Pass-Through Entity Tax Election Form

Pass-Through Entity Tax Election Form
Submit your election to be taxed as a pass-through entity for the current tax year.
Entity Name
Entity Type
Employer Identification Number (EIN)
Business Address
Street Address
Street Address Line 2
CityState / ProvincePostal / Zip Code
State for PTE Election
Tax Year Beginning
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Tax Year Ending
MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Contact Person Name
First NameLast Name
Contact Email Address
example@example.com
Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Is the entity eligible to make a PTE election for this tax year?
Name of Authorized Representative Submitting Election
First NameLast Name
Title of Authorized Representative
Signature of Authorized Representative
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