Partnership Representative Revocation, Designation, Form 8979 OMB No. 1545-0123 (December 2018) and Resignation Department of the Treasury Internal Revenue Service ▶ Go to www.irs.gov/Form8979 for instructions and the latest information. Name of Partnership Employer identification number Type Number, street, and room or suite no. If a P.O. box, see instructions. Tax Year Ending or Print / / City or town, state, and ZIP code. If a foreign address, enter city, province or state, postal code, and country. Follow the country’s practice for entering the postal code. Check here if this form is being filed with an Administrative Adjustment Request (Form 8082 or Form 1065X) . . . . ▶ Part I Reason for Filing The person signing this form affirmatively states that (check applicable boxes): 1 The partnership is revoking (check box 1a, 1b, or 1c): a The entity partnership representative and (check box 1a(i) or 1a(ii)): i Designating an entity partnership representative and appointing a designated individual. Complete Part II, Section A and Part III, Section A. Sign Part IV, Section A. ii Designating an individual partnership representative. Complete Part II, Section A and Part III, Section B. Sign Part IV, Section A. b The individual partnership representative and (check box 1b(i) or 1b(ii)): i Designating an entity partnership representative and appointing a designated individual. Complete Part II, Section B and Part III, Section A. Sign Part IV, Section A. ii Designating an individual partnership representative. Complete Part II, Section B and Part III, Section B. Sign Part IV, Section A. c The designated individual and appointing a successor designated individual. Complete Part II, Section A and Part III, Section A. Sign Part IV, Section A. 2 The partnership representative is resigning (check box 2a or 2b). a The entity partnership representative is resigning. Complete Part II, Section A and sign Part IV, Section B. b The individual partnership representative is resigning. Complete Part II, Section B and sign Part IV, Section C. 3 The designated individual is resigning. Complete Part II, Section A and sign Part IV, Section D. 4 There is no partnership representative designation in effect so the partnership is (check box 4a or 4b): a Designating an entity partnership representative and appointing a designated individual. Complete Part III, Section A and sign Part IV, Section E. b Designating an individual partnership representative. Complete Part III, Section B and sign Part IV, Section E. Part II Revocations or Resignations Section A—Revocation or Resignation of an Entity Partnership Representative or Designated Individual If the entity partnership representative or the designated individual is being revoked or is resigning, complete this entire section. Name of entity partnership representative Taxpayer identification number Street address City or Town State or Province Country Code ZIP or Postal Code Area code and telephone number Last Name of Designated Individual First Name Middle Initial Suffix Taxpayer identification number Street address City or Town State or Province Country Code ZIP or Postal Code Area code and telephone number For Paperwork Reduction Act Notice, see instructions. Cat. No. 37803V Form 8979 (12-2018) |
Form 8979 (12-2018) Page 2 Part II Revocations or Resignations (continued) Section B—Revocation or Resignation of an Individual Partnership Representative If the individual partnership representative is being revoked or is resigning, complete this section. Last Name of individual partnership representative First Name Middle Initial Suffix Taxpayer identification number Street address City or Town State or Province Country Code ZIP or Postal Code Area code and telephone number Part III Designations and/or Appointment (Both the successor partnership representative and the appointed designated individual must have substantial presence in the United States. See instructions). Section A—Designation of Entity Partnership Representative and/or Appointment of a Designated Individual If an entity partnership representative is being designated or a designated individual is being appointed, complete this entire section. Name of partnership representative Taxpayer identification number U.S. Street address City or Town State ZIP Code U.S. Area code and telephone number Last Name of Designated individual First Name Middle Initial Suffix Taxpayer identification number U.S. Street address City or Town State ZIP Code U.S. Area code and telephone number Section B—Designation of an Individual Partnership Representative If the partnership representative being designated is an individual, complete this section. Last Name of partnership representative First Name Middle Initial Suffix Taxpayer identification number U.S. Street address City or Town State ZIP Code U.S. Area code and telephone number Part IV Signature Section Section A—Signature for Revocation by the Partnership If this form is being filed to revoke either the partnership representative or the designated individual and to designate/appoint a successor, complete this section. The undersigned declares under penalties of perjury that: I am duly authorized by the partnership or LLC to (1) revoke the designation of the partnership representative or the appointment of the designated individual and (2) make a designation of a successor partnership representative (and appointment of a designated individual, if applicable) or make an appointment of a successor designated individual. ▲ / / Signature of authorized person Date (mm/dd/yyyy) Print/Type name of authorized person If the above name is an entity, print/type name of authorized person and title Form 8979 (12-2018) |
Form 8979 (12-2018) Page 3 Part IV Signature Section (continued) Section B—Signature for Resigning Entity Partnership Representative If this form is being filed by a designated individual for the resignation of the entity partnership representative, complete this section. ▲ / / Signature of designated individual Date (mm/dd/yyyy) Print/Type name of designated individual Print/Type name of resigning entity partnership representative Section C—Signature for Resigning Individual Partnership Representative If this form is being filed by an individual partnership representative to resign, complete this section. ▲ / / Signature of resigning individual partnership representative Date (mm/dd/yyyy) Print/Type name of resigning individual partnership representative Section D—Signature for Resigning Designated Individual If this form is being filed by a designated individual to resign, complete this section. ▲ / / Signature of resigning designated individual Date (mm/dd/yyyy) Print/Type name of resigning designated individual Section E—Signature for Designation of a Partnership Representative Without Revocation If this form is being filed to designate a partnership representative (and appoint a designated individual, if applicable) because no partnership representative designation is in effect, complete this section. Under penalties of perjury I declare that I am duly authorized by the partnership or LLC to make this designation of the partnership representative (and appointment of a designated individual, if applicable). ▲ / / Signature of authorized person Date (mm/dd/yyyy) Print/Type name of authorized person If the above name is an entity, print/type name of authorized person and title Form 8979 (12-2018) |