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Get Residency Certification Form
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How to fill out the Residency Certification Form online
Completing the Residency Certification Form is essential for employers and taxpayers to report critical information related to local earned income taxes in Pennsylvania. This guide will provide you with a clear, step-by-step approach to filling out the form online.
Follow the steps to successfully complete the Residency Certification Form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Provide your Employee Information. Fill in fields such as your name (last, first, middle initial), social security number, and residence address, ensuring to include the first line of your address and city, state, and zip code. Include your daytime phone number, municipality, county, PSD code, and total resident EIT rate where applicable.
- Complete the Employer Information section by entering your employer's name using the Federal ID name and the employer's FEIN. Also, fill in the first and second lines of the employer address, city, state, zip code, phone number, municipality, county, and municipal non-resident EIT rate.
- Sign the certification section. This requires your signature, phone number, date, and email address. Make sure that all required fields are accurately filled to avoid delays in processing.
- Once you have completed the form, save your changes, and you can choose to download, print, or share the form as necessary.
Complete your Residency Certification Form online today to ensure accurate local tax reporting.
This form is to be used by employers and/or taxpayers to report essential information for the collection and distribution of Local Earned Income Taxes. This form must be utilized by employers when a new employee is hired or when a current employee notifies employer of a name and/or address change.
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