Get Pennsylvania Electronic Payment Program (pepp) Enrollment Form

This guide provides you with a step-by-step approach to completing the Pennsylvania Electronic Payment Program (PEPP) Enrollment Form online. By following these instructions, you can ensure that you accurately fill out the form, facilitating a smooth enrollment process.

Follow the steps to fill out the PEPP Enrollment Form correctly.

1. Click ‘Get Form’ button to access the enrollment form and open it in your preferred document editor.
2. Identify the action you are requesting by checking one of the boxes at the top of the form: 'NEW,' 'CHANGE,' or 'STOP.' Note that incomplete forms will be returned.
3. In the 'Recipient Information' section, enter your Tax Identification Number. If you are an individual, provide your Social Security Number (SSN). For businesses, include your Employer Identification Number (EIN).
4. Specify the types of payments you expect to receive by writing them in the designated area.
5. Enter your legal name as it appears on the IRS W-9 form, along with your complete street address or P.O. Box, city, state, and zip code.
6. Complete the contact information of the person filling out the form, including their name, title, phone number, and email address.
7. Provide the financial institution's information, including the bank name and address. Make sure to include the name and contact information of the ACH coordinator.
8. Indicate your account type by checking either 'Checking' or 'Savings.'
9. Enter the bank transit routing number, which is the nine-digit number typically found on your checks. Follow this with your bank account number.
10. If you selected 'CHANGE' earlier, fill out the old bank transit routing number and the old bank account number that need to be deleted.
11. Sign and date the form in the 'Authorization' section, ensuring your printed name and title are clearly noted as well.
12. After filling out the form, review it carefully for accuracy. You can then save your changes, download, print, or share the completed form as needed.

Complete your PEPP Enrollment Form online to ensure prompt processing of your electronic payments.