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 2001, or fiscal year beginning , 2001, 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 income (loss) from trade or business activities (Form 1065, line 22) 3

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

5 Net income (loss) from other rental activities (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 (2001)





 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 2001 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 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 Paperwork Reduction Act Notice, see instructions.

EIN 

Phone no. ( )

2001

Part IV

Transmitter Information

6 Transmitter’s name
Every partnership filing a 2001 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 and

Specifications for the 1065 e-file Program, U.S.

Return of Partnership Income for Tax Year 2001. 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:

Internal Revenue Service Center

P.O. Box 30309 AMF

Stop 2711

Memphis, TN 38130

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 7 min.

Learning about the law or the form 5 min.

Preparing the form 20 min.

Copying, assembling, and sending

the form to the IRS 17 min.

Form 8453-P (2001) Page 2

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.

Use Form 8453-P to:

Signature For Multiple-Return Filing

Who Must File

Declaration of Paid Preparer

A paid preparer must sign Form 8453-P in the

space for Paid Preparer’s Use Only.

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 Tax Forms Committee, Western

Area Distribution Center, Rancho Cordova, CA

95743-0001. 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.

Form 8453-P (2001)