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Get Rev 1706 2022-2024

GOV NAME DAYTiME TElEPHONE EXT. SSN SiGNATURE/TiTlE EMAil ADDRESS PLEASE SIGN AFTER PRINTING Reset Entire Form NEXT PAGE PRINT InstRuctIons foR complEtIng thE BusInEss/account cancEllatIon foRm REV-1706 This form must be completed if the business was discontinued sold or ceased operations in Pennsylvania. e-TIDES users may make changes directly to their accounts at www. REV-1706 buSINESS/ACCOuNT CANCELLATION fORm TR 03-17 LEGAL NAmE TRADE NAmE SECTION I. SAlES TAX ACCOUNT iD ENTITy ID EIN/SSN o BUSiNESS DiSCONTiNUED o NO TAXABlE SAlES FOR MM/DD/YY o STATE/lOCAl TAX AFTER DATE o PHilADElPHiA lOCAl TAX AFTER o AllEGHENY COUNTY lOCAl TAX AFTER STATE/LOCAL SALES TAx LICENSE CANCELLATION INfORmATION Sales Tax License is Non Transferable REPORTiNG AND PAYiNG UNDER ANOTHER ACCOUNT iD NUMBER ACCOUNT iD OTHER REASONS o PHILADELPHIA LOCAL TAX ALLEGHENY COUNTY LOCAL TAX EmpLOyER wIThhOLDING TAx CANCELLATION INfORmATION EMPlOYER wiTHHOlDiNG TAX REASON FOR FiNAl CANCEllATiON MM/DD/YY BUSiNESS ClOSED OR SOlD NO lONGER HAS EMPlOYEE S SUBjECT TO PA PERSONAl iNCOME TAX OTHER SECTION III. LOCAL - Complete this section to advise the department that a business to local sales tax - No longer reports use tax on property used or services provided within Philadelphia or Allegheny County on which no local sales tax was paid or subject to PA personal income tax complete this section. Provide the reason for the cancellation and the required cancellation dates on this form. If the EIN is changed by the Internal Revenue Service a new registration pA-100 must be completed. pubLIC TRANSpORTATION ASSISTANCE pTA fuND TAxES fEES/VEhICLE RENTAL TAx VRT. pubLIC TRANSpORTATION ASSISTANCE fuND TAxES AND fEES/VEhICLE RENTAL TAx INfORmATION pTA License is Non Transferable PTA TAX ACCOUNT iD VEHiClE RENTAl TAX iNFORMATiON SECTION IV. CIGARETTE DEALER S LICENSE CANCELLATION INfORmATION Cigarette Dealer s License is Non-Transferable CiGARETTE DEAlER S liCENSE NUMBER FAX OR EMAil TO FAX 717-787-3708 EMAil RA-BTFTREGiSFAX PA. etides. state. pa*us by using the Enterprise maintenance function* This form should be used for state/local sales/use tax employer withholding tax Public Transportation Assistance Fund taxes and fees vehicle rental tax and cigarette dealer s licenses. when using this form for multiple taxes the Account iD Numbers for the corresponding taxes must be entered* SECTION I. STATE/LOCAL SALES TAx pENNSyLVANIA - Complete this section to cancel a state sales tax license when a business - was discontinued sold or ceased operations in Pennsylvania - No longer makes taxable sales rentals or leases - No longer provides taxable services in Pennsylvania or - Reports and pays under another Account iD Number. if the business no longer has sales rentals or leases subject to PTA/VRT taxes and fees or the sales tax license was cancelled indicate business-discontinued date on the form* if the business reports under another Account iD Number indicate the new Account iD Number on the form* if cigarettes are no longer sold or if the sales tax license was cancelled complete this information and indicate the date the business ceased selling cigarettes.

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