Homepage Pennsylvania Pa 100 Form

Common mistakes

Completing the Pennsylvania PA-100 form can be a straightforward process, but there are several common mistakes that individuals and businesses often make. Understanding these pitfalls can save time and prevent delays in registration. Here are six mistakes to watch out for.

One frequent error is failing to provide accurate information in the Enterprise Information section. This includes the legal name of the business, the correct address, and the federal employer identification number (EIN). Inaccuracies can lead to complications down the line, including issues with tax filings and potential penalties. Always double-check that the information matches official documents.

Another common mistake is neglecting to indicate the Reason for Registration. This section is crucial as it informs the Department of Revenue about the purpose of the application. Whether it’s a new registration or an update, selecting the appropriate checkbox is essential. Omitting this detail can result in delays or the rejection of the application.

Many applicants also overlook the importance of the Authorized Signature. This section requires a signature from someone with the authority to sign on behalf of the enterprise. Incomplete or unsigned forms will be returned, which can prolong the registration process. Ensure that the person signing the form has the necessary authority and that their contact information is included.

In addition, applicants often fail to check the boxes in the Taxes and Services section. This section outlines the specific tax services being requested. Not indicating the desired services can lead to complications in tax compliance. Make sure to carefully review the options and select all that apply to your business.

Another mistake involves providing incomplete or incorrect Employment Information. This includes the total number of employees and their respective details. Accurate reporting is vital, as it affects tax obligations and compliance with state regulations. Take the time to gather this information before filling out the form.

Lastly, applicants sometimes forget to submit the form to the correct address. The PA-100 form must be mailed to the Department of Revenue, Bureau of Business Trust Fund Taxes, at the specified address. Sending it to the wrong location can cause significant delays. Always verify the mailing address before sending in your application.

By avoiding these common mistakes, individuals and businesses can ensure a smoother registration process with the Pennsylvania Department of Revenue. Careful attention to detail can save time and prevent unnecessary complications down the road.

Dos and Don'ts

  • Do: Type or print legibly using black ink.
  • Do: Ensure all sections are completed as instructed.
  • Do: Double-check your Federal Employer Identification Number (EIN) for accuracy.
  • Do: Mail the completed form to the correct address: Department of Revenue, Bureau of Business Trust Fund Taxes, PO Box 280901, Harrisburg, PA 17128-0901.
  • Do: Keep a copy of the completed form for your records.
  • Don't: Use a P.O. Box for the enterprise's street address.
  • Don't: Leave any required fields blank; fill in all necessary information.

Similar forms

The Pennsylvania PA-100 form is an essential document for businesses registering with the state. It shares similarities with the IRS Form SS-4, which is used to apply for an Employer Identification Number (EIN). Both forms require detailed information about the business structure, ownership, and purpose. The PA-100 focuses on state-specific tax registration, while the SS-4 is aimed at federal tax identification. Completing both forms is crucial for compliance with tax regulations at both state and federal levels.

Another document similar to the PA-100 is the IRS Form 1065, which is used for partnerships to report income, deductions, and other tax information. Like the PA-100, Form 1065 requires information about the business entity, including its structure and ownership. While the PA-100 is primarily for registration purposes, Form 1065 is utilized for annual tax reporting. Both forms serve as vital tools for ensuring proper tax compliance and reporting.

The PA-100 is also comparable to the Pennsylvania Sales Tax License Application. Both documents require businesses to provide detailed information about their operations and ownership. The Sales Tax License Application specifically focuses on the collection of sales tax, while the PA-100 encompasses a broader range of tax registrations. Businesses must complete both to operate legally within Pennsylvania and fulfill their tax obligations.

Another related document is the IRS Form 2553, which is used by corporations to elect S Corporation status. Both the PA-100 and Form 2553 require information about the business structure and ownership. While the PA-100 is concerned with state registration, Form 2553 is focused on federal tax classification. Completing both forms is essential for businesses seeking specific tax treatments and benefits.

The PA-100 is also similar to the Pennsylvania LLC Registration form. Both documents require information about the business’s legal structure and ownership. The LLC Registration form is specifically for limited liability companies, while the PA-100 is more general. Both forms are crucial for establishing a business entity and ensuring compliance with state regulations.

Another document that aligns with the PA-100 is the IRS Form 941, which is used to report income taxes, Social Security tax, and Medicare tax withheld from employees' paychecks. Both forms require information about the business and its employees. While the PA-100 is focused on registration, Form 941 is used for ongoing tax reporting. Businesses must complete both to maintain compliance with tax laws.

The Pennsylvania Corporation Registration form is another document similar to the PA-100. Both forms require information about the business structure and ownership. The Corporation Registration form is specifically for corporations, while the PA-100 serves a broader audience. Both documents are essential for legal recognition and tax compliance within the state.

The PA-100 also resembles the IRS Form 1120, which is the U.S. Corporation Income Tax Return. Both documents require detailed financial information about the business. The PA-100 is focused on registration and tax obligations in Pennsylvania, while Form 1120 is used for federal tax reporting. Businesses must navigate both forms to ensure compliance with state and federal tax requirements.

Additionally, the Pennsylvania Nonprofit Corporation Application shares similarities with the PA-100. Both documents require information about the organization’s structure and purpose. The Nonprofit Corporation Application is specifically designed for nonprofit entities, while the PA-100 serves all types of businesses. Both forms are vital for establishing legal status and fulfilling tax obligations.

For those interested in the buying and selling process, the essential aspects of filling out a Dirt Bike Bill of Sale to ensure compliance cannot be overlooked. This form simplifies the transaction while protecting the rights of both parties involved.

Finally, the Pennsylvania Employee Withholding Tax Registration form is comparable to the PA-100. Both forms require information about the business and its employees. The Employee Withholding Tax Registration form specifically focuses on tax withholding responsibilities, while the PA-100 is more comprehensive. Completing both forms is essential for businesses to comply with state tax laws and regulations.

Guidelines on How to Fill Out Pennsylvania Pa 100

Filling out the Pennsylvania PA-100 form is an important step for businesses registering in the state. This process involves providing various details about your enterprise, including its structure and operations. After completing the form, you will need to mail it to the Department of Revenue.

  1. Obtain the PA-100 form from the Pennsylvania Department of Revenue website or a local office.
  2. Use black ink to type or print your responses clearly.
  3. In Section 1, indicate the reason for registration by checking the appropriate box.
  4. Complete Section 2 with your enterprise information, including dates, legal name, and contact details.
  5. In Section 3, check the box for the taxes and services you are requesting.
  6. Provide your authorized signature in Section 4, along with your contact information and title.
  7. In Section 5, select the business structure that applies to your enterprise.
  8. Fill out Section 6 with information about owners, partners, shareholders, and officers.
  9. Complete Section 7 by detailing your establishment's business activity information.
  10. In Section 8, answer questions about sales information related to your establishment.
  11. Provide employment information in Section 9, including the number of employees and wage details.
  12. If applicable, complete Section 10 regarding bulk sale or transfer information.
  13. Fill out Section 11 if your enterprise is a corporation, providing necessary details.
  14. In Section 12, indicate your preferred reporting and payment methods.
  15. Answer questions in Section 13 about your government structure, if applicable.
  16. Review the completed form for accuracy before mailing it to the address provided: Department of Revenue, Bureau of Business Trust Fund Taxes, PO Box 280901, Harrisburg, PA 17128-0901.

Form Preview Example

PA-100 (03-09)

MAIL COMPLETED APPLICATION TO:

DEPARTMENT OF REVENUE

BUREAU OF BUSINESS TRUST FUND TAXES

PO BOX 280901

HARRISBURG, PA 17128-0901

TYPE OR PRINT LEGIBLY, USE BLACK INK

COMMONWEALTH OF PENNSYLVANIA

PA ENTERPRISE

REGISTRATION FORM

DEPARTMENT USE ONLY

RECEIVED DATE

DEPRTMENT OF REVENUE & DEPRTMENT OF LR D INDUSTRY

SECTION 1 – REASON FOR THIS REGISTRATION

REFER TO THE INSTRUCTIONS E D CHECK THE ICE BOXTO INDI

CTE THE RENFOR THIS REGISTRTION.

.

NEW REGISTRTION

.

DING T& SERVICE

.

RETIVTING T& SERVICE

4. DING ESTISHMENT

5. INFORMTION UPDTE

6. DID THIS ENTERPRISE:

 

YES

NO

QUIRE L OR PRT OF OTHER BUSINESS?

 

YES

NO

RESULT FROM CHGE IN LEG STRUCTURE OR EXE FROM INDIVIDU

 

 

 

PROPRIETOR TO CORPORTION PRTNERSHIP TO CORPORTION COR

PORTION

 

 

TO LIMITED LILITY COMPYETC

 

YES

NO

UNDERGO MERGER CONSOLIDTION DISSOLUTION OR OTHER REST

RUCTURING?

SECTION 2 – ENTERPRISE INFORMATION

 

 

 

 

 

 

 

 

 

 

 

.

DTE OF FIRST OPERTIONS

 

. DTE OF FIRST OPERTIONS IN P

.

ENTERPRISE FISC YE END

 

 

 

 

 

 

 

 

 

 

 

 

 

4.

ENTERPRISE LEG N

 

 

 

 

 

 

5. FEDER EMPLOYER IDENTIFICTION NUMBER N

 

 

 

 

 

 

 

 

 

 

 

6. ENTERPRISE TRE Nf different than legal name

 

 

 

 

 

. ENTERPRISE TELEPHONE NUMBER

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

ENTERPRISE STREETDRESS

do ot use PO Box

 

 

CITY/TOWN

 

 

 

COUNTY

 

STTE

ZIP CODE + 4

 

 

 

 

 

 

 

 

 

 

 

 

. ENTERPRISE MLING DRESS f different than street address

 

 

CITY/TO

WN

 

 

 

 

 

STTE

ZIP CODE + 4

 

 

 

 

 

 

 

 

 

 

 

 

. LOCTION OF ENTERPRISE RECORDS reet address

 

 

CITY/TOWN

 

 

 

 

 

 

STTE

ZIP CODE + 4

 

 

 

 

 

 

 

 

 

 

 

 

 

. ESTISHMENT Noing business as

 

 

. NUMBER OF

 

.

PSCHOOL DISTRICT

4. P

MUNICIPLITY

 

 

 

 

 

ESTISHMENTS *

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

*ENTERPRISES WITH ONE OR MORE ESTABLISHMENTS WITHIN PA, WHOSE PA ADDRESS WAS NOT ENTERED ABOVE, MUST COMPLETE SECTION 17 (SEE GENERAL INSTRUCTIONS AND SECTION 17 FOR MORE INFORMATION)

SECTION 3 – TAXES AND SERVICES

LL REGISTRTS MUST CHECK THE ICE BOXTO INDICTE THE TD SERVIC

EREQUESTED FOR THIS REGISTRTION D CO

MPLETE THE

CORRESPONDING SECTIONS INDICTED ON PES D . IF RETIVT

ING Y PREVIOUS COUNT LIST THE COUNT NUMBERIN THE SPE PROVID

ED.

 

PREVIOUS

 

ACCOUNT NUMBER

CIGETTE DEERʼS LICENSE

 

CORPORTION T

 

EMPLOYER WITHHOLDING TX

 

FUELS TPERMIT

 

LIQUID FUELS TPERMIT

 

 

MOTOR CRIERS RO TIFT

 

PROMOTER LICENSE

 

 

PUBLIC TRSPORTTION

 

 

STCE TLICENSE

 

 

 

SES TEXEMPT STTUS

 

SECTION 4 – AUTHORIZED SIGNATURE

PREVIOUS

ACCOUNT NUMBER

SES USE HOTEL OCCUPCY

TLICENSE

SML GOF CHCE LIC./CERT.

TRSIENT VENDOR CERTIFICTE

UNEMPLOYMENT COMPENSTION

USE TX

VEHICLE RENTTX

WHOLESER CERTIFICTE

WORKERSʼ COMPENSTION COVERE

I ETHE UNDERSIGNED DECLE UNDER THE PENTIES OF PERJURY THT TH

E STTEMENTS CONTNED HEREIN E TRUE CORRECTD COM

PLETE.

 

 

 

 

 

THORIZED SIGNTURETTH POWER OFTTORNEY IF ICE

DYTIME

TELEPHONE NUMBER

TITLE

 

TYPE OR PRINT N

ELDRESS

DTE

TYPE OR PRINT PREPERʼS N

TITLE

DYTIME TELEPHONE NUMBER

ELDRESS

DTE

4

PA-100 (03-09)

 

DEPRTMENT USE ONLY

 

 

ENTERPRISE N

 

 

SECTION 5 – BUSINESS STRUCTURE

CHECK THE OPRITE BOX FOR QUESTIONS & . IN DITION TO SEC

TIONS THROUGH COMPLETE THE SECTIONINDICTED.

. SOLE PROPRIETORSHIP NDIVIDU

GENER PRTNERSHIP

CITION

CORPORTION c.

LIMITED PRTNERSHIP

BUSINESS TRUST

 

GOVERNMENT c.

LIMITED LILITY PRTNERSHIP

ESTTE

 

JOINT VENTURE PRTNERSHIP

 

 

LIMITED LILITY COMPY

STTE WHERE CHTERED

RESTRICTED PROFESSION COMPY

STTE WHERE CHTERED

.

PROFIT

.

YES

NONOFIT

IS THE ENTERPRISE ORGIZED FOR PROFIT OR NONOFIT?

 

NO

IS THE ENTERPRISE EXEMPT FROM TTION UNDER INTERN REVENUE CODE RCSEC

TION 5 IF YES

 

PROVIDE COPY OF THE ENTERPRISE'S EXEMPTION THORIZTION LETTER FROM T

HE INTERN REVENUE SERVICE.

SECTION 6 – OWNERS, PARTNERS, SHAREHOLDERS, OFFICERS, AND RESPONSIBLE PARTY INFORMATION

 

PROVIDE THE FOLLOWING FOR ALL INDIVIDUD/OR ENTERPRISE OWNERS PRTNERS SHEHOLDERS OFFICERS

 

D RESPONSIBLE PRTIES. IF STOCK IS PUBLICLY

 

 

TRED PROVIDE THE FOLLOWING FOR ANY SHAREHOLDER WITH AN EQUITY POSITION OF 5% OR MORE ADDITIONAL SPACE IS AVAILABLE IN SECTION 6A, PAGE 11

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

.

N

 

 

 

 

. SOCI SECURITY NUMBER

.

DTE OF BIRTH *

4. FEDER EIN

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5.

OWNER

OFFICER

 

6. TITLE

 

 

 

. EFFECTIVE DTE

.

PERCENTE OF

. EFFECTI

VE DTE OF

 

 

 

 

PRTNER

SHEHOLDER

 

 

 

 

 

OF TITLE

 

OWNERSHIP

 

OWNERSHIP

 

 

 

 

RESPONSIBLE PRTY

 

 

 

 

 

 

 

 

 

 

%

 

 

 

 

 

. HOME DRESS reet

 

 

 

 

CITY/TOWN

 

 

COUNTY

 

 

STTE

ZIP CODE + 4

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. THIS PERSON IS RESPONSIBLE TO REMIT/MNTN:

SES T

EMPLOYER WITHHOLDING TX

MOTOR FUEL T

 

 

 

 

 

 

 

 

 

WORKERSʼ COMPENSTION COVERE

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

* DTE OF BIRTH REQUIRED ONLY IFYING FOR CIGETTE WHOL

ESE DEERʼS LICENSE SML GOF CHCE DISTRIBUTOR LICENSE OR SML

 

G

 

 

OF CHCE MUFTURER CERTIFICTE.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION 7 – ESTABLISHMENT BUSINESS ACTIVITY INFORMATION

 

 

 

 

 

 

 

 

 

REFER TO THE INSTRUCTIONS ON PAGES 20 & 21 TO COMPLETE THIS SECTION COMPLETE SECTION 17 FOR MULTIPLE ESTABLISHMENTS

 

 

. ENTER THE PERCENTE THT EH

PABUSINESS ACTIVITY REPRESENTS OF THE TOTL RECEIPTS OR REVENUEST

THIS ESTISHMENT. LIST

PRODUCTS OR

 

 

 

SERVICES CITED WITH EH BUSINESS TIVITY D THE PERCENTE REPRESENTING THE TO

TL RECEIPTS OR REVENUES.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PA BUSINESS ACTIVITY

%

 

PRODUCTS OR SERVICES

%

 

ADDITIONAL

 

%

 

 

 

 

PRODUCTS OR SERVICES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

mmodation & Food Services

riculture Forestry Fishing & Hunting

Entertainment & Recreation Services

Communications/Information

Construction st complete question

Domestics vate Households

Educational Services

Finance

Health Care Services

Insurance

Management Support & Remediation Services

Manufacturing

Mining Quarrying & Oil/Gas Extraction

Other Services

Professional Scientific & Technical Services

Public ministration

Real Estate

Retail Trade

Sanitary Service

Social stance Services

 

Transportation

 

 

 

 

 

 

 

 

 

 

 

 

Utilities

 

 

 

 

 

 

 

 

 

 

 

 

Warehousing

 

 

 

 

 

 

 

 

 

 

 

 

Wholesale Trade

 

 

 

 

 

 

 

 

 

 

 

 

TOTL

 

 

%

 

 

 

 

 

 

 

 

 

 

 

 

 

 

. ENTER THE PERCENTE THT

THIS ESTABLISHMENTS RECEIPTS OR REVENUES REPRESENT OF THE TOTAL PARECEIPTS OR REVENUES OF THE ENTERPRISE.

 

 

 

______________%. SINGLE ESTBLISHMENT ENTERPRI SES ENTER %. MULTIPLE ESTISHMENT ENTERPRISES ENTER PERCENTE OF ENTERPRISE SEC

TION

 

. ESTISHMENTS ENGED IN CONSTRUCTION

MUST ENTER THE PERCENTE OF CONSTRUCTION TIVITY THT IS NEW D/OR

RENOVTIVE D THE PERCENT

 

E OF CONSTRUCTION TIVITY THT IS RESIDENTID/OR COMMERCI

 

.

 

 

 

 

 

 

 

 

 

___________________% NEW

+

__________________% RENOVTIVE

=

%

 

 

 

 

 

 

___________________% RESIDENTIL

+

__________________% COMMERCIL

=

%

 

 

 

 

 

 

 

 

 

 

 

 

 

4. YES NO

DOES THIS ENTERPRISE WNT TO BECOME PENNSYLVNILOTTERY

RETLER?

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

5

PA-100 (03-09)

 

DEPRTMENT USE ONLY

 

 

ENTERPRISE N

 

 

SECTION 8 – ESTABLISHMENT SALES INFORMATION

.

YES

NO

IS THIS ESTISHMENT SELLING TE PRODUCTS OR OFFERING TE SERVICES TO

CONSUMERS FROM LOCTION

 

 

 

IN PENNSYLVANIA? IF YES COMPLETE SECTION .

 

.

YES

NO

IS THIS ESTISHMENT SELLING CIGETTES

IN PENNSYLVANIA? IF YES COMPLETE SECTIONS D .

. LIST EH COUNTY

IN PENNSYLVANIA WHERE THIS ESTISHMENT IS CONDUCTING TE SES TIVITYES

 

COUNTY

 

 

COUNTY

 

 

COUNTY

COUNTY

 

 

COUNTY

 

 

COUNTY

 

 

 

ATTACH ADDITIONAL 8 1/2 X 11 SHEETS IF NECESSARY.

 

SECTION 9 – ESTABLISHMENT EMPLOYMENT INFORMATION

PART 1

. YES

. YES

. YES

NO

DOES THIS ESTISHMENT EMPLOY INDIVIDUS WHO

WORK IN PENNSYLVANIA? IF YES INDICTE:

 

a.

DTE WES FIRST

PAID DD/YYYY

. . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

 

 

 

 

 

b.

DTE WGES RESUMED FOLLOWING BREIN EMPLOYMENT

. . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

 

 

 

 

 

c.

TOTL NUMBER OF EMPLOYEES

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . .

 

 

 

 

 

 

d.

NUMBER OF EMPLOYEES PRIMILY WORKING IN NEW BUILDING OR INFRRUC

TURE

 

 

 

 

 

 

 

 

e.NUMBER OF EMPLOYEES PRIMILY WORKING IN REMODELING CONSTRUCTION . . . . . . . . . . . . . . . . . . . . . .

f. ESTIMTED GROSS WGES PER QUTER

. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . .$

.

g.NOF WORKERSʼ COMPENSTION INSURCE COMPY

.

POLICY NUMBER _________________________________E FFECTIVE STRT DTE __________________END DTE __

_________________

.

GENCY NME _____________________________________ _________________DYTIME TELEPHONE NU MBER ______________________

 

MLING DRESS

_____________________________________CITY/TOWN ______________________STTE _____ZIP CODE + 4_ _______

.

IF THIS ENTERPRISE DOES NOT HVE WORKERSʼ COMPENSTIONINSURCE CHECK

ONE:

 

 

 

a.

THIS ESTISHMENT EMPLOYSONLY EXCLUDED WORKERS . . . .

. . . . . . . . . . . . . . . . . . . . . . .

 

 

 

b.

. . . . . . . . . . . . . .THIS ESTISHMENT HZERO EMPLOYEES

. . . . . . . . . . . . . . . . . . . . . . . . . .

 

 

c.THIS ESTISHMENT RECEIVED OVTO SELFNSURE BY THE PBURE OF

 

 

WORKERSʼ COMPENSTION

. . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

 

 

 

IF ITEM c. IS CHECKED PROVIDE PWORKERSʼ COMPENSTION BURE CODE

 

 

 

NO

DOES THIS ESTISHMENT EMPLOY PRESIDENTS WHO

 

WORK OUTSIDE OF PENNSYLVANIA?

 

 

 

IF YES INDICTE:

 

 

 

 

 

 

 

 

 

 

 

a.

DTE WES FIRST

PAID DD/YYYY . . .

.

. . . . . . . . . . . . . . . . . .

.

. . . . . . . . . . . . . . . . . . . . . .

 

 

 

 

b.

. . . . . . . .DTE WGES RESUMED FOLLOWING BREIN EMPLOYMENT

. . . . . . . . . . . . . . . . .

 

 

 

 

c.

ESTIMTED GROSS WGES PER QUTER.

. . . . . . . . . . . . . .

. . . . . . . . . . . . . . . . . . . . . . . . . . .$

 

.

 

NO

DOES THIS ESTISHMENT PY REMUNERTION FOR SERVICES TO PERSONS YOU DO

NOT CONSIDER EMPLOYEES?

 

 

 

IF YES EXPLN THE SERVICES PERFORMED

 

 

 

 

 

 

 

 

PART 2

. YES

NO

IS THIS REGISTRTION

RESULT OF TE DISTRIBUTION FROM

BENEFIT TRUST DEFERRED PYMENT OR RETIREMENT PL

 

 

FOR PRESIDENTS?

 

 

 

 

 

 

 

 

IF YES INDICTE:

a.

DTE BENEFITS FIRST PAID DD/YYYY

. . . . . . . . . . .

 

 

 

 

 

b. ESTIMTED BENEFITS PID PER QUTER

. . . . . . . . . . . . . . . . . . . . . .$

 

.

 

 

 

 

 

 

 

 

SECTION 10 – BULK SALE/TRANSFER INFORMATION

 

 

 

 

IF S WERE QUIRED IN BULK FROM MORE TH ONE ENTERPRISE PHOTOCOPY T

HIS SECTION D PROVIDE THE FOLLOWING INFORMTION

UT EH

SELLER/TRSFEROR.

 

 

 

 

 

 

.

YES

NO

DID THE ENTERPRISE QUIRE 5% OR MORE OF

ANY CLASS OF THE PA ASSETS OF OTHER ENTERPRISE? SEE THE CLOF S

 

 

 

 

 

LISTED BELOW.

 

 

 

 

 

.

YES

NO

DID THE ENTERPRISE QUIRE 5% OR MORE OF THE

TOTALASSETS OF OTHER ENTERPRISE?

 

 

IF THE SWER TO EITHER QUESTION IS YES PROVIDE THE FOLLOWING INFO RMTION UT THE

SELLER/TRANSFEROR

 

 

 

 

 

 

 

 

. SELLER/TRSFEROR N

 

 

4. FEDER EIN

 

 

5. SELLER/TRSFEROR STREETDRESS

CITY/TOWN

STTE

ZIP CODE + 4

 

 

6. DTE S QUIRED

. S QUIRED:

 

 

 

 

 

 

COUNTS RECEIVE

EQUIPMENT

INVENTORY

ND/OR GOODWILL

 

 

CONTRTS

FIXTURES

LE

RE ESTTE

 

 

CUSTOMERS/CLIENTS

FURNITURE

MHINERY

OTHER

 

 

 

 

 

 

 

 

 

IMPORTANT: IF, IN ADDITION TO ACQUIRING ASSETS IN BULK, THE ENTERPRISE ALSO ACQUIRED ALL OR PART OF A PREDECESSOR'S BUSINESS, SECTION 14 MUST BE COMPLETED.

IF THE ENTERPRISE IS ACQUIRING 51% OR MORE OF ANY CLASS OF PA ASSETS AND/OR 51% OF THE TOTAL ASSETS OF ANOTHER ENTERPRISE THE SELLER MUST OBTAIN A BULK SALE CLEARANCE CERTIFICATE. REFER TO INSTRUCTIONS ON PAGE 22.

6

PA-100 (03-09)

 

DEPRTMENT USE ONLY

 

 

ENTERPRISE N

 

 

SECTION 11 – CORPORATION INFORMATION

. DTE OF INCORPORTION

.

STTE OF INCORPORTION

. CERTIFIC

TE OF THORITY DTE

 

 

 

ONCORP.

 

 

 

 

 

4. COUNTRY OF INCORPORTION

5.

YES

NO

IS THIS CORPORTION'S STOCK PUBLICLY TRED?

 

 

 

 

6.

CHECK THE OPRITE BOX TO DESCRIBE THIS CORPORTION:

 

 

 

 

 

 

 

CORPORTION:

STOCK

PROFESSION

BK:

STTE

MUTU

THRIFT: STTE

INSURCE

P

 

 

NONOCK

COOPERTIVE

 

FEDER

 

FEDER

COMPNY:

NON

 

 

MEMENT

STTUTORY CLOSE

 

 

 

 

 

 

. S CORPORTION:

FEDER

INCORDCE WITHT NO.6 OF 6 CORPORTION WITH

 

FEDER SUBHER S STTUS IS CONSIDERED PS COR

 

 

 

PORTION. IN ORDER

NOT TO BE T P S CORPORTION REV6

MUST BE FILED. THE FORM C BE CESSED T

 

 

 

WWWREVENUESTATEPAUS FORMS D PUBLICTIONS CORPORTION T

 

 

COMPLETING THIS FORM WILL NOT FULFILL THE REQUIREMENT TO REGISTER FOR CORPORATE TAXES REGISTERING CORPORATIONS MUST CONTACT THE PA DEPART- MENT OF STATE TO SECURE CORPORATE NAME CLEARANCE AND REGISTER FOR CORPORATION TAX PURPOSES CONTACT THE PA DEPARTMENT OF STATE AT (717) 787- 1057, OR VISIT wwwaoeforbusiessstateaus

SECTION 12 – REPORTING & PAYMENT METHODS

. THE DEPRTMENT OF REVENUE REQUIRES THTY ENTERPRISEMNG PYMENTS EQ

U TO OR GRETER TH $ REMIT PYMENTS VI ONE

OF THE FOL

LOWING ELECTRONIC METHODS: ELECTRONIC FUNDS TRSFER T ELECTRO

NIC TINFORMTION D DTEXCHGE SYSTEM IDES TELEFILE SYSTEM OR

 

CREDIT CD. ENTERPRISE REGDLESS OF UNTIS ENCOURED TO REMIT

TPYMENTS ELECTRONICLY.

 

a. YES

b. YES

. YES

NO

DOES THIS ENTERPRISE MEET THE DEPRTMENT OF REVENUEʼS REQUIREMENTS FOR ELECT RONIC PYMENTS?

NO

DOES THIS ENTERPRISE WNT TO PRTICIPTE IN THE DEPRTMENT OF

REVENUEʼS ELECTRONIC PROGR

NO

IF THIS ENTERPRISE IS NONOFIT ORGIZTION THT IS EXEMPT UN

DER IRC 5 OR POLITIC SUBIVISIONS IS IT

 

INTERESTED IN RECEIVING INFORMTION UT THE DEPRTMENT OF LR &

INDUSTRYʼS OPTION OF FINCING UC COSTS

 

UNDER THE REIMBURSEMENT METHOD IN LIEU OF THE CONTRIBUTORY METHOD? FOR MORE DETILS REFER TO SECTION

 

INSTRUCTIONS.

 

THE DEPRTMENT OF LR & INDUSTRY REQUIRES THTY ENTERPRISE WITH

5 OR MORE WGE ENTRIES PER QUTERLY REPORTFILE THE W

GE INFORMTION VI

MNETIC MEDIY MNETIC REPORTING FILE MUST BE SUBMITTED FOR COMPTI

BILITY WITH THE DEPRTMENT OF LR & INDUSTRYʼS FORMT. CONTT

THE M

NETIC MEDI REPORTING UNITT FOR MORE INFORMT

ION.

 

 

 

 

THE COMMONWETH STRONGLY RECOMMENDS THT ENTERPRISES USE ELECTRONIC FIL

ING D PYMENT OPTIONS FOR CERTN PENNSYLVNI TD SERVICES.

 

INFORMTION UT INTERNET FILING OPTIONS C BE FOUND ON THE

eIDES WEB SITET

wwwetidesstateaus

 

 

SECTION 13 – GOVERNMENT STRUCTURE

. IS THE ENTERPRISE

 

 

 

 

GOVERNMENT BODY

GOVERNMENT OWNED ENTERPRISE

GOVERNMENT & PRIVTE SECTOR

 

 

 

OWNED ENTERPRISE

. IS THE GOVERNMENT:

 

 

 

 

DOMESTIC/US

FOREIGN/NONS

MULTITION

. IF DOMESTIC IS THE GOVERNMENT:

 

 

 

 

FEDER

LOC:

COUNTY

BOROUGH

STTE GOVERNOR'S JURISDICTION

 

CITY

SCHOOL DISTRICT

STTE NONOVERNOR'S JURISDICTION

 

TOWN

OTHER

 

 

 

TOWNSHIP

 

 

7

Form Information

Fact Name Details
Form Purpose The PA-100 form is used for registering a business entity in Pennsylvania.
Governing Law This form is governed by the Pennsylvania Consolidated Statutes, Title 72 (Taxation and Fiscal Affairs).
Submission Address Completed applications must be mailed to the Department of Revenue, Bureau of Business Trust Fund Taxes, PO Box 280901, Harrisburg, PA 17128-0901.
Required Information Applicants must provide details such as business structure, enterprise information, and authorized signatures.
Filing Method While paper submissions are accepted, electronic filing is encouraged for efficiency and accuracy.
Deadline There is no specific deadline for filing the PA-100, but it should be submitted prior to commencing business operations.
Contact Information For assistance, businesses can contact the Pennsylvania Department of Revenue at (717) 787-1057.
Additional Sections Businesses with multiple establishments in Pennsylvania must complete additional sections as outlined in the instructions.