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Residency certification form pa

Pa residency certification 2026

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The document is a Residency Certification Form for Local Earned Income Tax Withholding, intended for employers and taxpayers to report necessary information for the collection and distribution of local earned income taxes. It must be completed when hiring a new employee or when an existing employee changes their name or address. The form collects details about the employee's residence and employer's work location, including tax rates and PSD codes, and requires certification of the accuracy of the provided information.

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Click ‘Get Form’ to open the pa residency certification in the editor.
Begin by filling out the Employee Information section. Enter your full name, Social Security Number, and complete address (no PO Box). Ensure you include your municipality and county.
Next, provide your daytime phone number, resident PSD code, and total resident EIT rate. This information is crucial for accurate tax reporting.
Move on to the Employer Information section. Input the employer's business name and Federal Employer Identification Number (FEIN). Fill in the work location address details as you did for your residence.
Complete the remaining fields including municipality, county, work location PSD code, and non-resident EIT rate.
Finally, review all entered information for accuracy. Sign and date the form under the Certification section before submitting it.

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Versions	Form popularity	Fillable & printable
2017	4.8 Satisfied (229 Votes)
2013	4.4 Satisfied (474 Votes)
2011	4.3 Satisfied (58 Votes)
2011	4 Satisfied (56 Votes)

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