PENNSYLVANIA DEPARTMENT OF REVENUE
PO BOX 280901
HARRISBURG PA 17128-0901
PRACTICE MAKES PERFECT
508 CANTERBURY DR
GREENSBURG PA 15601-6027
000BU1013350339 01 03 00061 0 00
Envelope ID: BU1013350339 Revenue Id: 1001563654 Page 2 of 6
REV-IS10009 AFP (8-17)
LSALE
SALES TAX LICENSE
PRACTICE MAKES PERFECT
508 CANTERBURY DRIVE
GREENSBURG PA 15601 USA
Account ID: 67730771 License Type: Retail
Expiration Date: 07/31/2026
This license authorizes the holder to collect state and/or local sales, use and hotel occupancy tax. Licenses are issued for
tax collection purposes and shall remain in force as specified herein unless sooner surrendered, suspended or revoked.
THIS LICENSE MUST BE PROMINENTLY DISPLAYED.
This license is not assignable or transferable.
Envelope ID: BU1013350339 Revenue Id: 1001563654 Page 3 of 6
PENNSYLVANIA DEPARTMENT OF REVENUE
PO BOX 280904
HARRISBURG PA 17128-0904
PRACTICE MAKES PERFECT
508 CANTERBURY DR
GREENSBURG PA 15601-6027
000BU1013350339 02 03 00061 0 00
Envelope ID: BU1013350339 Revenue Id: 1001563654 Page 4 of 6
REV-IS 10008
(12-20) AFP
GENERAL INFORMATION
CHANGE IN OWNERSHIP OF BUSINESS
A change in ownership voids an account and cancellation is required. Please refer to the Permanent Discontinuance of Business section found
below for instructions on how to cancel the account. A change to or from a sole proprietorship, partnership or corporate entity, or the death of a
proprietor, constitutes a change in ownership. A new PA Enterprise Registration Form (PA-100) must be completed online at
www.pa100.state.pa.us.
CHANGE OF ADDRESS
Notify the department immediately of any change to your business location or mailing address. E-TIDES users may make changes directly to
their accounts at www.etides.state.pa.us using the Enterprise Maintenance function. To submit these changes by form REV-1705, please fax it
to 717-787-3708 or send by email to [email protected].
PERMANENT DISCONTINUANCE OF BUSINESS
Account holders must notify the department immediately. E-TIDES users may make changes directly to their accounts at www.etides.state.pa.us
using the Enterprise Maintenance function. To submit these changes by form REV-1706, please fax it to 717-787-3708 or send by email to
[email protected].
FORMS ORDERING INFORMATION
All documents referenced herein can be downloaded from www.revenue.pa.gov or requested from the department's toll-free, 24-hour forms
ordering service at 1-800-362-2050.
PAYMENT OF TAX
The department accepts the following electronic payment methods: Automated Clearing House (ACH) debit transactions, credit and debit card payments
and taxpayers may also pursue ACH credit transactions through their banks. To remit electronic payments, register at www.etides.state.pa.us or call
TeleFile at 1-800-748-8299. All sales, use and hotel occupancy tax, employer withholding, 1099-MISC/NEC withholding, malt beverage tax and
corporation tax payments of $1,000 or more must be remitted using an electronic payment method. Checks and money orders must be made payable
to the PA Department of Revenue and include the Account ID, Revenue ID, phone number, tax type, and period end date for which the payment is
intended. Mail payments to the PA DEPARTMENT OF REVENUE, PO BOX 280404, HARRISBURG, PA 17128-0404.
COMPLIANCE
Failure to pay liabilities may result in one or more of the following: the filing of a lien; wage garnishment; administrative bank attachment; civil
legal action; loss of tax benefits; criminal prosecution; referral of your case to a collection agency where additional fees up to 39 percent of the
amount due may be added to the liability; and/or suspension or loss of business licenses or privileges.
CONTACT INFORMATION
The Department of Revenue is encouraging taxpayers to use its Online Customer Service Center, available at revenue-pa.custhelp.com. You can
use this resource to electronically submit a question to a department representative. The department representative will be able to respond through
a secure, electronic process that is similar to receiving an email. Additionally, the Online Customer Service Center includes thousands of answers to
common tax-related questions.
Envelope ID: BU1013350339 Revenue Id: 1001563654 Page 5 of 6
REV-IS 10001 (11-20) DOCEXEC ZR32
PENNSYLVANIA DEPARTMENT OF REVENUE
PO BOX 280904
HARRISBURG PA 17128-0904
NOTICE OF REGISTRATION
Sales, Use & Hotel Occupancy Tax
Retail
PRACTICE MAKES PERFECT ACCOUNT ID:................................67730771
REVENUE ID:................................ 1001563654
508 CANTERBURY DR FEIN:.............................................. 862208846
GREENSBURG PA 15601-6027 NOTICE NUMBER:........................ BU1013350339
MAIL DATE:................................... 08/06/2021
The Pennsylvania Department of Revenue has received your recent application for a new tax account. The Account ID
number indicated below has been assigned to your business for tax reporting purposes. Please reference this Account
ID number on all correspondence with the department.
If no federal employer identification number (FEIN) is indicated above, please provide this number to the department as
soon as it is available from the federal government. E-TIDES users may make changes directly to their accounts at
www.etides.state.pa.us using the Enterprise Maintenance function. To submit these changes by form REV-1705,
please fax it to 717-787-3708 or send by email to [email protected].
Summary of New Account
If applicable, the department will notify you in writing when a change in filing/payment frequency is necessary. Due dates for accounts
with a filing requirement are included on the reverse side of this notice.
Tax Type Account ID Filing/Payment Frequency
Sales, Use & Hotel Occupancy Tax 67730771 Quarterly
Account Information and Requirements
The Retailer's Information Guide (REV-717) is a resource published by the department every three years that contains
descriptions of taxable services and lists of common items subject to sales, use and hotel occupancy tax. It is available
on the department's website at www.revenue.pa.gov.
Returns are to be filed whether or not taxable transactions occur in a period. File and remit payments using one
of the following electronic options:
¯ e-TIDES - File tax returns and remit payments to the department for employer withholding tax, sales, use
and hotel occupancy tax, public transportation assistance fund taxes and fees and vehicle rental taxes
online using e-TIDES, a free business tax filing system available to all registered account holders. Visit
www.etides.state.pa.us to register for e-TIDES.
¯ TeleFile - TeleFile provides a fast and secure way to file tax returns and remit payments of employer
withholding tax, sales, use and hotel occupancy tax, public transportation assistance fund taxes and fees
and vehicle rental tax by calling, toll-free, 1-800-748-8299.
¯ Third-Party Vendors - Approved third-party vendors provide for secure transmission for filing and paying
employer withholding tax and sales, use and hotel occupancy tax. Visit www.revenue.pa.gov to learn more
about this paperless filing option.
The Department of Revenue appreciates your cooperation and wishes your business success in Pennsylvania. If you
have any questions, visit the online Customer Service Center at www.revenue.pa.gov.
000BU1013350339 03 03 00061 1 00
Envelope ID: BU1013350339 Revenue Id: 1001563654 Page 6 of 6
Due Date Summary for Sales, Use and Hotel Occupancy Tax Quarterly Filers
The due date of each return is the 20th day of the month following the end of each calendar quarter. If the due date
falls on a weekend or holiday, the due date is the next business day. Due dates can also be found on form REV-819
available at www.revenue.pa.gov. Please note the discount for filing timely is not applicable to use tax.
Tax Period End Date Tax Period Due Date
03/31/2021 04/20/2021
06/30/2021 07/20/202!
09/30/2021 10/20/2021
12/31/2021 01/20/2022
