Change Form Philadelphia – Fill Out and Use This PDF

The Change Philadelphia form is a document issued by the City of Philadelphia's Department of Revenue, designed for individuals and businesses to update account information or to cancel a tax liability. It serves as a crucial tool for maintaining accurate tax records, facilitating changes such as business account closures, tax type additions, and updates to taxpayer details. Those needing to make updates or cancellations to their tax account with the city can complete and mail the form to the department, ensuring their tax obligations reflect their current circumstances accurately.

For detailed guidance or to obtain the form online, interested parties are encouraged to visit the official website or contact the department directly. Click the button below to fill out the form and ensure your tax records are up to date.

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Change Form Philadelphia PDF Details

The City of Philadelphia Department of Revenue provides a comprehensive solution for residents and businesses to update account information or cancel tax liabilities with the Change Philadelphia form. This user-friendly form ensures that any changes related to tax accounts, whether for individuals or businesses, are processed smoothly and efficiently. The form covers a wide array of tax-related updates from business tax registration information adjustments, adding or cancelling a tax, to specifics on property subject to Use and Occupancy Tax, School Income Tax, and Employee Earnings Tax. For businesses looking to make changes such as adding a new tax type or closing a business account, sections 1 and 2 serve as the go-to resources. Moreover, individuals can easily correct information or report changes regarding School Income Tax or Employee Earnings Tax through sections 4 and 5, respectively. Completion of section 6 is mandatory for all requests, ensuring the form is prepared correctly with the signature of the preparer. The form underscores the city's commitment to maintaining accurate records, facilitating ease of communication between taxpayers and the Department of Revenue, which can be submitted through mail along with the convenience of online registration and resources available at the department's website.

Question	Answer
Form Name	Change Form Philadelphia
Form Length	2 pages
Fillable?	No
Fillable fields	0
Avg. time to fill out	30 sec
Other names	CHANGE FORM - City of Philadelphia

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CITY OF PHILADELPHIA DEPARTMENT OF REVENUE

CHANGE FORM

USE TO UPDATE ACCOUNT INFORMATION OR TO CANCEL A TAX LIABILITY

MAIL THE COMPLETED CHANGE FORM TO:

CITY OF PHILADELPHIA, DEPARTMENT OF REVENUE, P.O. BOX 1410, PHILADELPHIA, PA, 19105-1410

PHONE: (215) 686-6600

E-MAIL: revenue@phila.gov

INTERNET: www.phila.gov/revenue

Businesses complete Sections 1 and 2 to add a tax, or to close a business account. For a change of entity you must cancel your account and apply for a new Tax Account Number and Commercial Activity License. Contact the department to obtain an application or to register on-line visit our website www.phila.gov/revenue. For property subject to Use and Occupancy Tax complete Section 3. Individuals complete Section 4 for School Income Tax or Section 5 for Employee Earnings Tax.

Section 6 must be completed for all requests including the signature of the preparer of this form.

Section 1 - Business Tax Registration Information.

Currently Registered Business Name and Address						Corrected Business Name and Address

City Account Number

Employer Identification Number

City Account Number

Employer Identification Number

Social Security Number

-	-	-	-
Spouse's Social Security Number		Spouse's Social Security Number
-	-	-	-
Section 2 - Add a tax, or cancel an account.		If your business has closed, enter the last day of business:	-	-
Section 2 - Add a tax, or cancel an account.
If your business never		To add a new tax type, enter the start date:	-	-
materialized, check here:	ADD	CANCEL	ADD	CANCEL
	ADD	CANCEL	ADD	CANCEL
AMUSEMENT TAX		PARKING TAX
BEVERAGE TAX		TOBACCO TAX
BUSINESS INCOME & RECEIPTS TAX		USE & OCCUPANCY TAX
HOTEL TAX		VALET PARKING TAX
NET PROFITS TAX		VEHICLE RENTAL TAX
OUTDOOR ADVERTISING TAX		WAGE TAX

Section 3 - For property subject to Use and Occupancy Tax.

Property Address

Use and Occupancy Tax Mailing Address (If different from Property Address)

Check Reason for Cancellation:
	Sold	Residential
	Sold	Residential
	Vacant	Other (Explain in Section 6)
	Vacant	Other (Explain in Section 6)

Business U&O Tax Account Number

Property Account Number

Cancellation Date

- -

Date of Purchase

- -

Name of New Property Owner

83-E669 COP Change Form Rev. 10-19-2020

Section 4SCHOOL INCOME TAX

If the preprinted information listed on your tax return is incorrect, use this form to make the necessary corrections. For example, if your spouse is deceased and you filed jointly with your spouse, use the Change Form to indicate your name and Social Security number.

Currently Registered Taxpayer Name and Address

Corrected Taxpayer Name and Address

Social Security Number

Corrected Social Security Number

Spouse's Social Security Number

Corrected Spouse's Social Security Number

Reason

Moved out of Philadelphia

Spouse Filing Separately

Cancellation Date

for

Deceased. Enter date of death________________

No taxable Income

Cancellation

Section 5

EMPLOYEE EARNINGS TAX

Currently Registered Taxpayer Name and Address

Corrected Taxpayer Name and Address

Social Security Number

Corrected Social Security Number

Reason

Moved out of Philadelphia

Employer now withholding tax

Cancellation Date

for

Deceased

No longer employed

Cancellation

Section 6

State the reason for submitting this change form:

Contact information must be completed for all change requests.

Form Completed By (print name):

Date

Signature:

Telephone #

E-mail Address

Fax #

Change Form Philadelphia – Fill Out and Use This PDF

Change Form Philadelphia PDF Details

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