Form residency certification 2011-2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your personal information in the 'Employee Information' section. Fill in your name, social security number, and complete address without using PO Boxes.
3. Provide your daytime phone number, municipality, county, resident PSD code, and total resident EIT rate as required.
4. Next, move to the 'Employer Information' section. Enter the employer's business name and FEIN, followed by the work location address details.
5. Complete the work location municipality, county, work location PSD code, and non-resident EIT rate fields.
6. Finally, review all entered information for accuracy. Sign the form under 'Certification', include your phone number and date of signing.

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