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Get PA Form PA-8453 2022-2024

Ear Jan. 1 Dec. 31, 2022 Primary Taxpayer s Social Security Number Last Name 2022 Declaration Control Number/Submission ID Secondary Taxpayer s Social Security Number Primary Taxpayer s Name, Initial; Secondary Taxpayer s First Name, Initial; Secondary Taxpayer s Last Name (only if different) Home Address (Number and Street including Rural Route or P.O. Box) City State ZIP Code Daytime Telephone Number NO DASHES The above information must match that on the electronic retur.

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