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Tax certification statement 2026
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- Click ‘Get Form’ to open the Tax Certification Statement in the editor.
- Begin by entering the LICENSEE (APPLICANT) NAME in the first field. Ensure that you provide the full name as it appears on your license.
- In the next section, input your TRADE/FICTITIOUS NAME if applicable. This should match any registered names with the Pennsylvania Department of State.
- Fill in your LICENSED ADDRESS, including street, rural route, or P.O. Box number. Make sure this address is accurate as per your application.
- Select the TYPE OF APPLICATION FILED: NEW, TRANSFER, or OTHER. This helps categorize your submission correctly.
- Provide the NAME OF MANAGEMENT COMPANY and specify its TYPE OF ENTITY (e.g., Sole Proprietor, Corporation).
- Complete all required fields for state tax identification numbers (Sales Tax License, Employer ID, etc.) ensuring no blanks are left.
- Finally, sign and date the form in the AFFIRMATION section to confirm that all information is accurate and complete.
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