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Get PA REV-1123 2017

Cholarship Tax Credit (OSTC) through to shareholders, members or partners. A separate election must be submitted for each year an EITC/OSTC is awarded and not used in whole or in part by the contributing entity. DO NOT INCLuDE ThIS ELECTION WITh yOur TAx rEPOrT. SECTION I Pass-Through Entity Name: START Date received: Department use Only Address: Fax Number: Telephone Number: Email Address: Identification Number (revenue ID, FEIN, SSN): YYYY (1) Total EITC/OSTC awarded in tax year.

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