
PA PA-8879 2004 free printable template
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Form PA-8879 Pennsylvania e-file Signature Authorization Declaration Control Number DCN Taxpayer s Name Social Security Number Spouse s Name Spouse s Social Security Number PART I Tax Return Information Tax Year Ending December 31 2004 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. Refund Form PA-40 line 29. 4. 5. Total Payment Tax Due Form PA-40 line 27. 5. PART II...
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How to fill out PA PA-8879

How to fill out PA PA-8879
01
Start by downloading the PA-8879 form from the Pennsylvania Department of Revenue website.
02
Enter your name, Social Security number, and address in the designated fields.
03
Provide the name and identification number of the entity for which you are filing.
04
Fill in the tax year you are filing for in the appropriate section.
05
Complete the signature section, including your signature and the date.
06
Review the form for any errors or omissions.
07
Submit the form to the Pennsylvania Department of Revenue as instructed on the form.
Who needs PA PA-8879?
01
Individuals or businesses in Pennsylvania who wish to authorize an Electronic Filing Service Provider (EFSP) to electronically file their tax returns must submit the PA-8879 form.
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What is pa form?
Prior authorization (prior auth, or PA) is a management process used by insurance companies to determine if a prescribed product or service will be covered. This means if the product or service will be paid for in full or in part.
How long does the PA authorization take?
The patient and the prescribing/rendering provider should receive a written response to a request for Prior Authorization/Program Exception (for a patient under 21 years of age) within 21 days.
What is a pre authorization form?
Prior authorization—sometimes called precertification or prior approval—is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.
What is the purpose of pre-authorization?
The prior authorization process gives your health insurance company a chance to review how necessary a medical treatment or medication may be in treating your condition. For example, some brand-name medications are very costly.
What is an example of pre-authorization?
For example, your health plan may require prior authorization for an MRI, so that they can make sure that a lower-cost x-ray wouldn't be sufficient. The service isn't being duplicated: This is a concern when multiple specialists are involved in your care.
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What is PA PA-8879?
The PA PA-8879 is a Pennsylvania state form used to authorize an electronic filing of a Pennsylvania personal income tax return.
Who is required to file PA PA-8879?
Taxpayers who are filing their Pennsylvania personal income tax returns electronically are required to file the PA PA-8879 form.
How to fill out PA PA-8879?
To fill out the PA PA-8879, provide necessary personal information, including your name, Social Security number, and the tax year, and then sign and date the form to authorize the e-filing.
What is the purpose of PA PA-8879?
The purpose of the PA PA-8879 is to serve as an electronic signature and authorization for the e-filing of Pennsylvania personal income tax returns.
What information must be reported on PA PA-8879?
The PA PA-8879 must report the taxpayer's name, Social Security number, tax year, and the electronic signature of the taxpayer.
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