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Get PA DoR REV-854R 2005-2021

IN), filing period ending and address. If the address has been changed, enter the entire new address on the form. 3. SIGNATURE, TITLE, DATE AND PHONE NUMBER should be provided by a representative of the corporation. 4. MAIL COUPON separately in the enclosed return envelope. REV-854R CT (3-05) PA DEPARTMENT OF REVENUE BUREAU OF CORPORATION TAXES DEPT USE ONLY PA CORPORATION TAXES REV-854R EIN/FILING PERIOD/ADDRESS CHANGE 1. ACCOUNT ID 1. CURRENT ENTITY ID (EIN) CORPORATION NAME NEW ENTIT.

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