Print the Form PA-8453 or the federal Form 8453 and mail to the address below with the Form 1099R.
The information may be faxed to 717-772-4193 or 717-787-2840, or mailed to the following address:
PA Department of Revenue
Bureau of Individual Taxes
Electronic Filing Section
P.O. Box 280507
Harrisburg, PA 17128-0507
To ensure your fax is properly filed with your personal income tax account. Please include only one taxpayer’s information and one tax year per fax; and clearly list the following on your own fax cover sheet:
- Taxpayer Name (name listed first on return),
- Taxpayer SSN,
- Tax Year
- Brief description or any special notes that you want to provide us to assist with the processing of the return.
