Form Rev-459 - Pa S Corporations Only Change Form

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REV-459 (9-05)
ESTATES, TRUSTS, PARTNERSHIPS, LIMITED LIABILITY COMPANIES, ASSOCIATIONS,
PA DEPARTMENT OF REVENUE
PA S CORPORATIONS ONLY CHANGE FORM
BUREAU OF INDIVIDUAL TAXIES
Please print or type your correct information
PO BOX 280510
Use this form ONLY if the information on your PA-40ES form is incorrect
HARRISBURG PA 17128-0510
This taxpayer is - fill in one oval:
Estate
Trust
Partnership
PA S Corporation
Limited Liability Company
Association
Type of change - fill in all that apply:
Employer Identification Number
Name
Address
INSTRUCTIONS:
IMPORTANT: The Bureau of Individual Taxes will make all the changes that you
request. However, the Bureau will only send new PA-40ES forms if you change
1. Fill in the oval for the type of entity.
your name or Employer Identification Number. If only changing the address, the
2. Enter the CORRECT and INCORRECT information in the spaces provided.
bureau will correct the account, but please continue to use the PA-40ES forms that
show the correct EIN and name.
3. You must enter the Employer Identification Number, even if it is correct on
REMEMBER: Enter the suffix that follows the EIN on the PA-40ES form. Estates
your PA-40ES form.
and Trusts have an “F” suffix. Partnerships, Associations, Limited Liability
4. Fill in the appropriate oval(s) explaining the change(s) you are making.
Companies, and PA S corporations have a ”C” suffix. This letter code distinguish-
5. Mail the completed form to the address shown above.
es 9-digit Employer Identification Numbers from 9-digit Social Security Numbers.
IMPORTANT: WE CANNOT CORRECT YOUR ACCOUNT WITHOUT YOUR CORRECT EIN.
CORRECT Information
Enter the letter code (F or C) here ↓
INCORRECT Information
Enter the letter code (F or C) here ↓
Employer Identification Number
Employer Identification Number
Business Name
Business Name
Street Address
Street Address
City
State
Zip Code
City
State
Zip Code
Authorized Representative
Title
(PLEASE PRINT)
Signature
Date
Daytime
Telephone

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