Pa rev 775 2026

1. Click ‘Get Form’ to open the REV-775 in the editor.
2. In Section I, provide your name, Social Security Number (SSN), and tax year. Ensure you also include the primary taxpayer's name and SSN as shown on the PA-40.
3. Next, enter your employer's name and Federal Employer Identification Number (FEIN). Include a contact person from your employer’s office along with their title and phone number for verification purposes.
4. In Section II, complete the affidavit by certifying that you are incurring employee business expenses. Check all applicable boxes regarding reimbursement status.
5. Sign and date the affidavit after printing it. Proceed to Section III for notarization; ensure a licensed Notary Public signs and seals the document.
6. For Section IV, list each claimed expense in detail, including descriptions and amounts. Attach photocopies of receipts as required.
7. Finally, submit your completed form either by mailing it to the Pennsylvania Department of Revenue or faxing it using a DEX-93 cover sheet for quicker processing.

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