Form Pa-40es - Pennsylvania Correction Form For Estates, Trusts, Partnerships, Limited Liability Companies, Associations, Pa S Corporations Page 2

ADVERTISEMENT

REV-459 (07-12)
PA-40ES CORRECTION FORM FOR INDIVIDUALS
PA DEPARTMENT OF REVENUE
Please print or type your correct information
BUREAU OF INDIVIDUAL TAXES
Use this form ONLY if the information on your PA-40ES
PO BOX 280510
form is incorrect
HARRISBURG PA 17128-0510
°
°
°
I am changing (fill in all that apply):
Social Security Number
Name
Address
°
°
°
°
°
Filing Status (fill in the oval for the correct status):
Single
Married, Filing Jointly
Married, Filing Separately
Final
°
Deceased - Date of Death:
INSTRUCTIONS:
IMPORTANT: The Bureau of Individual Taxes will make all the changes that you
1. Fill in the appropriate oval(s) explaining the change(s) you are making.
request. However, the bureau will only send new PA-40ES forms if you change
your name or Social Security number. If you are only changing your address,
2. Enter the CORRECT and INCORRECT information in the spaces provided.
the bureau will correct your account; please continue to use the PA-40ES forms
3. You must enter your Social Security number.
originally issued.
4. Mail the completed form to the address shown above.
IMPORTANT: WE CANNOT CORRECT YOUR ACCOUNT WITHOUT YOUR CORRECT SSN.
CORRECT Information
INCORRECT Information
Your Social Security number
Social Security number
Also enter your spouse’s
Social Security number, if applicable
Name
Name
Street Address
Street Address
City
State
ZIP Code
City
State
ZIP Code
Signature
Date
Daytime
Telephone

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Form Rev-459 - Pa-40es Correction Form For Estates, Trusts, Partnerships, Limited Liability Companies, Associations, Pa S Corporations Form Rev-459 - Pa-40es Correction Form For Estates, Trusts, Partnerships, Limited Liability Companies, Associations, Pa S Corporations Financial
Form Rev-459 - Estates, Trusts, Partnerships, Limited Liability Companies, Associations, Pa S Corporations Only Change September 2005 Form Rev-459 - Estates, Trusts, Partnerships, Limited Liability Companies, Associations, Pa S Corporations Only Change September 2005 Financial
Form Rev-459 - Estates, Trusts, Partnerships, Limited Liability Companies, Associations, Pa S Corporations Only Change Form Form Rev-459 - Estates, Trusts, Partnerships, Limited Liability Companies, Associations, Pa S Corporations Only Change Form Financial
Form It-204-ll - Partnership, Limited Liability Company, And Limited Liability Partnership Filing Fee Payment Form - 2013 Form It-204-ll - Partnership, Limited Liability Company, And Limited Liability Partnership Filing Fee Payment Form - 2013 Financial
Form It-204-ll - Partnership, Limited Liability Company, And Limited Liability Partnership Filing Fee Payment Form - 2012 Form It-204-ll - Partnership, Limited Liability Company, And Limited Liability Partnership Filing Fee Payment Form - 2012 Financial
Form Bi-473 - Vermont Partnership/limited Liability Company Schedule - 2001 Form Bi-473 - Vermont Partnership/limited Liability Company Schedule - 2001 Financial
Form Bi-473 - Vermont Partnership/limited Liability Company Schedule Form Bi-473 - Vermont Partnership/limited Liability Company Schedule Financial
Form Bi-473 - Vermont Partnership/limited Liability Company Schedule Form Bi-473 - Vermont Partnership/limited Liability Company Schedule Financial
Form D-2 - Application For License For Agents Of New Hampshire Corporations, Partnerships, Limited Liability Partnerships, Limited Liability Companies And Other Legal Entities Form D-2 - Application For License For Agents Of New Hampshire Corporations, Partnerships, Limited Liability Partnerships, Limited Liability Companies And Other Legal Entities Legal
Form Tc-65 - Utah Partnership/limited Liability Partnership, Limited Liability Company Return Of Income - 2001 Form Tc-65 - Utah Partnership/limited Liability Partnership, Limited Liability Company Return Of Income - 2001 Financial

Related Categories

Parent category: Financial
Download
Go
Page of 2