rom 0453-F | U.S. Fiduciary Income Tax Declaration and Signature
for Electronic/Magnetic Media Filing

OMB No. 1545-0967

1990

Department of the Treasury

Internal Revenue Service For calendar year 1990, or fiscal year beginning .........------ 11990, and ending .......--20---+ 139...

Name of estate or trust Employer identification number
Name and title of fiduciary

Tax Return Information

1 Total income (Form 1041, line 9).
2 Income distribution deduction (Form 1041, line 18).
3 Taxable income of fiduciary (Form 1041, line 22)

4 Total tax (Form 1041, line 23).

5 Tax Due or Overpayment (Form 1041, line 27 or 28)

4

5

Please
Sign
Here

Under penalties of perjury, | declare that the above amounts (or the amounts on the attached listing) agree with the amounts shown on the corresponding
lines of the 1990 U.S. Fiduciary Income Tax Return(s). | have also examined a copy of the return(s) being filed via electronic/magnetic media 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. Declaration
of preparer (other than taxpayer) is based on all information of which preparer has any knowledge. If | am not the transmitter, I have consented that the
return(s), including this declaration and accompanying schedules and statements, be sent to the Internal Revenue Service by the return transmitter.

> Signature of fiduciary or officer representing fiduciary

> Date

Date Preparer’s social security number
Paid | Preparer’s » Check if
Preparer’s| signature self-employed > [_]
Use Only
Firm’ Seat esoployed) E.I.No. &
ours if self
and address. ZIP code >

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 this 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.

The time needed to complete and file this form will vary
depending on individual circumstances. The estimated average
time is: Recordkeeping, 7 minutes; Learning about the law or
the form, 1 minute; Preparing the form, 13 minutes; Copying,
assembling, and sending the form to IRS, 20 minutes.

If you have comments concerning the accuracy of these time
estimates or suggestions for making this form more simple, we
would be happy to hear from you. You can write to both the
Internal Revenue Service, Washington, DC 20224, Attention:
IRS Reports Clearance Officer, T:FP; and the Office of
Management and Budget, Paperwork Reduction Project (1545-
0967), Washington, DC 20503. DO NOT send the form to either
of these offices. Instead, see Where To File, below.

Purpose of Form.—Use Form 8453-F to: (1) authenticate the
electronic/magnetic media Form 1041, U.S. Fiduciary Income
Tax Return; (2) serve as a transmittal for any accompanying paper
schedules, statements, and magnetic media; and (3) authorize
the electronic/magnetic media filer to transmit via a third-party
transmitter.

Note: A tax return is not considered filed unless it is signed. Form
8453-F is the signature document that completes the filing of the
Form(s) 1041 filed on electronic/magnetic media.

Who Must File.—Every estate or trust filing a 1990 Form 1041
via electronic/magnetic media must file a signed Form 8453-F.

Signature For Multiple-Return Filing.—A single signature may
be used for a multiple-return filing if the fiduciary is authorized to
sign each return. If you are filing more than one return for which
only one signature is provided, you must attach a multiple-return
information listing according to the instructions given in
Publication 1437, Procedures for Electronic/Magnetic Media
Filing of Fiduciary Returns, Forms 1041, for Tax Year 1990
(Magnetic Tape, Floppy Diskette, or Electronically). The
information listing must include the name control of each estate
or trust, its employer identification number (EIN), and the
information shown on lines 1 through 5 above for each return.

Where To File.—Send Form 8453-F to: Internal Revenue
Service, Philadelphia Service Center, ATTN: DP 115, 11601
Roosevelt Blvd., Philadelphia, PA 19155.

When To File.—An estate or trust must file its income tax return
by the 15th day of the 4th month following the close of the tax
year of the estate or trust. This filing date also applies to returns
filed electronically or on magnetic media. For returns filed
electronically, the transmitter must send the signed Form 8453-F
the same day the transmission is made. For returns filed on
magnetic tape or diskette, the transmitter must send the signed
Form 8453-F in the same package with the corresponding tape or
diskette.

Form 8453-F (1990)