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It is used to apply for nonwithholding eligibility under specific conditions.","Answer",{"name":65,"@type":60,"acceptedAnswer":66},"When must an employee submit Form REV-419 to the employer?",{"text":67,"@type":63},"File the certificate with your employer as soon as you determine you are entitled to claim nonwithholding. File a separate REV-419 with each employer, and refile each year when eligible (with limited exceptions).",{"name":69,"@type":60,"acceptedAnswer":70},"What are employer responsibilities after receiving REV-419?",{"text":71,"@type":63},"If you agree not to withhold Pennsylvania tax due to a reciprocal state, withhold the other state’s tax and retain REV-419 in your records. Provide required copies to the Department when listed conditions occur, and begin regular withholding if the Department disapproves the application.","https://schema.org",{"og:url":32,"og:type":74,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":76,"canonical":32},"index,follow",{"doc_id":78,"site_id":7},303388,1790454401,{"code":4,"msg":81,"data":82},"success",[83,88,93,98,103,108,112,117,122],{"id":84,"doc_module":22,"doc_module_name":25,"category_name":85,"show_sort_weight":86,"slug":87},11,"Presentations",90,"presentations",{"id":89,"doc_module":22,"doc_module_name":25,"category_name":90,"show_sort_weight":91,"slug":92},12,"Resumes",80,"resumes",{"id":94,"doc_module":22,"doc_module_name":25,"category_name":95,"show_sort_weight":96,"slug":97},14,"Invoices",70,"invoices",{"id":99,"doc_module":22,"doc_module_name":25,"category_name":100,"show_sort_weight":101,"slug":102},15,"Posters",60,"posters",{"id":104,"doc_module":22,"doc_module_name":25,"category_name":105,"show_sort_weight":106,"slug":107},16,"Social Media",50,"social-media",{"id":109,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":110,"slug":111},17,40,"forms",{"id":113,"doc_module":22,"doc_module_name":25,"category_name":114,"show_sort_weight":115,"slug":116},18,"Letters",30,"letters",{"id":118,"doc_module":22,"doc_module_name":25,"category_name":119,"show_sort_weight":120,"slug":121},21,"Paper Templates",5,"papers-templates",{"id":123,"doc_module":22,"doc_module_name":25,"category_name":124,"show_sort_weight":4,"slug":125},158,"General","general-158",{"code":4,"msg":81,"data":127},{"doc_id":78,"user_id":128,"nickname":42,"user_avatar":129,"doc_module":22,"category_id":109,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":130,"file_id":131,"file_url":132,"file_type":133,"file_size":134,"view_count":33,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":26,"language":135,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":136,"faqs":137,"seo_title":138,"seo_description":12,"update_tm":139,"read_time":22},7971461741311,"https://ap-avatar.wpscdn.com/avatar/74000253aff267980c6?x-image-process=image/resize,m_fixed,w_180,h_180&k=1779345379180704826","This Pennsylvania state tax form is provided courtesy of: [http://www.efi](http://www.efi)[le.com](le.com)[ ](le.com)Download the latest W‐4 Federal Withholding and Allowance Form  \nView a list of PA State Tax forms on efi[le.com:](le.com:) Pennsylvania State Tax Forms Estimate Federal Income Taxes for Free with the 2011 Tax Calculator Discover the benefits of efiling your Federal and State Income Taxes together Get electronic filing support and find answers to your tax questions For more support by a tax representative please contact efi[le.com](le.com)  \n4190010101  \nREV-419 EX (05-10)  \nEmployee’s Nonwithholding  \nApplication Certificate PA DEPARTMENT OF REVENUE  \n20   \nPurpose. Complete Form REV-419 so that your employer can withhold the correct Pennsylvania personal income tax from your pay. Complete a new Form REV-419 every year or when your personal or financial situation changes. Photocopies of this form are acceptable.  \nNote: Unless the state of residence changes, residents of the reciprocal states listed in the next paragraph do not need to refile this application every year.  \nWho is Eligible for Nonwithholding? You may be entitled to nonwithholding of PA personal income tax if you incurred no liability for income tax the preceding tax year and/or you anticipate that you will incur no liability for income tax during the current tax year, according to the Special Tax Provisions of section 304 of the Tax Reform Code, the Servicemember Civil Relief Act (SCRA) or as a resident of the reciprocal state of Indiana, Maryland, New Jersey, Ohio, Virginia or West Virginia and your employer agrees to withhold the income tax from that state.  \nWhen to Claim? File this certificate with your employer as soon as you determine you are entitled to claim nonwithholding. You must file a certificate each year you are eligible (see Note above for an exception) . If you are employed by more than one employer you must file a separate REV-419 with each employer.  \nResponsibilities of Employee. You must revoke this certification within 10 days from the day you anticipate you will incur PA personal income tax liability for the current tax year. To discontinue or revoke this certification, submit notification in writing to your employer. Claimants who qualify for complete Tax Forgiveness under section 304 of the Tax Reform Code must file a PA-40, Pennsylvania Personal Income Tax Return, and Schedule SP to claim Tax Forgiveness even if they are eligible for nonwithholding.  \nUnder the SCRA, as amended by the Military Spouses Residency Relief Act, you may be exempt from PA personal income tax on your wages if (i) your spouse is a member of the armed forces present in PA in compliance with military orders; (ii) you are present in PA solely to be with your spouse; and (iii) you and your spouse both maintain the same domicile (state residency) in another state. If you claim exemption under the SCRA, enter your state of domicile (legal residence) on Line d below and attach a copy of your spousal military identification card and your spouse’s current military orders to form REV-419 .  \nResponsibilities of Employer.  \nIf you agree not to withhold PA tax because your employee is a resident of a reciprocal state, you must withhold the other state’s tax. Retain Form REV-419 with your records. You are required to submit a copy of this certificate  \n OFFICIAL USE ONLY  \nand accompanying attachments to the PA DEPARTMENT OF REVENUE, BUREAU OF BUSINESS TRUST FUND TAXES, PO BOX 280904, HARRISBURG, PA 17128-0904, when:  \n[1. you](1. you) have reason to believe this certificate is incorrect;  \n2. the PA taxable gross compensation of any employee who claimed either exemption from nonwithholding a or b below exceeds $1,625 for any quarter;  \n3. the employee claims an exemption from withholding on the basis of residence in a reciprocal state (Indiana, Maryland, New Jersey, Ohio, Virginia or West Virginia) and therefore, you agree to withhold income tax of the empl","cbCait0hgiimvsMK","https://ap.wps.com/l/cbCait0hgiimvsMK","pdf",70497,"English","# Purpose\n# Eligibility for Nonwithholding\n# When to Claim\n# Responsibilities of Employee\n# Responsibilities of Employer\n# Department’s Responsibility\n# Certification Sections (a-d)","[{\"question\":\"What is the purpose of Form REV-419 EX (05-10)?\",\"answer\":\"Complete Form REV-419 so your employer withholds the correct Pennsylvania personal income tax. It is used to apply for nonwithholding eligibility under specific conditions.\"},{\"question\":\"When must an employee submit Form REV-419 to the employer?\",\"answer\":\"File the certificate with your employer as soon as you determine you are entitled to claim nonwithholding. File a separate REV-419 with each employer, and refile each year when eligible (with limited exceptions).\"},{\"question\":\"What are employer responsibilities after receiving REV-419?\",\"answer\":\"If you agree not to withhold Pennsylvania tax due to a reciprocal state, withhold the other state’s tax and retain REV-419 in your records. Provide required copies to the Department when listed conditions occur, and begin regular withholding if the Department disapproves the application.\"}]","REV-419 EX (05-10) - Employee’s Nonwithholding Application Certificate | PDF",1789802967]