Form Rev-857 - Pennsylvania Estimated Tax Payment
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1DO NOT USE THIS COUPON IF YOUR PAYMENT EXCEEDS $1,000
INSTRUCTIONS FOR REV-857
PA CORPORATION TAXES ESTIMATED TAX PAYMENT COUPON
Do not mail this coupon if payment is being made electronically.
1. Enter account information including file period begin, file period end, Revenue ID, quarter for which
payment is being made, quarter due date, corporation name, state of incorporation, EIN and complete
mailing address.
2. Enter payments required for capital stock/foreign franchise (CS/FF) and corporate net income (CNI)
taxes. Also enter total payment. If no payment is being made for a tax, enter zero. If no payment is
required for either tax, do not submit this form.
NOTE: The electronic funds transfer requirement was reduced from $10,000 to $1,000. All payments of
$1,000 or more made after Dec. 31, 2013, must be made electronically. For information on electronic filing
options, visit the e-Services Center at
3. If less than $1,000 mail the coupon and a check made payable to PA Department of Revenue.
PA DEPARTMENT OF REVENUE
PO BOX 280422
HARRISBURG PA 17128-0422
4. Signature, title, date, email address and telephone number must be provided by a representative
of the corporation.
5. Must use mmddyyyy format in all date fields.
FILL IN FORM USING ALL CAPS
DO NOT PLACE ANY DASHES (-) OR SLASHES (/) IN THE FIELDS. ENTER DATE AS MMDDYYYY.
PLEASE READ THE INSTRUCTIONS BEFORE COMPLETING THIS COUPON.
✁
DETACH HERE BEFORE MAILING
REV-857 CT (11-13)
DEPT USE ONLY
PA CORPORATION TAXES
REV-857 ESTIMATED TAX PAYMENT
BUREAU OF CORPORATION TAXES
FILE PERIOD BEGIN
FILE PERIOD END
REVENUE ID
QTR
QUARTER DUE DATE
CORPORATION NAME
1. CS/FF TAX PAYMENT
.00
STATE OF INCORPORATION
EIN
2. CNI TAX PAYMENT
.00
ADDRESS
3. TOTAL PAYMENT
$
STREET
.00
0
(Add Lines 1 and 2.)
CITY
STATE
ZIP
Make check payable to “PA DEPT OF REVENUE.”
If payment is being made electronically, do not mail
this coupon.
PRINT
RESET
SIGNATURE
TITLE
DATE
EMAIL
TELEPHONE
Please sign after printing.
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