Pennsylvania PA-40 ES Correction Form For Estates, Trusts, Partnerships, Limited Liability Companies, Associations, and PA S Corporations (REV-459)

PA-40 ES Correction Form For Estates, Trusts, Partnerships, Limited Liability Companies, Associations, and PA S Corporations (REV-459)
PA-40 ES Correction Form For Estates, Trusts, Partnerships, Limited Liability Companies, Associations, and PA S Corporations (REV-459)
REV-459 (07-12)
PA DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 280510
HARRISBURG PA 17128-0510

PA-40ES CORRECTION FORM FOR ESTATES, TRUSTS, PARTNERSHIPS,
LIMITED LIABILITY COMPANIES, ASSOCIATIONS, PA S CORPORATIONS
Please print or type your correct information
Use this form ONLY if the information on your PA-40ES form is incorrect

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
IMPORTANT: The Bureau of Individual Taxes will make all the changes that you
INSTRUCTIONS:
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 bureau will correct the account; please continue to use the PA-40ES forms
2. Fill in the appropriate oval(s) explaining the change(s) you are making.
originally issued.
3. Enter the CORRECT and INCORRECT information in the spaces provided.
REMEMBER: Enter the suffix that follows the EIN on the PA-40ES form. Estates and
trusts have an “F” suffix. Partnerships, associations, limited liability companies,
4. You must enter the Employer Identification Number.
and PA S corporations have a ”C” suffix. This letter code distinguishes 9-digit
Employer Identification Numbers from 9-digit Social Security numbers.
5. Mail the completed form to the address shown above.
IMPORTANT: WE CANNOT CORRECT YOUR ACCOUNT WITHOUT YOUR CORRECT EIN.

CORRECT Information
Employer Identification Number

Enter the letter code (F or C) here ↓

Business Name

Street Address
State

ZIP Code

City

State

Authorized Representative (PLEASE PRINT)
Signature

Enter the letter code (F or C) here ↓

Business Name

Street Address
City

INCORRECT Information
Employer Identification Number

Title
Date

Daytime
Telephone

ZIP Code

REV-459 (07-12)
PA DEPARTMENT OF REVENUE
BUREAU OF INDIVIDUAL TAXES
PO BOX 280510
HARRISBURG PA 17128-0510

I am changing (fill in all that apply):

PA-40ES CORRECTION FORM FOR INDIVIDUALS
Please print or type your correct information
Use this form ONLY if the information on your PA-40ES
form is incorrect
° Social Security Number
° Name
° Address

° Filing Status (fill in the oval for the correct status): ° Single
° Married, Filing Jointly
° Deceased - Date of Death:
INSTRUCTIONS:
1. Fill in the appropriate oval(s) explaining the change(s) you are making.
2. Enter the CORRECT and INCORRECT information in the spaces provided.
3. You must enter your Social Security number.
4. Mail the completed form to the address shown above.

° Married, Filing Separately

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
your name or Social Security number. If you are only changing your address,
the bureau will correct your account; please continue to use the PA-40ES forms
originally issued.

IMPORTANT: WE CANNOT CORRECT YOUR ACCOUNT WITHOUT YOUR CORRECT SSN.

CORRECT Information
Your Social Security number

INCORRECT Information
Social Security number

Also enter your spouse’s
Social Security number, if applicable
Name

Name

Street Address
City
Signature

Street Address
State

ZIP Code

° Final

City

State
Date

Daytime
Telephone

ZIP Code