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

DEX-93 (EX) 03-23 (FI)
                                                PERSONAL INCOME TAX 
                                                                                                  OFFICIAL USE ONLY
                                       CORRESPONDENCE SHEET

IMPORTANT: Please include information for only one taxpayer and one tax year per correspondence sheet. Do not high-
light information on attachments. Please follow these instructions to avoid delays in processing and payment of refunds.
NOTE: If you received a Request for Information, Billing Notice, or ID Theft Request, the department encourages you to submit your 
response via myPATH at myPATH.pa.gov.  Correspondence submitted via myPATH will post to your account immediately.
PURPOSE: Use this correspondence sheet to fax or email information (see Email Rules below) to the Bureau of Individual Taxes for 
items related to e-File return attachments, responses to department requests for information, billing notices, or for the Bureau of Fraud 
Detection and Analysis notices.
                                                                                                  START
                                                                                                  Ü    Tax Year:
                                                             Taxpayer Name (name listed first on return or notice)

                                                             Taxpayer Address (including Zip Code)

                                                             Taxpayer ID # (EIN, last four digits of SSN or notice DLN) 

To:
Message: TYPE MESSAGE HERE

Reason (check all boxes that apply):
Required E-File Return Attachments - Military orders, other states’ returns and other information (fax: 717-772-4193 
or email: RA-BITPITELFCORFAXES@PA.GOV) 
Correspondence for the Bureau of Fraud Detection and Analysis (fax: 717-705-4614 or email: RA-RVPITFRAUD@PA.GOV) 
Response to Department Notice 
      Department Request for Information (fax: 717-783-5823 or email: RA-BITPITHOLDCORFAXE@PA.GOV) 
      Department Billing Notice (fax:717-705-6236 or email: RA-BITBILLCORFAXES@PA.GOV)

Email Rules:
1. All attachments must be pdf files.                        7. Use “Reason” block checked as email Subject.
2. No messages in body of email.                             8. Multiple emails for one taxpayer labeled using
3. No links to shared files.                                 1 of ___, 2 of ___, 3 of ___, etc. in Subject
4. Maximum email file size is 15mb.                          9. Redact all SSNs to last four digits.
5. Information for only one taxpayer per email.              10. Use Revenue ID or PATH ID if available.
6. A correspondence sheet or copy of department notice is    11. Emails without identification information are deleted
required for each email attachment.                          without posting to any account.

Sender Information:

Name of Sender                                               Telephone Number

Number of pages sent including correspondence sheet: 
This message is intended only for the use of the individual or entity to which it is addressed, and may contain information that is privileged, 
confidential and exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employees 
or agent responsible for delivering the message to the intended recipient, you are hereby notified that any dissemination, distribution or copy-
ing of this communication is strictly prohibited. If you have received this communication in error, please notify us immediately by telephone, 
and return the original message to us at the above address via the U.S. Postal Service. Thank you.

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