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CLGS326 (05/17)RESIDENCY CERTIFICATIONFORM Local Earned Income Tax Withholding TO E M P L O Y E R S / TA X PAY E R S : This form is to be used by employers and taxpayers to report essential information
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How to fill out pennsylvania residency certification form

01
To fill out the Pennsylvania Residency Certification Form, follow these steps:
02
Start by entering your full name and address in the designated fields.
03
Provide your Social Security Number (SSN) or Federal Tax Identification Number (FTIN).
04
Indicate your date of birth.
05
Check the appropriate box to confirm your residency status.
06
If applicable, provide the name and address of your business or employer.
07
Sign and date the form to certify the accuracy of the information provided.
08
Submit the completed form according to the instructions provided.

Who needs pennsylvania residency certification form?

01
Anyone who resides in Pennsylvania and needs to provide proof of their residency may need to fill out the Pennsylvania Residency Certification Form.
02
This form is often required for various purposes, such as obtaining a driver's license, registering to vote, applying for state benefits, or fulfilling residency requirements for educational institutions.
03
Additionally, individuals who have recently moved to Pennsylvania or have undergone a change in residency may also need to complete this form to establish their new residency within the state.
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The Pennsylvania residency certification form is a document used to certify an individual's residency status within the state of Pennsylvania.
Individuals who are residents of Pennsylvania for tax purposes are required to file the residency certification form.
The residency certification form should be filled out by providing personal information such as name, address, social security number, and residency status.
The purpose of the residency certification form is to verify an individual's residency status for tax purposes.
The residency certification form requires information such as name, address, social security number, and residency status.
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