Delinquent Earned Income Tax Move/Employer Change Form

This form should be used by individual taxpayers who need to inform Keystone of a move or employer change during the tax year. Complete form, enclose W2(s) and submit via:

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

Fax to 724-978-2871

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