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Pennsylvania Free Printable Employer Letter Template (REV-757) for 2024 Pennsylvania Employer Letter Template (PA Certification of Business Expenses)

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Employer Letter Template (PA Certification of Business Expenses)
Employer Letter Template (REV-757)

REV-757 (EX) 04-23 BUREAU OF INDIVIDUAL TAXES PO BOX 280501 HARRISBURG PA 17128-0501 EMPLOYER LETTER TEMPLATE This publication provides employers with a template letter they can use in situations where they are being required to provide certification of employee business expenses. This template must be submitted on company letterhead. Please ensure the taxpayer’s full name and address are included on the template. Options for Providing the Information Taxpayers can submit certification letters to the department through various channels. The letter can be submitted through the department’s website at [email protected]. If submitted via fax or mail, please use a DEX-93, Personal Income Tax Correspondence Sheet, and fax it to 717-783-5823 or email it to [email protected]. If mailing, use the following address and include a copy of the notice issued by the department: PENNSYLVANIA DEPARTMENT OF REVENUE PO BOX 280501 HARRISBURG PA 17128-0501 NOTE: The department encourages taxpayers to submit responses via myPATH. Correspondence submitted through myPATH will post to the taxpayer’s account immediately. When accessing the site, select the Respond to a Letter link, located in the Additional Services panel. To learn more about allowable employee business expenses, how employees can properly request expense deductions and to make sure your company policies meet Pennsylvania guidelines, we suggest reading REV-489, Tips for Successfully Filing PA Schedule UE. You should encourage your employees to also read this publication, so they know and understand their responsibilities. Reset Entire Form TOP OF PAGE NEXT PAGE PRINT START ➜ Date: Taxpayer Name: Pennsylvania Department of Revenue PO Box 280501 Harrisburg PA 17128-0501 Email: [email protected] Fax: 717-783-5823 Address: We are providing this letter in connection with your review of the tax return for __________________________________________________ for __________________________________________________. Accordingly, we confirm to the best of our knowledge and belief, the following: The employee was not required to incur business expenses as part of their employment with our company. The employee was required to incur expenses but was reimbursed for those expenses that related to their employment with our company. The employee was required to incur business expenses as a condition of their employment; AND (check all the apply) The employee was not reimbursed for any expenses. The employee received a fixed mileage allowance that was not included in compensation. The employee received a fixed mileage allowance that was included in compensation. The employee received a per-diem expense allowance that was not included in compensation. The employee received a per-diem expense allowance that was included in compensation. The following is a listing of business expenses, required as a condition of employment and the amounts of any reimbursements or allowances (add additional lines or pages if needed). REQUIRED EXPENSE(S) Employer Representative Name (Please Print) AMOUNTS REIMBURSED Employer Signature PLEASE SIGN AFTER PRINTING FEIN Reset Entire Form Phone Number PREVIOUS PAGE Date MM/DD/YYYY PRINT
Extracted from PDF file 2023-pennsylvania-form-rev-757.pdf, last modified January 2016

More about the Pennsylvania Form REV-757 Other TY 2023

This publication provides employers with a template letter they can use in situations where they are being required to provide certification of employee business expenses. This template must be submitted on company letterhead. Please ensure the taxpayer’s full name and address are included on the template.

We last updated the Employer Letter Template (PA Certification of Business Expenses) in February 2024, so this is the latest version of Form REV-757, fully updated for tax year 2023. You can download or print current or past-year PDFs of Form REV-757 directly from TaxFormFinder. You can print other Pennsylvania tax forms here.


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Other Pennsylvania Other Forms:

TaxFormFinder has an additional 174 Pennsylvania income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form PA-1000 Property Tax or Rent Rebate Claim
Form PA-1000 Booklet Property Tax or Rent Rebate Program Instruction Booklet
Form PA-1000 RC PA Rent Certificate - PA Rent Certificate and Rental Occupancy Affidavit (PA Property Tax/Rent Rebate)
Form REV-1176 E-TIDES Administrative Access Change Request Form
Form REV-181 Application for a PA Tax Clearance Certificate

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 REV-757 from the Department of Revenue in February 2024.

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Historical Past-Year Versions of Pennsylvania Form REV-757

We have a total of nine past-year versions of Form REV-757 in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2023 Form REV-757

Employer Letter Template (REV-757)

2022 Form REV-757

Employer Letter Template (REV-757)

2021 Form REV-757

Employer Letter Template (REV-757)

2020 Form REV-757

Employer Letter Template (REV-757)

2019 Form REV-757

Employer Letter Template (REV-757)

2017 Form REV-757

Employer Letter Template (REV-757)

2016 Form REV-757

Employer Letter Template (REV-757)

Forms/Publications 2015 Form REV-757

Employer Letter Template (REV-757)


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