14781

Electronic Federal Tax Payment System (EFTPS) – Insolvency Registration

Agency
IRS
Revision
Rev. 12-2020
Fillable fields
22
Pages
1
Official source
IRS form page
Checked
October 21, 2026
Fill 14781 online
Page 1 of form 14781

Form 14781: Electronic Federal Tax Payment System (EFTPS) Insolvency Registration

Form 14781, Electronic Federal Tax Payment System (EFTPS) Insolvency Registration, is a one-page IRS registration form completed by a trustee. It asks for the trustee's nine-digit employer identification number (EIN), name and mailing address, a primary contact, and the names of the trustee's software vendor and bank. The form says the registration has to be signed to authorize participation in the EFTPS program.

When the form is completed, the form says to send it by fax to the Internal Revenue Service at 855-536-3484, to the attention of the IRS contact named at the top. For questions or more information, it lists the EFTPS Provider Help Desk at 1-866-553-9413. Form 14781 has no separate instructions and prints no deadline or fee.

You can fill out Form 14781 free in your browser on this page and download it without an account.

Top of page 1 of Form 14781: Electronic Federal Tax Payment System (EFTPS) Insolvency Registration, as printed by IRS

What's on Form 14781

Trustee Information, lines 1 to 3

The trustee's nine-digit EIN, the trustee name and the trustee's mailing address with city, state and ZIP code.

Contact Information, line 4

The primary contact's name, telephone number with area code and email address.

Software Vendor and Bank Information, line 5

The software vendor's name and telephone number, and the bank name.

Trustee Signature, line 6

The authorized signature, date, printed name and title, with the authority statement for a signer acting on behalf of the trustee.

How to fill out Form 14781

  1. 1

    Line 1

    Enter the trustee's nine-digit Employer Identification Number without dashes.

  2. 2

    Lines 2 and 3

    Print or type the trustee name. The form says the only valid characters are A-Z, 0-9, -, &, and blank. Then enter the mailing address, city, state and ZIP code.

  3. 3

    Line 4

    Enter the name of a person who can answer questions about the form, with their telephone number and email address.

  4. 4

    Line 5

    Enter the software vendor's name and telephone number, and the name of the bank.

  5. 5

    Line 6

    Sign and date, then print the signer's name and title. A Corporate Officer, Partner, or Fiduciary signing for the trustee certifies their authority by signing.

  6. 6

    Fax it

    The form says to send the completed form by fax to the Internal Revenue Service at 855-536-3484.

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Where it goes and who to call

Where to send it

The form says to send it by facsimile to the Internal Revenue Service, fax number 855-536-3484, to the attention of the IRS contact named on the form.

Mail or fax

The last line says the form can be mailed or sent by fax and points to the top of the form. The top of the form prints only the fax number, not a mailing address.

Questions

The form lists the EFTPS Provider Help Desk at 1-866-553-9413 for questions or more information.

Signature

The form says the registration has to be signed to authorize participation in the EFTPS program.

No separate instructions

Form 14781 has no separate instructions and prints no deadline or fee.

Related forms

Who fills out Form 14781?

  • Trustees

    Line 1 asks the trustee to enter their nine-digit Employer Identification Number without dashes. The form is written to the trustee throughout.

  • Officers, partners and fiduciaries

    Line 6 says that if a Corporate Officer, Partner, or Fiduciary signs on behalf of the trustee, the signer certifies they have the authority to execute the authorization.

  • Primary contact

    Line 4 names a person who can be contacted if questions arise about the form, with a phone number and email address.

  • Software vendor and bank

    Line 5 lists the trustee's software vendor and its phone number, and the trustee's bank. They are named on the form; they do not sign it.

  • IRS

    The IRS receives the completed form by fax at the number printed at the top of the form.

The trustee completes and signs the form, or an officer, partner or fiduciary signs on the trustee's behalf. The form goes to the IRS by fax.

Official sources and the blank

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Questions about Form 14781

Who completes Form 14781?

A trustee. Line 1 asks for the trustee's nine-digit Employer Identification Number, and the form can be signed by the trustee or by a Corporate Officer, Partner, or Fiduciary on the trustee's behalf.

What number goes on line 1?

The trustee's nine-digit Employer Identification Number, entered without dashes.

Where is Form 14781 sent?

The form says to send it by fax to the Internal Revenue Service at 855-536-3484. It prints no mailing address.

Who answers questions about the form?

The form lists the EFTPS Provider Help Desk at 1-866-553-9413.

Which characters can the trustee name use?

The form says the only valid characters are A-Z, 0-9, -, &, and blank.

Does the form need a signature?

Yes. The form says the registration has to be signed to authorize participation in the EFTPS program.