Form Pa-40es - Pennsylvania Correction Form For Estates, Trusts, Partnerships, Limited Liability Companies, Associations, Pa S Corporations

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REV-459 (07-12)
PA-40ES CORRECTION FORM FOR ESTATES, TRUSTS, PARTNERSHIPS,
PA DEPARTMENT OF REVENUE
LIMITED LIABILITY COMPANIES, ASSOCIATIONS, PA S CORPORATIONS
BUREAU OF INDIVIDUAL TAXES
Please print or type your correct information
PO BOX 280510
Use this form ONLY if the information on your PA-40ES form is incorrect
HARRISBURG PA 17128-0510
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This taxpayer is (fill in one oval):
Estate
Trust
Partnership
PA S Corporation
Limited Liability Company
Association
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Type of change (fill in all that apply):
Employer Identification Number
Name
Address
INSTRUCTIONS:
IMPORTANT: The Bureau of Individual Taxes will make all the changes that you
request. However, the bureau will only send new PA-40ES forms if you change
1. Fill in the oval for the type of entity.
your name or Employer Identification Number. If only changing the address,
the bureau will correct the account; please continue to use the PA-40ES forms
2. Fill in the appropriate oval(s) explaining the change(s) you are making.
originally issued.
3. Enter the CORRECT and INCORRECT information in the spaces provided.
REMEMBER: Enter the suffix that follows the EIN on the PA-40ES form. Estates and
trusts have an “F” suffix. Partnerships, associations, limited liability companies,
4. You must enter the Employer Identification Number.
and PA S corporations have a ”C” suffix. This letter code distinguishes 9-digit
5. Mail the completed form to the address shown above.
Employer Identification Numbers from 9-digit Social Security numbers.
IMPORTANT: WE CANNOT CORRECT YOUR ACCOUNT WITHOUT YOUR CORRECT EIN.
Enter the letter code (F or C) here ↓
Enter the letter code (F or C) here ↓
CORRECT Information
INCORRECT Information
Employer Identification Number
Employer Identification Number
Business Name
Business Name
Street Address
Street Address
City
State
ZIP Code
City
State
ZIP Code
Authorized Representative
Title
(PLEASE PRINT)
Signature
Date
Daytime
Telephone

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