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How do I fill this out?
To fill out this application, begin by gathering all necessary business information. Carefully read each question and provide accurate details. Finally, review the completed application before submission.

How to fill out the Application for Pennsylvania Tax Clearance Certificate?
1
Gather the required documents and business information.
2
Complete each section of the application form accurately.
3
Ensure all signatures are present where required.
4
Review the form for any errors or missing information.
5
Submit the application to the appropriate department.
Who needs the Application for Pennsylvania Tax Clearance Certificate?
1
Business owners looking to dissolve their business in PA.
2
Foreign corporations wishing to withdraw from Pennsylvania.
3
Businesses applying for licenses that require tax clearance.
4
Companies involved in mergers who need clearance certificates.
5
Entities seeking to confirm their tax compliance status.
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What are the instructions for submitting this form?
To submit this form, send your completed application to the Pennsylvania Department of Revenue via mail at PO BOX 280947, Harrisburg PA 17128-0947. Alternatively, you may fax your application to the provided numbers if allowed. Ensure to keep a copy of your submission for your own records for future reference.
What are the important dates for this form in 2024 and 2025?
For 2024 and 2025 important filing deadlines for tax clearance applications will generally follow the same yearly schedule. Ensure to check with the Pennsylvania Department of Revenue for any changes to submission dates.

What is the purpose of this form?
The primary purpose of this form is to request a Tax Clearance Certificate from the Pennsylvania Department of Revenue. This certificate is often required for businesses looking to dissolve or withdraw in the state. It serves as proof that all tax obligations have been met and can facilitate the smooth transition during business closure or restructuring.

Tell me about this form and its components and fields line-by-line.

- 1. Name of Business: The official name under which the business operates.
- 2. Location of Business: The current mailing address, including city, county, and ZIP code.
- 3. Attorney or Representative: Contact details for the attorney or representative, if applicable.
- 4. Business Type: The legal structure of the business (e.g., corporation, partnership).
- 5. Business Activities: A description of the business activities conducted in Pennsylvania.
- 6. Employment Status: Information regarding employees and tax withholding.
- 7. Clearance Purpose: The reason for requesting the certificate.
- 8. Certification: Finishing up with a signature certifying accuracy.
What happens if I fail to submit this form?
Failing to submit this form can result in delays in processing your tax clearance. Consequently, this can hinder your ability to dissolve or withdraw your business legally. It is essential to ensure the form is filled out correctly and submitted on time.
- Delayed Business Dissolution: Your business may remain open longer than anticipated.
- Financial Penalties: Failure to clear up tax status may lead to fines.
- Legal Complications: Issues may arise if the proper steps for dissolution are not followed.
How do I know when to use this form?

- 1. Business Dissolution: When an owner decides to close the business legally.
- 2. Withdrawal of Corporation: For foreign corporations wishing to leave Pennsylvania.
- 3. Tax Clearance for Licensing: Often required for obtaining various business licenses.
Frequently Asked Questions
What is the purpose of this application?
This application serves as a request for a Tax Clearance Certificate in Pennsylvania.
Who needs to fill out this form?
Business owners and applicable entities looking for tax clearance are required to fill out this form.
How can I edit the PDF?
Use the editing tools available on PrintFriendly to make adjustments directly to the document.
Can I sign the PDF electronically?
Yes, PrintFriendly allows you to add an electronic signature to your document.
How do I submit this form?
You can submit this application by mailing it to the Pennsylvania Department of Revenue.
Is there a filing fee?
No, there is no filing fee required for this application.
What if I make a mistake on my application?
You can edit the PDF again before resubmitting it to correct any errors.
What is the timeline for processing this certificate?
The processing time may vary but generally takes several weeks.
Can I track my application status?
You can contact the Department of Revenue for updates on your application status.
What should I do if I need assistance?
Contact the Pennsylvania Department of Revenue for support with your application.
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