Rev 1176-2026

1. Click ‘Get Form’ to open rev 1176 in the editor.
2. Begin by entering the Business Name in the designated field. Ensure that it matches the name registered in e-TIDES.
3. Select the appropriate Tax Type, such as Sales & Use Tax or Employer Withholding, and fill in your EIN and Account Number accurately.
4. Provide your Requester Contact Information, including your User ID, Email Address, Telephone Number, and Fax Number if applicable.
5. Indicate whether you want to add as an Additional Filer by selecting 'YES' or 'NO'. Remember that this form will remove the previous administrator from the account.
6. Sign the form digitally within our platform before printing it out for submission.
7. Once completed, you can email the form to ra-btftebusiness@pa.gov or fax it to 717-787-0145. Alternatively, mail it to the provided address.

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