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                                                        (TR) 11-22 
                  REV-976
                  PA DEPARTMENT OF REVENUE                                                   ELECTION NOT TO BE TAXED  
                  PO BOX 280901 
                  HARRISBURG PA 17128-0901                                                   AS A PENNSYLVANIA 
                                                                                             S CORPORATION

                                                                                                                                                                                                                       Corporation is not subject to PA corporate 
                                                                                                                                                                                                                  net income tax; election is for PA resident 
START                                                                                                                                                                                                             shareholder purposes only.
Ü                                                                                                                               

                                                                                                                                                                                                                  Federal Employer Identification Number (FEIN) 

                                                                                                                                                                                                                  Pennsylvania Department of State Entity Number 

                                                                                                                                                                                                                       Election is to be first effective for: 
                                                                                                                                                                                                                  Tax year beginning:                MMDDYYYY  
      Please fill in Corporate Name, Address, City, State and ZIP Code above. 
                                                                                                                                    Election is for this corporation and its qualified subchapter S subsidiaries 
      as identified on the included schedule showing the names and                                                                                                                                                Tax year ending:                    MMDDYYYY
      FEIN or SSN of all subsidiaries.
(A) Name and address of each shareholder, member or partner having an  (B)                                                                                    Social Security                                     (C)                (D) We, the undersigned  
    interest in the corporation’s stock without regard to the manner in which                                                                                 Number or Federal                                   Percentage             shareholders, consent to the  
                                                                                                                                                                Employer                                               of            election of the corporation not  
    the stock is owned. If additional space is needed, complete a separate                                                                                      Identification                                         Stock             to be taxed as a  
    schedule and include it with this form.                                                                                                                     Number                                                 Owned             Pennsylvania S corporation.
                                                                                           You must provide your Social Security number so the department may 
    establish your identity and cross-reference other tax systems, as is 
    authorized under federal law, 42 U.S.C. § 405 (c).
Name                                                                                                                                                                                                                                 Signature/Date MMDDYYYY
Street                                                   City                                     State           ZIP Code 
                                                                                                                                                                                                                                     Please Sign after printing.
Name                                                                                                                                                                                                                                 Signature/Date MMDDYYYY
Street                                                   City                                     State           ZIP Code 
                                                                                                                                                                                                                                     Please Sign after printing.
Name                                                                                                                                                                                                                                 Signature/Date MMDDYYYY
Street                                                   City                                     State           ZIP Code 
                                                                                                                                                                                                                                     Please Sign after printing.
Name                                                                                                                                                                                                                                 Signature/Date MMDDYYYY
Street                                                   City                                     State           ZIP Code 
                                                                                                                                                                                                                                     Please Sign after printing.
Name                                                                                                                                                                                                                                 Signature/Date MMDDYYYY
Street                                                   City                                     State           ZIP Code 
                                                                                                                                                                                                                                     Please Sign after printing.
Name                                                                                                                                                                                                                                 Signature/Date MMDDYYYY
Street                                                   City                                     State           ZIP Code 
                                                                                                                                                                                                                                     Please Sign after printing.
Name                                                                                                                                                                                                                                 Signature/Date MMDDYYYY
Street                                                   City                                     State           ZIP Code 
                                                                                                                                                                                                                                     Please Sign after printing.
Name                                                                                                                                                                                                                                 Signature/Date MMDDYYYY
Street                                                   City                                     State           ZIP Code 
                                                                                                                                                                                                                                     Please Sign after printing.
 
                                                                                                                                                                                                                  Total = _____ 100%
The corporate statement must be signed by an authorized officer of the corporation. The                                                                          NAME OF CORPORATE OFFICER                      TELEPHONE NUMBER 
above-named corporation hereby elects not to be taxed as a Pennsylvania S corporation 
under Section 401 of the Tax Reform Code of 1971.                                                                                                             Á  SIGNATURE AND TITLE 
Under penalties of perjury, I declare that I have examined this Election Not To Be                                                                                                                                           Please Sign after printing.
Taxed As A Pennsylvania S  Corporation, and to the best of my knowledge and                                                                                      SOCIAL SECURITY NUMBER                              DATE
belief it is true, correct and complete.                                                                                                                                                                                                            MMDDYYYY

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                                                                    Instructions for REV-976 
REV-976 IN (TR) 11-22          Election Not to be Taxed as a Pennsylvania S Corporation  

                                                               payable to  the PA Department of Revenue. The  PA-
         GENERAL INFORMATION                                   40ESR (F/C) form can be downloaded from the depart-
Federal subchapter S corporations are no longer required       ment’s website at www.revenue.pa.gov or ordered by 
to file the REV-1640, Pennsylvania S Corporation Election      telephone at 1-888-PATAXES (728-2937). 
and Shareholders’ Consent, in order to be granted 
Pennsylvania S corporation status. Effective for tax years               QUALIFIED SUBCHAPTER 
beginning after Dec. 31, 2005, any corporation with a valid 
federal subchapter S corporation election will automatically                       S SUBSIDIARIES 
be a Pennsylvania S corporation. Any federal subchapter S      If a qualified subchapter S subsidiary and/or parent of a 
corporation that does not desire to be a Pennsylvania S        qualified subchapter S subsidiary, does not desire to be 
corporation must file REV-976, Election Not to be Taxed as     taxed as a Pennsylvania S corporation, the parent must 
a Pennsylvania S Corporation, on or before the due date or     file REV-976 for itself and all qualified subchapter S sub-
extended due date of the RCT-101, PA Corporate Net             sidiaries. The corporation must include a schedule with the 
Income Tax Report, for the first tax period in which the elec- election identifying the name, address and federal employ-
tion is to be in effect. This election must be signed by 100   er identification number of each qualified subchapter S sub-
percent of the shareholders of the S corporation and once      sidiary owned by the corporation and doing business in 
made cannot be revoked for five years. RCT-101 is due 30       Pennsylvania. 
days after the federal return. 
CAUTION: In cases where the taxpayer must file 
short period federal returns in relation to making the              PA RESIDENT SHAREHOLDERS 
election, the RCT-101 and REV-976 are due on the 30th          OF SUBCHAPTER S CORPORATIONS 
day following the due date of the applicable federal return.                 IN ANOTHER STATE
In the case of a federal subchapter S corporation not          Any federal subchapter S corporation that does not make this 
required to file RCT-101, does not do business in PA and is    election, and which does not do business nor is registered 
not registered to do business in PA, REV-976 must be filed     to do business in PA but has a PA resident shareholder, will 
30 days after the due date of the federal return (the due      be taxed as a Pennsylvania S corporation and will be 
date of RCT-101 if the corporation is required to file this    required to file PA-20S/PA-65. In addition, each resident 
report).                                                       shareholder will be subject to Pennsylvania personal 
NOTE: Subchapter S corporations are only required to           income tax on each shareholder’s pro rata share of the S 
file RCT-101 for tax years when they have built-in gains.      corporation income, whether distributed or not. 
Any federal subchapter S corporation doing business in 
Pennsylvania or registered to do business in PA that does                FILING THE ELECTION
not make this election will be taxed as a Pennsylvania S       For a federal subchapter S corporation conducting busi-
corporation and will be required to file PA-20S/PA-65, PA S    ness in Pennsylvania that is required to file RCT-101: The 
Corporation/Partnership Information Return. In addition,       due date for filing REV-976 is the due date or the extended 
each resident shareholder is subject to Pennsylvania per-      due date of RCT-101 for the first year for which the election 
sonal income tax on each shareholder’s pro rata share of       is to be in effect. 
the S corporation income, whether distributed or not. Each 
nonresident shareholder is subject to tax on the sharehold-    For a federal subchapter S corporation that is not required 
er’s personal income from sources within PA. Filing the        to file RCT-101, (does not do business in PA and is not 
RCT-101 is not required unless the corporation has federal     registered to do business in PA):  The due date for filing 
taxable built-in gains.                                        REV-976 is 30 days after the due date or the extended due 
                                                               date of the federal return. These corporations must check 
Partnership returns and Pennsylvania S corporations with       the box indicating “Corporation is not subject to PA 
taxable PA-sourced income are jointly liable with their non-   Corporate Net Income  Tax; election is for PA resident 
resident partners and shareholders for payment of tax on       Shareholder purposes only”. 
such income to the extent allocable to the nonresidents. 
Partnerships and S corporations are authorized and required    The REV-976 must be signed by 100 percent of the share-
to withhold this tax from its nonresident owners and remit     holders on the date of the election and sent via Fax or 
the tax to the PA Department of Revenue. The department        Email to: 
accepts through the MeF Fed/State program the electronic       Fax: 717-787-3708 
payment of the quarterly estimated withholding tax for non-    Email: ra-btftregisfax@pa.gov 
resident owners filed with the PA65ES. Payments may be 
remitted with the  PA-20S/PA-65 ES (P/S) found on the               DO NOT SEND WITH THE PA CORPORATE 
department's website with a check or money order made                        NET INCOME TAX REPORT

www.revenue.pa.gov                                                                                    REV-976  1
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