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Form 2553 Example: Two Completed Elections, Box by Box

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The short answer

A finished Form 2553 is mostly blank. The two-owner LLC below fills in eleven boxes on page 1, three consent rows on page 2, and nothing else. The late single-member LLC fills in the same boxes plus line I, all five Part IV representations, and a header written in the top margin that is not a field on the form at all. Those additions are the whole difference between a timely election and a late one.

A blank Form 2553 tells you what the boxes are called. It does not tell you what a real filing looks like — which boxes stay empty, what a consent row actually contains, or how much of the form a normal small business never touches.

So here are two complete elections. The first is the ordinary case: an existing two-owner LLC electing for 2027, filed early. The second is the one people search for at 11pm: a single-member LLC sixteen months past its deadline, filing under Rev. Proc. 2013-30. Both businesses are invented; every rule applied to them is not.

This page fills the form in, it does not explain it

The current form is Rev. December 2017, free from irs.gov — for the blank form itself, see Form 2553 PDF. For what each box means in the abstract, read the line-by-line instructions. This page is the worked answer.

Note

Example 1 — Brightleaf Design Studio LLC, two owners, filing early

The facts
Detail
EntityBrightleaf Design Studio LLC, taxed as a partnership since it was formed
FormedApril 12, 2023, in Delaware
Operates fromAustin, Texas — its only office
EIN92-3184760
OwnersMaya Ellison 60%, Daniel Osei 40%, both since day one
ProfitAround $210,000 a year
Filing onAugust 12, 2026
Wants S status fromJanuary 1, 2027

The effective date is the first decision and the calendar forces it. The deadline for a January 1, 2026 effective date was Monday March 16, 2026, so electing for 2026 today would be a late election needing relief. Electing for 2027 is simply early: an entity that already has a prior tax year may file at any point during the preceding tax year, and 2026 is that year. See the deadline rules for how the window is measured.

Page 1, Part I — every box

Brightleaf, page 1
BoxWhat Brightleaf entersWhy
NameBrightleaf Design Studio LLCThe legal name attached to the EIN. Their trade name, Brightleaf Studio, appears nowhere on this form.
Address1120 E 6th St, Suite 400 / Austin, TX 78702The principal office. This address, not Delaware, decides where the completed form is sent.
A — EIN92-3184760The EIN they already have. An S election changes how an entity is taxed, not what it is, so there is no new EIN to apply for.
B — Date incorporated04/12/2023The date on the Delaware certificate of formation.
C — State of incorporationDEWhere the entity was formed, and nothing else.
D — Name or address changedLeft blankNeither has changed since the EIN was issued.
E — Effective date01/01/2027The first day of the tax year the election covers. With three prior tax years behind it, Brightleaf skips the earliest-of-three-events analysis a brand-new entity has to do.
F — Tax yearBox 1, calendar year, ending 12/31Anything but box 1 drags Part II into the filing.
G — More than 100 shareholdersLeft blankThere are two.
H — Officer the IRS may callMaya Ellison, Managing Member, 512-555-0148Someone who will actually answer. If the IRS has a question, this is its only route.
I — Late election explanationLeft blankThe election is early. Anything here would be actively wrong.
Signature blockMaya signs in ink, Managing Member, 08/12/2026Only Title is a fillable field in the IRS PDF. Signature and Date are not, which is why people email themselves an unsigned form and never notice.

Formed in Delaware, filed with Ogden

Box C says DE and that is correct, but it has nothing to do with routing. The form goes to the service center for the principal business, office or agency — Austin — which means Ogden, not Kansas City. Routing on the state of incorporation is the most common misrouting error, and Delaware-formed companies are exactly who it happens to. Check the IRS mailing address and fax number for your state before you send.

Important

The IRS routes on your principal business, office or agency — not where you incorporated. A Delaware LLC run from Ohio uses Ohio.

Pick a state to see the exact fax number and mailing address.

Form 2553 cannot be e-filed. Mail or fax is the only way to submit it.

Maya is married and lives in Texas, which is a community property state. Her 60% is community property, so her husband has to consent even though he owns nothing and is not counted as a shareholder. That is a third row.

Brightleaf, page 2 — columns J through N
J — Name and addressK — ConsentL — Stock ownedM — SSNN — Tax year end
Maya Ellison, Austin, TXSigned and dated in ink60%, acquired 04/12/2023Maya's SSN12/31
Daniel Osei, Austin, TXSigned and dated in ink40%, acquired 04/12/2023Daniel's SSN12/31
Priya Ellison, Austin, TXSigned and dated in inkCommunity interest in Maya's 60%Priya's SSN12/31

The IRS prints no separate consent block for spouses, so the convention is to give the spouse their own row describing the same holding. Page 2 has exactly seven rows; Brightleaf uses three. Eight owners would need a second copy of page 2.

Four things here cannot be typed: the three signatures in column K and Maya's officer signature on page 1. Column K is a consent under penalties of perjury, and a typed name is not a consent.

What Brightleaf leaves completely blank

  • Part II. Fiscal or 52-53 week years only. Box 1 in item F means skip it.
  • Part III. The QSST election, for when a qualifying trust holds shares.
  • Part IV. Where careful people over-fill. It exists only for a late LLC election. Brightleaf's is timely, so the corporate classification election is deemed made along with it under Reg. §301.7701-3(c)(1)(v)(C) — no representations, no Form 8832.

This is the date that goes on line E. For a calendar-year business it is usually January 1.

You are filing early, which is allowed

An entity that already has a prior tax year may elect at any time during the preceding tax year, so filing now for an effective date of January 1, 2027 is valid. The final deadline is March 15, 2027.

Timely filing deadline
March 15, 2027
Late relief closes
March 16, 2030
3 years and 75 days after your effective date, under Rev. Proc. 2013-30.

Example 2 — Kestrel Field Services LLC, sixteen months late

The facts
Detail
EntityKestrel Field Services LLC, single member
OrganizedJanuary 6, 2025, in North Carolina
Operates fromRaleigh, North Carolina
EIN33-4062915
OwnerTomás Ruiz, 100%
What went rightPayroll accounts opened February 2025, W-2 wages paid from March 15, 2025, Forms 941 filed for all four quarters
What went wrongForm 2553 was never sent. The bookkeeper believed the accountant had filed it; the accountant believed the bookkeeper had.
DiscoveredJuly 14, 2026, while preparing the 2025 Form 1120-S (extended to September 15 on Form 7004)
Wants S status fromJanuary 6, 2025

Kestrel's first tax year began on January 6, 2025 — the earliest of first owners, first assets and first doing business, which for a clean formation all land on the same day. The deadline was therefore Thursday March 20, 2025. Watch the count: the two-month period ended March 5, the day before the numerically corresponding day, and fifteen days on is March 20, not 21.

Missing that date did not void anything, and this is the part almost every article omits. Under IRC §1362(b)(3) a late Form 2553 filed without a relief request is not rejected — it is treated as an election for the following tax year. Kestrel would quietly get S status from January 1, 2026 and a 2025 that reverts to a disregarded year, with owner W-2 wages that should not exist. To keep 2025, it has to ask.

What changes on the form

Kestrel — the late-filing differences
WhereWhat Kestrel doesNote
Top margin of page 1FILED PURSUANT TO REV. PROC. 2013-30.Written across the very top of the page, above the form's title. It is not a field — there is nowhere on the form to put it — and the final period is part of the required wording.
E — Effective date01/06/2025The date he actually wanted. Not today's date, not January 1, 2026. Every deadline in the relief request is measured from this box.
I — Late explanationSee the sample belowMandatory, and it has to answer two questions rather than one.
Part IVAll five representationsRequired because Kestrel is an LLC and the election is late.
Page 2, column KTomás signs and dates in ink; 100%, acquired 01/06/2025A late election needs consents from everyone who held an interest at any time from January 6, 2025 through the filing date. Here that is one person. It would not be if a co-founder had come and gone in 2025.
Signature blockTomás signs, Member, dated the day it is filedHis accountant prepared every word of this and cannot sign any of it. No paid preparer, CPA or attorney can stand in for the officer or the shareholders.

Line I, written out

The box gives you about three lines. A real explanation rarely fits, so write See attached statement and continue on an attachment. It must cover both reasonable cause for missing the deadline and the diligent action taken on discovering it. A statement addressing only the first is facially deficient — the most common way a relief request fails.

The entity intended to be treated as an S corporation from 01/06/2025, its first day of business, and has operated on that basis throughout: it opened federal payroll accounts in February 2025, paid its sole owner W-2 wages beginning 03/15/2025, and filed Forms 941 for all four quarters of 2025. Form 2553 was not filed by 03/20/2025 because responsibility for filing it was divided between the entity's bookkeeper and its outside accountant, and each understood the other to have sent it. The omission was discovered on 07/14/2026 during preparation of the entity's 2025 Form 1120-S. On discovery the entity obtained the shareholder consent and this election without delay and is filing it with that return on 07/30/2026, sixteen days later.

Sample line I explanation. Yours has to describe what actually happened to you.

Note what makes it work: dates, the four Forms 941, and a sixteen-day gap between discovery and filing. "Reasonable cause" is not an incantation — it is a description of events a reader can check against the rest of the file. Full conditions are in the Rev. Proc. 2013-30 guide and the late election guide.

Part IV — the five representations

An LLC filing on time never sees Part IV, because the corporate classification election is deemed made alongside a timely Form 2553. That deeming only happens when the form is timely. Kestrel's is not, so it elects classification the long way.

Part IV, in plain English
#What Kestrel is representing
1It is an eligible entity — an LLC that could have elected corporate classification.
2It intended to be classified as a corporation as of January 6, 2025.
3It failed to be a corporation solely because no Form 8832 was filed, and none was deemed filed.
4It failed to be an S corporation on that date solely because Form 2553 was late.
5It has filed consistently with S corporation status for every year involved, or has not yet filed for the first year because the return is not due.

Do not file Form 8832 as well

Representation 3 states that no Form 8832 was filed. Sending one alongside the Form 2553 contradicts a statement Kestrel is making under penalties of perjury on the same document. Part IV replaces Form 8832 here; it does not accompany it. This is one of the most common do-it-yourself mistakes on a late LLC election.

Warning

How Kestrel actually sends it

Because the late election goes in with a Form 1120-S that his accountant e-files, Kestrel never uses a service center address. The form is attached to the return as a PDF named exactly Form2553.pdf, and the return itself carries its own top-margin wording: INCLUDES LATE ELECTION(S) FILED PURSUANT TO REV. PROC. 2013-30 — with no final period, unlike the header on the 2553.

That is the only electronic route

Form 2553 cannot be e-filed. Attaching a late election to a timely e-filed Form 1120-S is an attachment to a return, not e-filing the election. On its own, Kestrel's form would have gone by fax or mail to the service center for North Carolina — see where to send it.

Note

One timing check before it goes. Relief must be requested within 3 years and 75 days of the line E date, so Kestrel's window runs into March 2028. The Form 7004 extension bought time to file the 1120-S and no time at all on that window. The two clocks are unrelated, and people conflate them.

The two filings side by side

Brightleaf (timely)Kestrel (late)
Line E01/01/202701/06/2025
Top marginNothingFILED PURSUANT TO REV. PROC. 2013-30.
Line IBlankReasonable cause and diligent action
Part IVBlankAll five representations
Form 8832Not filedNot filed — and must not be
Who signsTwo owners plus a community property spouseOne member
How it travelsFax or mail to OgdenPDF attachment to an e-filed Form 1120-S
Cost of getting it wrongElection rolls forward to 20282025 reverts to a disregarded year

What is identical in both

  • Every signature is handwritten. Neither filing has a typed consent anywhere on it.
  • Acceptance arrives as Notice CP261. The IRS says to expect a determination in about 60 days but publishes no live processing estimate for this form, so treat that as an expectation rather than a promise. See Form 2553 processing time for what happens after you file.
  • Proof of filing is kept permanently — a fax confirmation, a certified mail receipt, or the e-file acknowledgment. It is the only evidence of when you filed.
  • Neither election does anything until payroll runs. The saving comes from a defensible salary with the rest taken as distributions, and there is no percentage rule for what that salary should be — see reasonable compensation.

Get your own version, filled in

Answer plain questions and Scorply produces the completed Form 2553 — right effective date, every consent row, any late-relief header and statement, and the exact address for where you operate.

Start my Form 2553

Frequently asked questions

What does a completed Form 2553 actually look like?

Mostly blank. A typical two-owner LLC fills in the entity name and address, items A through C, item E, one checkbox in item F, item H, the signature block, and one consent row per owner on page 2. Parts II, III and IV stay empty unless you have a fiscal year, a trust shareholder, or a late LLC election.

What goes on line E if my LLC was formed mid-year?

The earliest of three dates: when the entity first had owners, first had assets, or first began doing business. That is often the formation date but not always — if you were invoicing through the business before the paperwork was filed, the earlier date can control. Your 2-month-and-15-day deadline is then measured from whatever you enter in that box.

Does a single-member LLC list itself as the shareholder?

No. The member is the shareholder, so column J shows the individual's name and address and column M shows their SSN, not the LLC's EIN. Column L shows 100% and the date the interest was acquired.

How many shareholders fit on Form 2553?

Page 2 has exactly seven consent rows. If you have more shareholders than that, attach additional copies of page 2 — the page says so itself. The statutory limit on shareholders is 100, with family members countable as one.

Do both spouses have to sign Form 2553?

In a community property state — Arizona, California, Idaho, Louisiana, Nevada, New Mexico, Texas, Washington and Wisconsin — a spouse with a community interest in the stock must consent even though they are not an owner. The convention is to give that spouse their own row in the shareholder table on page 2 and have them sign column K by hand.

Where exactly do I write FILED PURSUANT TO REV. PROC. 2013-30?

Across the top margin of page 1 of Form 2553, above the form's title. It is not a form field, so there is no box for it — you type or write it onto the printed page. Include the final period, and if you are attaching the election to a Form 1120-S, that return gets the separate wording INCLUDES LATE ELECTION(S) FILED PURSUANT TO REV. PROC. 2013-30 in its own top margin.

Will the IRS send my completed Form 2553 back to me?

No. You keep the only copy of what you filed, which is why a scan of the signed form plus your fax confirmation or mail receipt matters. What the IRS sends is Notice CP261, the acceptance notice, and that is what payroll providers and banks will ask to see.

Scorply provides self-help tax forms and general information, not tax, legal, or accounting advice. We are not a law firm or an accounting firm and we do not review your situation. Estimates are illustrations based on the figures you enter, not a recommendation.

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