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(Rev. January 2021) 419995 04-01-24 Social security number Spouse's social security number (a)(b) (c) 1-888-353-4537 For Paperwork Reduction Act Notice, see your tax return instructions. | ERO must obtain and retain completed Form 8879. | Go to www.irs.gov/Form8879 for the latest information. Note: 1 2 3 4 5 1 2 3 4 5 Taxpayer's PIN: check one box only Enter five digits, butdon't enter all zerosERO firm name only and Spouse's PIN: check one box only ERO firm name Enter five digits, butdon't enter all zeros only and ERO's EFIN/PIN. Don't enter all zeros Pub. 1345, 8879 e-file Department of the TreasuryInternal Revenue Service Taxpayer's name Spouse's name ---------------- Under penalties of perjury, I declare that I have examined a copy of the income tax return (original or amended) I am now authorizing, and to the best of my knowledge and belief, it is true, correct, and complete. I further declare that the amounts in Part I above are the amounts from the income tax return (original or amended) I am now authorizing. I consent to allow my intermediate service provider, transmitter, or electronic return originator (ERO) to send my return to the IRS and to receive from the IRS an acknowledgement of receipt or reason for rejection of the transmission, the reason for any delay in processing the return or refund, and the date of any refund. If applicable, I authorize the U.S. Treasury and its designated Financial Agent to initiate an ACH electronic funds withdrawal (direct debit) entry to the financial institution account indicated in the tax preparation software for payment of my federal taxes owed on this return and/or a payment of estimated tax, and the financial institution to debit the entry to this account. This authorization is to remain in full force and effect until I notify the U.S. Treasury Financial Agent to terminate the authorization. To revoke (cancel) a payment, I must contact the U.S. Treasury Financial Agent at . Payment cancellation requests must be received 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. I further acknowledge that the personal identification number (PIN) below is my signature for the income tax return (original or amended) I am now authorizing and, if applicable, my Electronic Funds Withdrawal Consent. Your signature |Date | Spouse's signature |Date | ERO's signature |Date | Form (Rev. 01-2021) Form OMB No. 1545-0074 Submission Identification Number (SID) (Enter year you are authorizing.) Enter whole dollars only on lines 1 through 5. Form 1040-SS filers use line 4 only. Leave lines 1, 2, 3, and 5 blank. Adjusted gross income Total tax Federal income tax withheld from Form(s) W-2 and Form(s) 1099 Amount you want refunded to you Amount you owe ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~ I authorize to enter or generate my PIN as my signature on the income tax return (original or amended) I am now authorizing. I will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. Check this box if you are entering your own PIN your return is filed using the Practitioner PIN method. The ERO must complete Part III below. I authorize to enter or generate my PIN as my signature on the income tax return (original or amended) I am now authorizing. will enter my PIN as my signature on the income tax return (original or amended) I am now authorizing. Check this box if you are entering your own PIN your return is filed using the Practitioner PIN method. The ERO must complete Part III below. Enter your six-digit EFIN followed by your five-digit self-selected PIN. I certify that the above numeric entry is my PIN, which is my signature for the electronic individual income tax return (original or amended) I am nowauthorized to file for tax year indicated above for the taxpayer(s) indicated above. I confirm that I am submitting this return in accordance with the requirements of the Practitioner PIN method and Handbook for Authorized IRS Providers of Individual Income Tax Returns. LHA Part I Tax Return Information - Tax Year Ending December 31, Part II Taxpayer Declaration and Signature Authorization (Be sure you get and keep a copy of your return) Practitioner PIN Method Returns Only - continue below Part III Certification and Authentication - Practitioner PIN Method Only ERO Must Retain This Form - See InstructionsDon't Submit This Form to the IRS Unless Requested To Do So IRS e-file Signature Authorization8879 =Ran Oz 621 77 9016 768 16 3276 2024 02/19/2025 Sharon Oz 82,285. 1,463. 02/19/2025 OREN GULASA CPA SERVICES CORP X 0 9 0 1 6 67235X OREN GULASA CPA SERVICES CORP 6 5 4 3 6 4 2 2 7 7 0 02/19/2025 1 10440220 163039 1I9016RA 2024.02060 OZ, RAN 1I9016R1