Form Rev-563 As - State/local Sales Tax Responsible Party Information Form (Page 2 of 2) in pdf

Form Rev-563 As - State/local Sales Tax Responsible Party Information Form Page 2

INSTRUCTIONS FOR COMPLETING THE STATE/LOCAL SALES TAX

RESPONSIBLE PARTY INFORMATION FORM (REV-563)

GENERAL INFORMATION

SECTION II.

Responsible parties, for the purpose of PA trust fund taxes, are persons

Enter the responsible party name, home address (a P.O. Box is not

or officers who have active control or authority over a business or

acceptable), Social Security Number, title, effective date, and

organization, and/or persons who have direct control over finances, and

daytime telephone number. This section must be signed by each

are therefore liable for the payment of any trust fund tax liabilities.

responsible party.

An individual who signs an application or trust fund tax return for a

business or organization will be considered a responsible party in the

SIGN AND DATE THE FORM.

absence of any contradicting evidence.

Include the telephone number and title. Questions may be directed to the

Taxpayer Service and Information Center at (717) 787-1064; Service for

Personal representatives of a decedent’s estate, bankruptcy-insolvency

Taxpayers with Special Hearing and/or Speaking Needs 1-800-447-3020

trustees, and lenders which have assumed direct control over the

borrowers’ finances, may be considered responsible parties for PA trust

(TT only).

fund tax purposes.

SECTION I.

MAIL TO:

PA Department of Revenue

PO BOX 280901

Enter the legal name of the business, Sales Tax Account ID Number and

Entity ID (Federal EIN/SSN).

Harrisburg, PA 17128-0901

Form Rev-563 As - State/local Sales Tax Responsible Party Information Form Page 2