Get Tax Certification Statement

The Tax Certification Statement is a necessary document for individuals seeking to apply for new licenses or transfer existing ones under the Pennsylvania Liquor Control Board. This guide will provide step-by-step instructions for completing the form online, ensuring that you have all the necessary information ready.

Follow the steps to fill out the Tax Certification Statement accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Fill in the licensee name (applicant name) in the first field, ensuring to use the full exact name as it appears on the existing license.
3. Enter your business phone number in the designated section, including the area code.
4. If applicable, provide the trade or fictitious name in the corresponding field, making sure it matches your registered name.
5. Complete the licensed address section, clearly stating the full address of the proposed premises, including street, rural route, or P.O. Box number.
6. Select and specify the type of application you are filing - whether it’s a new application or a transfer.
7. If you have an LCB license number, input it; if not, check the appropriate box indicated.
8. Identify the type of entity applying by selecting from options such as sole proprietor, partnership, corporation, etc.
9. For sole proprietors, input the licensee name clearly in the required area.
10. Fill out the tax identification numbers in the respective fields, ensuring to complete sections A (sales tax), B (EIN), C (corporate box), and D (unemployment compensation). If a number is not applicable, check the N/A box.
11. Answer the question regarding current or past employment, indicating yes or no.
12. Affirm the accuracy of the provided information by signing the form, adding your title, and dating the document.
13. Review the entire document for completeness, ensuring all sections are filled out accurately before saving your changes and sharing or printing the form as needed.

Complete your Tax Certification Statement online to ensure a smooth application process.