Delinquent Earned Income Information Supplement Form

This form should be used by individual taxpayers to correct information on a Delinquent Earned Income Tax notice.

Upload, mail or fax the form with supporting documentation to:

Keystone’s e-Pay. Have your invoice number available to log on.

Mail to Keystone Collections Group, PO Box 499, Irwin, PA 15642

Fax to 724-978-2871