Employer Letter Template (REV-757) - Pennsylvania Department of Revenue 2026

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The document is a Personal Income Tax Employee Business Expense Affidavit (Form REV-775) used by employees in Pennsylvania who cannot provide their employer's reimbursement policy or documentation for business expenses. It requires personal and employer information, an affidavit confirming the incurred expenses, and a summary worksheet for detailing claimed expenses. The form must be notarized and submitted with supporting receipts to the Pennsylvania Department of Revenue.

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Click ‘Get Form’ to open the Employer Letter Template (REV-757) in the editor.
Begin by filling out Section I: General Information. Enter your name, Social Security Number (SSN), and the tax year. Provide the primary taxpayer's name and SSN as shown on the PA-40, followed by your employer's name and Federal Employer Identification Number (FEIN).
In Section II, complete the employer contact details including their title and phone number. This ensures there is a point of contact for verification.
Proceed to the affidavit section. Confirm that you have incurred employee business expenses as indicated, check applicable reimbursement options, and sign the form. Remember to date it appropriately.
In Section III, provide a detailed summary of your claimed expenses. List each expense along with its description and amount. Ensure you have photocopies of receipts ready to support your claims.

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Versions	Form popularity	Fillable & printable
2022	4.8 Satisfied (30 Votes)
2019	4.8 Satisfied (36 Votes)
2018	4.4 Satisfied (199 Votes)
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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the PA UE form?

You can claim a deduction for an unreimbursed employee business expense by filing a PA Schedule UE, Allowable Employee Business Expenses form along with your PA-40 Personal Income Tax Return.

Why am I getting a letter from the PA Department of Revenue?

The Department of Revenue sends letters to taxpayers when you have a credit on an account, owe money, or we closed an account of yours. We may also request more information about refund petitions, audits, or tax return errors. Taxpayers with Philadelphia Tax Center accounts can securely communicate with us online.

Who qualifies for unreimbursed employee expenses?

Unreimbursed Employee Expenses Armed Forces reservists. Qualified performing artists. Fee-basis state or local government officials. Employees with impairment-related work expenses.

Who qualifies for pa tax forgiveness credit?

Retired persons and individuals that have low income and did not have PA tax withheld may have their PA tax liabilities forgiven. For example, a family of four (couple with two dependent children) can earn up to $34,250 and qualify for Tax Forgiveness.

What forms do new employees need to fill out in pa?

Pennsylvania New Hire Paperwork I-9 form for employee eligibility requirements. W-4 form for federal tax reporting. Pennsylvania New Hire Reporting form. Disability Self-Identification (required for companies doing business with the government)

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What is an assessment notice from PA Department of Revenue?

Your Notice of Assessment specifies the time in which an appeal must be filed with the Board of Appeals. Petitions for refund must be filed within the timeframe provided by the statute governing the tax requested for refund.

What is a pa Schedule UE tax form?

PURPOSE OF SCHEDULE Use PA-40 Schedule UE to report unreimbursed employee business expenses incurred in the performance of the duties of the taxpayers job or profession. Refer to the PA Personal Income Tax Guide Gross Com- pensation section for additional information. Show money amounts in whole-dollars only.

What is a letter from the Department of Revenue?

Most IRS letters and notices are about federal tax returns or tax accounts. Each notice deals with a specific issue and includes any steps the taxpayer needs to take. A notice may reference changes to a taxpayers account, taxes owed, a payment request or a specific issue on a tax return.

Employer Letter Template (REV-757) - Pennsylvania Department of Revenue 2026

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