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Pennsylvania Free Printable Employer Letter Template (REV-757) for 2020 Pennsylvania Employer Letter Template

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Employer Letter Template
Employer Letter Template (REV-757)

REV-757 (EX) 05-18 (FI) 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 You may email, fax or mail the certification letter to the department. When emailing the certification letter, use a DEX-93, Personal Income Tax Correspondence Sheet and email it to [email protected] When faxing the certification letter, use a DEX-93, Personal Income Tax Correspondence Sheet and fax it to 717-783-5823. When mailing the certification letter, mail it to the department at: PENNSYLVANIA DEPARTMENT OF REVENUE PO BOX 280501 HARRISBURG PA 17128-0501 NOTE: Emailing or faxing the certification letter to the department reduces the processing time for a return. 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 brochure REV-637, Unreimbursed Allowable Employee Business Expenses for PA Personal Income Tax Purposes, and REV-489, Tips for Successfully Filing PA Schedule UE. You should encourage your employees to also read these publications, 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 2019-pennsylvania-form-rev-757.pdf, last modified January 2016

More about the Pennsylvania Form REV-757 Other TY 2019

We last updated the Employer Letter Template in March 2020, so this is the latest version of Form REV-757, fully updated for tax year 2019. 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.

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 REV-65 Board of Appeals Petition Form
Form REV-757 Employer Letter Template
Form RCT-112 Gross Receipts Tax (GRT) Report
Form RCT-121C Gross Premiums Tax Report
Form RCT-123 Gross Premiums Tax Report

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 March 2020.

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Historical Past-Year Versions of Pennsylvania Form REV-757

We have a total of five 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:


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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