This is a PA Department of Revenue Employer Deposit Statement of Withholding Tax form (PA-501) from July 2003. The form is used for reporting total compensation subject to PA tax and PA 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. The form instructs not to use red ink or pencil and not to make corrections to preprinted information. It also notes that if payment is remitted by EFT or credit card, the form should not be filed.
documents/EFTA01219715.pdf
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