This document is a PA Department of Revenue Employer Deposit Statement of Withholding Tax. It includes fields for entity ID, account ID, type filer, interest rate, tax rate, deposit period ending, and due date, all of which are empty. It instructs to use black or blue ink and not to make corrections on the preprinted information. It also mentions that if payment is remitted by EFT or credit card, the form should not be filed. The document includes sections for total compensation subject to PA tax, PA withholding tax, less credits, plus interest, and payment, all of which are empty. The document is dated 0007.
documents/EFTA01219717.pdf
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