Taxpayer Request for Assistance (REV-556)

An Official Pennsylvania Government Website

Department of Revenue

Step 1 of 2

Last Name

*

First Name

*

Middle Initial

*

Business Name

*

Email Address

**

Address

*

City

*

State

Zip Code

*

Phone Type

Daytime Telephone

*

Tax Type

If Other, Enter Tax Type(s)

*

Personal Identifier Type

SSN (Format: xxx-xx-xxxx) or TIN (Format: xx-xxxxxxx) Number

*

Nature Of Problem

*

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