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            IMPORTANT: FILL IN FORM MUST BE DOWNLOADED ONTO YOUR COMPUTER PRIOR TO COMPLETING

                                          PA S CORPORATION/PARTNERSHIP INFORMATION RETURN  
                                  (PA-20S/PA-65) - DIRECTORY OF CORPORATE PARTNERS (PA-65 
START PA-8453P (DR) 04-23                 CORP) TAX DECLARATION FOR A STATE E-FILE RETURN                                                            2023
                                                                                                                                Federal Employer Identification Number (FEIN)
Ü     For calendar year 2023 or tax year beginning MMDD      , 2023, ending                 MMDD         , 20_  ___
      Name of Entity 

      Entity Address                                                                                        City                            State         ZIP Code

      SECTION I            RETURN INFORMATION (Enter whole dollars only.)
      1. Calculate Adjusted/Apportioned Net Business Income (Loss) (PA-20S/PA-65, Section II, Line 2d)                           1. 
      2. Calculate Adjusted/Apportioned Net Business Income (Loss) (PA-20S/PA-65, Section II, Line 2h)                           2. 
      3. Total Other PA PIT Income (Loss) (PA-20S/PA-65, Section III, Line 9)                                                    3. 
      4. Total PA Income Tax Withheld (PA-20S/PA-65, Section V, Line 14c)                                                        4. 
      5. Total Corporate Net Income Tax Withholding For All Nonfiling Corporate Partners For This Entity (PA-65 Corp, Line 4).   5.

      SECTION II           DECLARATION OF GENERAL PARTNER, LIMITED LIABILITY COMPANY MEMBER, S CORPORATION  
                           OFFICER, AUTHORIZED PARTNER OR REPRESENTATIVE (Keep a copy of the entity’s return.)
      6.    I authorize the PA Department of Revenue and its designated financial institution to initiate an electronic funds withdrawal  from the account designated in the
      electronic portion of my 2023 PA S Corporation/Partnership Information Return (PA-20S/PA-65) or the Directory of Corporate Partners (PA-65 Corp) for payment of the state
      withholding liability owed on this return. I also authorize my financial institution to debit the entry to my account and the financial institutions involved in the processing of my
      electronic payment to receive confidential information necessary to answer inquiries and resolve issues related to my payment. I understand that the federal Office of Foreign
      Assets Control has imposed additional reporting requirements on all electronic banking transactions that directly involve a financial institution outside of the territorial jurisdiction 
      of the U.S. These transactions are called international ACH transactions (IAT). I understand that presently the PA Department of Revenue does not support IAT ACH debit
      transactions. I certify that the transactions do not directly involve a financial institution outside of the territorial jurisdiction of the U.S. at any point in the process. Under the
      terms of this authorization, I understand that I can revoke initiation of electronic funds withdrawal by notifying the PA Department of Revenue no later than two business days
      prior to the debit date. I understand that notification must be made by email to ra-achrevok@pa.gov or fax at 717-772-9310.
      If I file a balance-due return, I understand that if the PA Department of Revenue does not receive full and timely payment of my withholding liability, I will remain liable for the 
      withholding liability and all applicable interest and penalties. If I have filed a joint federal and state tax return and there is an error on my federal return, I understand my state 
      return will be rejected. If any return is rejected or if any other delay in filing occurs, I understand that I will remain liable for all applicable penalties and interest. 
      Under penalties of perjury, I declare I am a general partner, limited liability company member, S corporation officer, authorized partner or representative of the above entity and 
      the information I have given my electronic return originator (ERO) and/or transmitter and the amounts in Part I above agree with the amounts on the corresponding lines of the 
      entity's 2023 PA S Corporation/Partnership Information Return (PA-20S/PA-65) or the Directory of Corporate Partners (PA-65 Corp). To the best of my knowledge and belief, 
      the entity’s return is true, correct and complete. I consent to my ERO and/or transmitter sending the entity’s return and accompanying schedules and statements to the Internal 
      Revenue Service (IRS) and subsequently by the IRS to the PA Department of Revenue. I also consent to the PA Department of Revenue sending my ERO and/or transmitter 
      through the IRS an acknowledgment of receipt of transmission and an indication of whether or not the entity’s return is accepted and, if rejected, the reason(s) for the rejection.
      SIGN        Authorized Signature                                                 Date MMDDYYYY Title                                           Social Security Number
      HERE  Á     Signature of Officer – Please sign after printing
                  Address                                                                            City                        State               ZIP Code

      SECTION III          DECLARATION OF ELECTRONIC RETURN ORIGINATOR (ERO) AND PAID PREPARER
      I declare I have reviewed the above-named entity’s return and the entries on Form PA-8453P are complete and correct to the best of my knowledge. I have obtained the 
      signature of a general partner, limited liability company member, S corporation officer, authorized partner or representative on this form before submitting the return to the PA 
      Department of Revenue, and I have provided the general partner, limited liability company member, S corporation officer, authorized partner or representative a copy of all 
      forms and information to be filed with the PA Department of Revenue. I have also followed all other requirements in IRS Pub. 3112, IRS e-file Application and Participation, 
      and Pub. 4163, Modernized e-File (MeF) Information for Authorized IRS e-file Providers of Forms 1065/1120S and requirements specified by the PA Department of Revenue. 
      If I am also the preparer, under penalties of perjury I declare I have examined the above-named entity’s return and accompanying schedules and statements, and to the best 
      of my knowledge they are true, correct and complete. I understand I am required to keep this form and the supporting documents for three years.
                  ERO’s Signature                                                      Date MMDDYYYY       Check if also         Check if            ERO’s PTIN
                                                                                                           paid preparer         self-employed
      ERO’S Á        Signature of ERO – Sign after printing
                  Firm’s Name (or yours if self-employed)                                                                                            FEIN
      USE 
      ONLY
                  Address                                                              City                        State         ZIP Code            Phone Number NO DASHES

      Under penalties of perjury, I declare that I have examined the above entity’s return and accompanying schedules and statements, and to the best of my knowledge and belief 
      they are true, correct and complete.
                  Preparer’s Signature                                                                   Date MMDDYYYY           Check if            Preparer’s PTIN
                                                                                                                                 self-employed
      PAID  Á     Signature of Preparer – Sign after printing
      PREPARER’S  Firm’s Name (or yours if self-employed)                                                                                            FEIN
      USE  
      ONLY        Address                                                              City                        State         ZIP Code            Phone Number NO DASHES

                          The ERO and paid preparer must retain this form and supporting documents for three years. 
                          DO NOT SUBMIT THIS FORM TO THE PA DEPARTMENT OF REVENUE UNLESS REQUESTED. 

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                                                                                                                2023 

                                             Instructions for PA-8453P 
                       PA S Corporation/Partnership Information Return (PA-20S/PA-65) 
                                                                  Directory of Corporate Partners (PA-65 Corp) 
PA-8453P IN (DR) 04-23                                              Tax Declaration for a State E-File Return 

                                                                    requirements on all electronic banking transactions that 
      PURPOSE OF FORM PA-8453P
                                                                    directly involve a financial institution outside of the 
If a general partner, limited liability company member, S           territorial jurisdiction of the U.S. These transactions are 
corporation officer, authorized partner or representative filing    called international ACH transactions (IAT). Presently, 
an entity’s return elects not to use the federal self-selected      the PA Department of Revenue does not support IAT 
PIN, or if the return is filed as a state stand-alone return, the   ACH debit transactions.  Taxpayers who instruct the 
PA Department of Revenue requires the electronic return             department to process electronic banking transactions 
originator (ERO) to complete and retain PA-8453-P and               on their behalf are certifying that the transactions do not 
supporting documents for three years after the due date of          directly involve a financial institution outside of the 
the return or the date the return was filed electronically,         territorial jurisdiction of the U.S. at any point in the 
whichever date is later. The ERO must make the documents            process. 
available to the PA Department of Revenue upon request. 
                                                                  Sign, date and include the Social Security number of the 
Do not mail PA-8453-P and attachments to the PA 
                                                                    authorized signature along with complete address and 
Department of Revenue unless requested. 
                                                                    ZIP code; 
                                                                  Keep a copy of the entity’s tax return; and 
             LINE INSTRUCTIONS
                                                                  Return the completed PA-8453-P to the ERO by hand 
The ERO must:                                                       delivery, U.S. mail, private delivery service or fax. 
Enter the calendar years where appropriate and the                NOTE: The ERO must receive the completed and 
  entity’s FEIN; and                                                signed PA-8453-P from the general partner, limited 
Enter the entity's name and complete address including          liability company member, S corporation officer, authorized 
  ZIP code.                                                       partner or representative before the electronic return is 
                                                                  transmitted or released for transmission.  -  
                       SECTION I                            
TAX RETURN INFORMATION                                                            SECTION III                              
The ERO must complete Section I using the amounts from            DECLARATION OF ELECTRONIC RETURN 
the entity’s 2023 tax return. Zeros may be entered when           ORIGINATOR AND PAID PREPARER 
appropriate.                                                      The PA Department of Revenue requires the ERO to sign 
                                                                  PA-8453-P and keep it and the supporting documents for 
                       SECTION II                                 three years from the return due date or the date the return 
                                                                  was filed electronically, whichever is later. 
DECLARATION AND SIGNATURE AUTHORIZATION OF 
GENERAL PARTNER, LIMITED LIABILITY COMPANY                        The ERO must: 
MEMBER, S CORPORATION OFFICER, AUTHORIZED                         Sign and enter the date, check box if also the paid 
PARTNER OR REPRESENTATIVE                                           preparer, check box if self-employed and enter ERO’s 
The general partner, limited liability company member, S            PTIN; 
corporation officer, authorized partner or representative         Enter the ERO’s firm name (not the name of the 
must:                                                               individual preparing the report); 
Verify the accuracy of the entity's prepared tax return;        Provide the general partner, limited liability company 
Check the box in Section II to authorize the PA                   member, S corporation officer, authorized partner or 
  Department of Revenue to initiate electronic funds                representative with a copy of the signed PA-8453-P 
  withdrawal, authorize the ERO to electronically file the          upon request; 
  entity’s tax return and consent to the ERO receiving            Provide the general partner, limited liability company 
  acknowledgment of receipt of transmission;                        member, S corporation officer, authorized partner or 
      IMPORTANT:  The federal Office of Foreign                     representative with a corrected copy of PA-8453-P if 
      Assets Control has imposed additional reporting               changes are made to the return; and 

www.revenue.pa.gov                                                                                              PA-8453P  1

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If the preparer is also the ERO, do not complete the 
  preparer section; instead check the box labeled “Check 
  if also paid preparer”. 
If the preparer is not the ERO then the preparer must: 
Sign and enter the date, check box if self-employed and 
  enter preparer’s PTIN; and 
Enter the paid preparer’s firm name and phone number.

2 PA-8453P                                                www.revenue.pa.gov

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