 e-file Program, U.S. Partnership Return of Income for Tax Year 2004. If I am also the Paid Preparer, under

penalties of perjury I declare that I have examined the above partnership return(s) and accompanying schedules and statements, and to the best of

my knowledge and belief, they are true, correct, and complete. Declaration of preparer is based on all information of which the preparer has any

knowledge.

Date ERO’s SSN or PTIN

ERO’s

signature

ERO’s

Use Only Check if

also paid

preparer 

Firm’s name (or

yours if self-employed),

and address



 EIN 

ZIP code 

Check

if selfemployed 

2004
Every partnership filing a 2004 Form 1065

electronically must file a signed Form 8453-P.

A single signature may be used for a multiple-return

filing if the person signing for the partnerships is

authorized to sign each return. The signer must

attach a multiple-return information listing according

to the instructions in Pub. 1524, Procedures for the

1065 e-file Program, U.S. Return of Partnership

Income for Tax Year 2004. Do not enter totals from

multiple returns on lines 1 through 5.

The time needed to complete and file this form will

vary depending on individual circumstances. The

estimated average time is:

A partnership must file its return of income by the

15th day of the 4th month following the close of the

partnership’s tax year. This filing date also applies to

returns filed electronically. For returns filed

electronically, the transmitter must send the signed

Form 8453-P within 3 business days after the

electronic transmission has been accepted.

Purpose of Form

Caution. A tax return is not considered filed unless it

is signed. Form 8453-P is the signature document

that completes the filing of the Form(s) 1065 filed

electronically.

Recordkeeping 6 min.

Learning about the law or the form 5 min.

Preparing the form 19 min.

Copying, assembling, and sending

the form to the IRS 16 min.

Form 8453-P (2004) Page 2

Privacy Act and Paperwork Reduction Act Notice.

We ask for the information on this form to carry out

the Internal Revenue laws of the United States. You

are required to give us the information. We need it to

ensure that you are complying with these laws and to

allow us to figure and collect the right amount of tax.

Section 6109 requires return preparers to provide

their identifying numbers on the return.

Use Form 8453-P to:

Signature For Multiple-Return Filing

Who Must File

Declaration of Electronic Return

Originator (ERO) and Paid Preparer

A paid preparer who is not also the ERO must sign

Form 8453-P in the space for Paid Preparer’s Use

Only. A paid preparer who is also the ERO should

instead check the box in the ERO’s Use Only section

labeled “Check if also paid preparer.”

Where To File

When To File

If you have comments concerning the accuracy of

these time estimates or suggestions for making this

form simpler, we would be happy to hear from you.

You can write to the Internal Revenue Service, Tax

Products Coordinating Committee,

SE:W:CAR:MP:T:T:SP, 1111 Constitution Ave. NW,

IR-6406, Washington, DC 20224. Do not send Form

8453-P to this address. Instead, see Where To File on

this page.

You are not required to provide the information

requested on a form that is subject to the Paperwork

Reduction Act unless the form displays a valid OMB

control number. Books or records relating to a form

or its instructions must be retained as long as their

contents may become material in the administration

of any Internal Revenue law. Generally, tax returns

and return information are confidential, as required by

Internal Revenue Code section 6103.

● Authenticate the electronic Form 1065, U.S. Return

of Partnership Income; 

● Serve as a transmittal for any accompanying paper

schedules and statements; and 

● Authorize the electronic filer to transmit via a

third-party transmitter.

Internal Revenue Service

Ogden Submission Processing Center

Mail Stop 6052

Ogden, UT 84201

The ERO is one who deals directly with the

partnership and either prepares tax returns or collects

prepared tax returns, including Forms 8453-P, for

partnerships that file their returns electronically. The

ERO’s signature is required by the IRS.