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Illinois Department of Financial and Professional Regulation Division of Insurance 320 W. Washington Street Springfield, IL 62767 www.idfpr.com Public Adjuster License ApplicationPA1 Instructions:
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0169 pa-1 is a form used to report Pennsylvania income tax withheld on nonresident employees or businesses.
Employers who have nonresident employees or do business in Pennsylvania and withhold income tax from their wages are required to file 0169 pa-1.
To fill out 0169 pa-1, you will need to provide information about the nonresident employees or businesses, the amount of income tax withheld, and other relevant details.
The purpose of 0169 pa-1 is to report and remit Pennsylvania income tax withheld from nonresident employees or businesses.
The information that must be reported on 0169 pa-1 includes the names and Social Security numbers of nonresident employees, the total amount of Pennsylvania income tax withheld, and other required details.
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