Tax certification statement 2026

1. Click ‘Get Form’ to open the Tax Certification Statement in the editor.
2. Begin by entering the LICENSEE (APPLICANT) NAME in the first field. Ensure that you provide the full name as it appears on your license.
3. In the next section, input your TRADE/FICTITIOUS NAME if applicable. This should match any registered names with the Pennsylvania Department of State.
4. Fill in your LICENSED ADDRESS, including street, rural route, or P.O. Box number. Make sure this address is accurate as per your application.
5. Select the TYPE OF APPLICATION FILED: NEW, TRANSFER, or OTHER. This helps categorize your submission correctly.
6. Provide the NAME OF MANAGEMENT COMPANY and specify its TYPE OF ENTITY (e.g., Sole Proprietor, Corporation).
7. Complete all required fields for state tax identification numbers (Sales Tax License, Employer ID, etc.) ensuring no blanks are left.
8. Finally, sign and date the form in the AFFIRMATION section to confirm that all information is accurate and complete.

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