Form Pa-8453 Pennsylvania Individual Income Tax Declaration For Electronic Filing Page 2
Download a blank fillable Form Pa-8453 Pennsylvania Individual Income Tax Declaration For Electronic Filing in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form Pa-8453 Pennsylvania Individual Income Tax Declaration For Electronic Filing with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2INSTRUCTIONS FOR PA-8453
Line 5 - Enter total payment (tax due), from
For accounts payable through a financial
Filing of Form PA-8453
line 28, Form PA-40.
institution other than the one at which the
If a taxpayer elects not to use the federal self-
account is located, the taxpayer must provide a
taxpayers are responsible for submitting
select PIN or a return is filed without a federal
document, such as an account statement or
payment due to the PA Department of Revenue
return, electronic return originators (EROs) and
identification card, showing the RtN of the bank
by April 18, 2017.
transmitters must retain completed Forms PA-
or institution where the account is located. A
8453 and supporting documents for three years
Payment may be sent along with Form PA-v. If
after the due date of the return or the date the
deposit slip should not be used to verify RtN or
Form PA-v was not received, it may be completed
return was filed electronically, whichever is later.
DAN because it can contain internal routing
online, printed and mailed to the department
EROs and transmitters must make the
numbers that are not part of the RtN.
with payment. check or money order should be
documents available to the PA Department of
made payable to the PA Dept. of Revenue. the
Revenue upon request. Do not mail Form PA-
If there is any doubt about the correct RtN, the
8453 and attachments to the PA Department of
last four digits of the taxpayer’s social security
taxpayer should contact the financial institution
Revenue unless requested.
number, “2016 PA tax” and daytime telephone
for assistance.
number should be written on the payment.
NOTE: If an ERO or transmitter closes its
NOTE: some financial institutions may not
PA DEPt. OF REvENuE
business, it must mail all forms to the following
accept direct deposits into accounts payable
address with a letter of explanation.
PAymENt ENclOsED
through another bank or financial institution,
1 REvENuE PlAcE
PA DEPARtmENt OF REvENuE
including credit unions.
HARRIsBuRg PA 17129-0001
BuREAu OF INDIvIDuAl tAxEs
ElEctRONIc FIlINg sEctION
Part III - Declaration of Taxpayer
PO BOx 280507
Part II - Direct Deposit of Refund
HARRIsBuRg PA 17128-0507
or Electronic Funds Withdrawal
Line 10 - All filers must check one of the boxes.
taxpayers may elect to have refunds directly
Any taxpayer filing electronically from a home
NOTE: taxpayers may revoke the electronic
deposited or payments made by electronic funds
computer must keep the signed Form PA-8453
funds withdrawal authorization by notifying
withdrawal by completing Part II.
and supporting documents for three years after
the PA Department of Revenue in writing no
the due date of the return or the date the return
Line 6 - the routing transit number (RtN) must
later than two business days prior to the debit
was filed electronically, whichever is later.
contain nine digits. If the RtN does not begin
date. Written requests to revoke the electronic
taxpayers must make the documents available to
with 01 through 12, or 21 through 32, the direct
funds withdrawal must include the taxpayer’s
the PA Department of Revenue upon request. Do
deposit or electronic funds withdrawal request
name, address, social security number, RtN,
not mail Form PA-8453 and attachments to the
will be rejected.
DAN and payment amount. Written requests
PA Department of Revenue unless requested.
can be faxed to 717-772-9310 or emailed to
Line 7 - the depositor account number (DAN)
may contain up to 17 alphanumeric characters.
ra-achrevok@pa.gov.
Include hyphens but omit spaces and special
Line Instructions – Form PA-8453
symbols. If fewer than 17 characters, enter the
After a return has been prepared and before the
Submission ID - the submission ID is a 20-digit
number from left to right and leave the unused
return is transmitted, the taxpayer (or both
number assigned by the ERO to a taxpayer’s return.
boxes blank.
taxpayers, if filing jointly) must verify the
information on the return and sign and date the
Name, Address and Social Security Number
Line 8 - check the appropriate box.
completed Form PA-8453. If you are responsible
Print or type the taxpayer’s name (last name
Line 9 - Debit Date - Enter the date the taxpayer
for the affairs of a minor, disabled person, or a
first) and complete address including ZIP code.
wants the payment electronically withdrawn, on
decedent who could not prepare his or her own
In the spaces provided, enter the taxpayer’s
or before April 18, 2017.
PA tax return, you must sign to file a valid tax
social security number and that of the spouse, if
return. the ERO must provide the taxpayer with
applicable. If a husband and wife use different
last names, please separate the names. For
a copy of this form.
NOTE: the account cannot include the name of
example, Paul A. smith and Joan A. Weston
any other person unless the taxpayer’s filing
If the ERO makes changes to the electronic
would be smith, Paul A. and Joan A. Weston.
status on the return is “married filing jointly”
return after the Form PA-8453 has been signed
or “married filing separately,” and the
the address on this form must match the address
by the taxpayer, but before it is transmitted, the
taxpayer’s spouse is the other name listed on the
on the electronically filed PA-40.
ERO must have the taxpayer complete and sign a
account.
corrected Form PA-8453.
some financial institutions do not permit the
Part I - Tax Return Information
deposit of a joint refund in an individual account.
Line 1 - Enter adjusted PA taxable income from
the PA Department of Revenue is not responsible
Part IV - Declaration of Electronic
line 11, Form PA-40.
when a financial institution refuses a direct
Return Originator (ERO) and Preparer
deposit.
the ERO must sign this form and keep it with the
Line 2 - Enter PA tax liability from line 12, Form
to be eligible for direct deposit or electronic funds
required attachments for three years.
PA-40.
withdrawal, taxpayers must provide proof of
account ownership to the ERO. An acceptable
A preparer must sign the Form PA-8453 in the
Line 3 - Enter total PA tax withheld from line 13,
proof of account ownership is a check, form,
space for Preparer. If the preparer is also the
Form PA-40.
report or other statement generated by the financial
ERO, do not complete the Preparer section;
institution that has the taxpayer’s name, RtN and
instead, check the box labeled “check if also paid
Line 4 - Enter the amount to be refunded from
line 30, Form PA-40.
DAN preprinted on it.
preparer.”
Reset Entire Form
RETURN TO TOP
PREVIOUS PAGE
PRINT FORM
ADVERTISEMENT
0 votes
Related Articles
Related forms
Form Pa - 8453 - Pennsylvania Individual Income Tax Declaration For Electronic Filing - 2006
Financial
Form Pa-8453 - Pennsylvania Individual Income Tax Declaration For Electronic Filing - 2005
Financial
Form Pa-8453 - Pennsylvania Individual Income Tax Declaration For Electronic Filing - 2003
Financial
Form Pa-8453 - Pennsylvania Individual Income Tax Declaration For Electronic Filing - 2004
Financial
Form Pa-8453 - Pennsylvania Individual Income Tax Declaration For Electronic Filing - 2014
Financial
Form Pa-8453 - Pennsylvania Individual Income Tax Declaration For Electronic Filing - 2015
Financial
Form Pa-8453 - Pennsylvania Individual Income Tax Declaration For Electronic Filing - 2013
Financial
Related Categories
Parent category: Financial