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Pennsylvania Free Printable 2019 Pennsylvania Individual Income Tax Declaration for Electronic Filing (PA-8543) for 2021 Pennsylvania PA Individual Income Tax Declaration for Electronic Filing

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PA Individual Income Tax Declaration for Electronic Filing
2019 Pennsylvania Individual Income Tax Declaration for Electronic Filing (PA-8543)

START Declaration Control Number/Submission ID ➜ PA DEPARTMENT OF REVENUE USE ONLY – DO NOT WRITE OR STAPLE IN THIS SPACE PA-8453 2019 PENNSYLVANIA INDIVIDUAL INCOME TAX DECLARATION FOR ELECTRONIC FILING (EX) 09-19 (FI) For the year Jan. 1 – Dec. 31, 2019 Primary Taxpayer’s Social Security Number Last Name Print or Type Secondary Taxpayer’s Social Security Number Primary Taxpayer’s Name, Initial; Secondary Taxpayer’s First Name, Initial; Secondary Taxpayer’s Last Name (only if different) Home Address (Number and Street including Rural Route or P.O. Box) City, Town or Post Office Mark Proper Filing Status State ZIP Code The above information must match that on the electronic return exactly. ➧ S M SECTION I Single Married, Filing Separately J Married, Filing Jointly TAX RETURN INFORMATION D F Deceased Final Return Daytime Telephone Number NO DASHES (whole dollars only) 1. Adjusted PA taxable income (Form PA-40, Line 11) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1. 2. PA tax liability (Form PA-40, Line 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2. 3. Total PA tax withheld (Form PA-40, Line 13) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3. 4. Amount to be refunded (Form PA-40, Line 30) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4. 5. Total payment (tax due) (Form PA-40, Line 28) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5. STAPLE COPY OF STATE W-2(s), W-2G and 1099(s) HERE SECTION II DIRECT DEPOSIT OF REFUND OR ELECTRONIC FUNDS WITHDRAWAL OF TAX DUE (optional - see instructions) The first two numbers of the RTN must be 01 through 12 or 21 through 32. 6. Routing transit number (RTN) 7. Depositor account number (DAN) 8. Type of account: Checking 9. Debit date SECTION III Savings MMDDYYYY DECLARATION OF TAXPAYERS (sign only after Section I is complete) a. I consent for my refund to be directly deposited as designated in Section II and declare all information shown on Lines 6 through 8 is correct. I certify the 10. ultimate destination of the funds is within the U.S. or one of its territories. If I have filed a joint return, this is an irrevocable appointment of the other Taxpayer as an agent to receive the refund. b. I am not receiving a refund or I do not want direct deposit of my refund. c. I authorize the Pennsylvania Department of Revenue and its designated financial agents to initiate an electronic funds withdrawal entry to my designated account for Pennsylvania taxes owed. I also authorize my financial institution to debit the entry to my account and the financial institutions involved in the processing of my electronic payment of taxes to receive confidential information necessary to answer inquiries and resolve issues related to my payment. I certify the funds for this withdraw are originating from an account within the U.S. or one of its territories. I may revoke this authorization by notifying the Pennsylvania Department of Revenue no later than two business days prior to the payment (settlement) date. I understand notification must be made in writing by email to [email protected] or fax to 717-772-9310. If I have filed a balance-due return, I understand that if the PA Department of Revenue does not receive full and timely payment of my tax liability, I will remain liable for the tax and all applicable interest and penalties. If I have filed a joint federal and state tax return and there is an error on my state return, I understand my federal return will be rejected. I declare under penalties of perjury that I have compared the information on my return with the information I provided to my electronic return originator and the amounts match those on my 2019 PA Tax Return (PA-40). To the best of my knowledge, my return is true and complete. I authorize my electronic return originator to send my return and accompanying schedules and statements to the Internal Revenue Service (IRS) and the IRS to subsequently send them to the PA Department of Revenue. In addition, by using a computer system and software to prepare and transmit my return electronically, I consent to the disclosure of all information pertaining to my use of the system and software and to the transmission of my tax return electronically to the PA Department of Revenue. If I am filing from a home computer, I understand that I am required to keep this form and supporting documents for three years. MMDDYYYY P E N N S Y L V A N I A MMDDYYYY ➧ ➧ Signature of Primary Taxpayer – Please sign after printing Signature of Secondary Taxpayer – Please sign after printing Sign Primary Taxpayer Date Secondary Taxpayer Date Here SECTION IV DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PAID PREPARER (see instructions) I declare that I have received the above-named taxpayer’s return and that the entries on this form are complete and correct to the best of my knowledge. I obtained the taxpayer’s signature on this form before submitting this return to the PA Department of Revenue. I provided the taxpayer with a copy of all forms and information to be filed with the IRS and the PA Department of Revenue and followed all other requirements specified by the PA Department of Revenue and described in the IRS Publication 1345, Handbook for Electronic Filers of Individual Tax Returns (Tax Year 2019). If I am the preparer, under penalty of perjury, I declare that I examined the above-named taxpayer’s return and accompanying schedules and statements, and to the best of my knowledge, they are true and complete. I understand that I am required to keep this form and supporting documents for three years. ERO’s Use Only Paid Preparer’s Use Only ERO’s signature ➧ Date MMDDYYYY Mark if also paid preparer Signature of ERO – Sign after printing Firm’s name (or yours, if self-employed) and address Preparer’s signature ➧ Firm’s name (or yours, if self-employed) and address ➧ CITY Date ZIP CODE STATE MMDDYYYY Mark if also paid preparer NO DASHES Daytime Telephone Number EIN/SSN or PTIN Mark if self-employed FIRM NAME AND ADDRESS STATE ZIP CODE KEEP THIS FORM AND THE REQUIRED ATTACHMENTS FOR THREE YEARS. TOP OF PAGE EIN/SSN or PTIN FIRM NAME AND ADDRESS CITY ➧Signature of Preparer – Please sign after printing Reset Entire Form Mark if self-employed NO DASHES Daytime Telephone Number Please DO NOT mail this form. NEXT PAGE PRINT THIS PAGE DOES NOT PRINT Pennsylvania Department of Revenue 2019 Instructions for PA-8453 Individual Income Tax Declaration for Electronic Filing PA-8453 IN (EX) 09-19 FILING OF FORM PA-8453 LINE 1 If a taxpayer elects not to use the federal self-select PIN or a return is filed without a federal return, electronic return originators (EROs) and trans-mitters must retain completed Forms PA-8453 and supporting documents for three years after the due date of the return or the date the return was filed electronically, whichever is later. EROs and transmitters must make the documents available to the PA Department of Revenue upon request. Do not mail Form PA-8453 and attachments to the PA Department of Revenue unless requested. Enter adjusted PA taxable income from Line 11, Form PA40. NOTE: If an ERO or transmitter closes its business, it must mail all forms to the following address with a letter of explanation. PA DEPARTMENT OF REVENUE BUREAU OF INDIVIDUAL TAXES ELECTRONIC FILING SECTION PO BOX 280507 HARRISBURG PA 17128-0507 Any taxpayer filing electronically from a home computer must keep the signed Form PA-8453 and supporting documents for three years after the due date of the return or the date the return was filed electronically, which-ever is later. Taxpayers must make the documents available to the PA Department of Revenue upon request. Do not mail Form PA-8453 and attachments to the PA Department of Revenue unless requested. LINE INSTRUCTIONS SUBMISSION ID The Submission ID is a 20-digit number assigned by the ERO to a taxpayer’s return. NAME, ADDRESS AND SOCIAL SECURITY NUMBER Print or type the taxpayer’s name (last name first) and complete address including ZIP code. In the spaces provided, enter the taxpayer’s Social Security number and that of the spouse, if applicable. If a husband and wife use different last names, please separate the names. For example, Paul A. Smith and Joan A. Weston would be Smith, Paul A. and Joan A. Weston. LINE 2 Enter PA tax liability from Line 12, Form PA-40. LINE 3 Enter total PA tax withheld from Line 13, Form PA-40. LINE 4 Enter the amount to be refunded from Line 30, Form PA-40. LINE 5 Enter total payment (tax due), from Line 28, Form PA-40. Taxpayers are responsible for submitting payment due to the PA Department of Revenue by April 15, 2020. Payment may be sent along with Form PA-40 V. If Form PA-40 V was not received, it may be completed online, printed and mailed to the department with payment. Check or money order should be made payable to the PA Dept. of Revenue. The last four digits of the taxpayer’s Social Security number, “2019 PA-40 V” and daytime telephone number should be written on the payment. PA DEPT. OF REVENUE PAYMENT ENCLOSED 1 REVENUE PLACE HARRISBURG PA 17129-0001 SECTION II DIRECT DEPOSIT OF REFUDN OR ELECTRONIC FUNDS WITHDRAWAL Taxpayers may elect to have refunds directly deposited or payments made by electronic funds withdrawal by completing Section II. The address on this form must match the address on the electronically filed PA-40. LINE 6 SECTION I The routing transit number (RTN) must contain nine digits. If the RTN does not begin with 01 through 12, or 21 through 32, the direct deposit or electronic funds withdrawal request will be rejected. TAX RETURN INFORMATION www.revenue.pa.gov PREVIOUS PAGE PA-8453 NEXT PAGE 1 LINE 7 The depositor account number (DAN) may contain up to 17 alphanumeric characters. Include hyphens but omit spaces and special symbols. If fewer than 17 characters, enter the number from left to right and leave the unused boxes blank. LINE 8 Mark the appropriate box. LINE 9 Debit Date - Enter the date the taxpayer wants the payment electronically withdrawn, on or before April 15, 2020. NOTE: The account cannot include the name of any other person unless the taxpayer’s filing status on the return is “married filing jointly” or “married filing separately,” and the taxpayer’s spouse is the other name listed on the account. Some financial institutions do not permit the deposit of a joint refund in an individual account. The PA Department of Revenue is not responsible when a financial institution refuses a direct deposit. To be eligible for direct deposit or electronic funds withdrawal, taxpayers must provide proof of account owner-ship to the ERO. An acceptable proof of account ownership is a check, form, report or other statement generated by the financial institution that has the taxpayer’s name, RTN and DAN preprinted on it. For accounts payable through a financial institution other than the one at which the account is located, the taxpayer must provide a document, such as an account statement or identification card, showing the RTN of the bank or institution where the account is located. A deposit slip should not be used to verify RTN or DAN because it can contain internal routing numbers that are not part of the RTN. If there is any doubt about the correct RTN, the taxpayer should contact the financial institution for assistance. 2 PA-8453 PREVIOUS PAGE NOTE: Some financial institutions may not accept direct deposits into accounts payable through another bank or financial institution, including credit unions. SECTION III DECLARATION OF TAXPAYER LINE 10 All filers must mark one of the boxes. NOTE: Taxpayers may revoke the electronic funds withdrawal authorization by notifying the PA Department of Revenue in writing no later than two business days prior to the debit date. Written requests to revoke the electronic funds withdrawal must include the taxpayer’s name, address, Social Security number, RTN, DAN and payment amount. Written requests can be faxed to 717-772-9310 or emailed to [email protected] After a return has been prepared and before the return is transmitted, the taxpayer (or both taxpayers, if filing jointly) must verify the information on the return and sign and date the completed Form PA-8453. If you are responsible for the affairs of a minor, disabled person, or a decedent who could not prepare his or her own PA tax return, you must sign to file a valid tax return. The ERO must provide the taxpayer with a copy of this form. If the ERO makes changes to the electronic return after the Form PA-8453 has been signed by the taxpayer, but before it is transmitted, the ERO must have the taxpayer complete and sign a corrected Form PA-8453. SECTION IV DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PREPARER The ERO must sign this form and keep it with the required attachments for three years. A preparer must sign the Form PA-8453 in the space for Preparer. If the preparer is also the ERO, do not complete the Preparer Section; instead, mark the box labeled “Mark if also paid preparer.” www.revenue.pa.gov RETURN TO FORM
Extracted from PDF file 2019-pennsylvania-form-pa-8453.pdf, last modified October 2012

More about the Pennsylvania Form PA-8453 Individual Income Tax

We last updated the PA Individual Income Tax Declaration for Electronic Filing in January 2020, and the latest form we have available is for tax year 2019. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Pennsylvania Department of Revenue. You can print other Pennsylvania tax forms here.


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Related Pennsylvania Individual Income Tax Forms:

TaxFormFinder has an additional 174 Pennsylvania income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Pennsylvania Form PA-8453.

Form Code Form Name
Form PA-8453-C PA Corporation Tax Declaration for a State e-file Report
Form PA-8453-F PA Fiduciary Income Tax Declaration for Electronic Filing
Form PA-8453-P PA S Corporation/Partnership Information Return - Directory of Corporate Partners Tax Declaration for a State E-File Return

Download all PA tax forms View all 175 Pennsylvania Income Tax Forms


Form Sources:

Pennsylvania usually releases forms for the current tax year between January and April. We last updated Pennsylvania Form PA-8453 from the Department of Revenue in January 2020.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Pennsylvania Form PA-8453

We have a total of nine past-year versions of Form PA-8453 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2019 Form PA-8453

2019 Pennsylvania Individual Income Tax Declaration for Electronic Filing (PA-8543)

2018 Form PA-8453

2018 Pennsylvania Individual Income Tax Declaration for Electronic Filing (PA-8453)

2017 Form PA-8453

2017 Pennsylvania Individual Income Tax Declaration for Electronic Filing (PA-8453)

2016 Form PA-8453

2016 PA Individual Income Tax Declaration for Electronic Filing (PA-8453)

Forms/Publications 2015 Form PA-8453

2015 PA Individual Income Tax Declaration for Electronic Filing (PA-8453)

2014 PA Individual Income Tax Declaration for Electronic Filing (PA-8453) 2014 Form PA-8453

2014 PA Individual Income Tax Declaration for Electronic Filing (PA-8453)

2013 PA Individual Income Tax Declaration for Electronic Filing (PA-8453) 2013 Form PA-8453

2013 PA Individual Income Tax Declaration for Electronic Filing (PA-8453)

2012 Pennsylvania Individual Income Tax Declaration for Electronic Filing (PA-8453) 2012 Form PA-8453

2012 Pennsylvania Individual Income Tax Declaration for Electronic Filing (PA-8453)

2011 Pennsylvania Individual Income Tax Declaration for Electronic Filing (PA-8453) 2011 Form PA-8453

2011 Pennsylvania Individual Income Tax Declaration for Electronic Filing (PA-8453)


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