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NEW YORK CITY DEPARTMENT OF FINANCE
NYC
Signature Authorization for
2022
579-EMP E-Filed Form NYC-1127
ELECTRONIC RETURN ORIGINATORS (ERO): DO NOT MAIL THIS FORM TO THE DEPARTMENT OF FINANCE. KEEP THIS FOR YOUR RECORDS.
FIRST NAME AND INITIAL : LAST NAME:
EMAIL ADDRESS: SOCIAL SECURITY NUMBER :
Financial Institution Information - must be included if electronic payment is authorized
AMOUNT OF AUTHORIZED DEBIT : FINANCIAL INSTITUTION ROUTING NUMBER: FINANCIAL INSTITUTION ACCOUNT NUMBER :
Part A — Declaration and authorization of Employee for Form NYC-1127
Under penalty of perjury, I declare that I am the individual named above and that I have examined the information on my 2022 New York City electron-
ically filed Form NYC-1127, including any accompanying schedules, attachments and statements or other report, and to the best of my knowledge and be-
lief, the electronically filed document is true, correct and complete. I authorize the ERO to enter my PIN as my signature on the 2022 New York City
electronically filed Form NYC-1127, as indicated above or I will enter my PIN as my signature on the document indicated above. If I am making the
payment owed by electronic funds withdrawal, I authorize the New York City Department of Finance and its designated financial agents to initiate an
electronic funds withdrawal from the financial institution account indicated on Form NYC-1127, and I authorize the financial institution to debit the
amount from that account.
n I authorize ___________________________________________________ to enter my PIN :
ERO FIRM NAME
as my signature on the 2022 Form NYC-1127, as indicated above
n I will enter my PIN as my signature on Form NYC-1127, as indicated above.
_______________________________________________________ ____________________
Signature of Employee Date
Part B — Declaration of electronic return originator (ERO) and paid preparer
Under penalty of perjury, I declare that the information contained in the above-named employee’s 2022 New York City electronically filed Form NYC-1127 is
the information furnished to me by the above-named individual. If the above-named individual furnished me with a completed 2022 New York City paper
Form NYC-1127 signed by a paid preparer, I declare that the information contained in the 2022 New York City electronically filed Form NYC-1127 is identi-
cal to that contained in the paper form. If I am the paid preparer, under penalty of perjury I declare that I have examined this 2022 New York City electroni-
cally filed Form NYC-1127, and, to the best of my knowledge and belief, the form is true, correct, and complete. I have based this declaration on all information
available to me.
ERO EFIN/PIN: Enter your six-digit EFIN followed by your five digit PIN:
_________________________________________ _____________________________________ ________________
ERO’s Signature Print Name Date
_________________________________________ _____________________________________ ________________
Paid Preparer’s Signature Print Name Date
PURPOSE - A completed Form NYC-579-EMP provides documentation that an ERO has been authorized to electronically file Form NYC-1127. The employee
may designate the ERO to electronically sign the Form NYC-1127 by entering the employeeʼs personal identification number (PIN). The form also authorizes
payment of tax due on an electronically submitted form by an automatic clearing house (ACH) debit from a designated checking or savings account of the em-
ployee. You cannot revoke this authorization.
GENERAL INSTRUCTIONS
Part A - Part A must be completed by the employee before the ERO transmits the electronically filed Form NYC-1127 (Return for Nonresident Employees
hired on or after January 4, 1973).
EROs/paid preparers must complete Part B prior to transmitting electronically filed Form NYC-1127. Both the paid preparer and the ERO are required
to sign Part B. However, if an individual performs as both the paid preparer and the ERO, he or she is only required to sign as the paid preparer. It is
not necessary to include the ERO signature in this case.
Do not mail Form NYC-579-EMP to the Department of Finance. The EROs/paid preparers must keep the completed Form NYC-579-EMP for six
years from the due date of the form or the date the form was filed, whichever is later, and must present it to the Department of Finance upon request.
NYC-579-EMP - 2022
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