Form Rev-1605 - Name Of Corporate Officers

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INSTRUCTIONS FOR REV-1605
SCHEDULE CO – NAMES OF CORPORATE OFFICERS
1.
State law mandates that the names of corporate officers be available as public information with the PA Department of State.
Corporations comply with this requirement by completing the Corporate Officer section of the PA Corporate Tax Report
(RCT-101). Corporations that need to update this information during the year must complete the Corporate Officer Schedule
(REV-1605) and submit it to the PA Department of Revenue, which forwards this information to the PA Department of State.
2.
So that records may be updated accurately and comprehensively, all fields below must be completed with current information.
3.
A representative of the corporation must complete and sign the form.
4.
Mail Schedule CO to:
PA Department of Revenue
PO BOX 280430
Harrisburg PA 17128-0430
DETACH HERE BEFORE MAILING
START
HERE
BUREAU OF CORPORATION TAXES
NAMES OF
REV-1605
CORPORATE
CT (1-10)
PO BOX 280430
CORPORATE OFFICERS
ACCOUNT ID
SCHEDULE CO
HARRISBURG PA 17128-0430
CORPORATE OFFICERS
SSN
LAST NAME
FIRST NAME
MI
PRESIDENT/MANAGING PARTNER
VICE PRESIDENT
SECRETARY
TREASURER/TAX MANAGER
BUSINESS NAME
EIN
STREET ADDRESS
CITY
STATE
ZIP CODE
PREPARER’S SIGNATURE
TITLE
TELEPHONE NUMBER
DATE
PRINT FORM
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