PA Keystone Opportunity Zone (KOZ) Application

Application Year / Benefit Type

Year:
Please let us know whether you have previously submitted KOZ application, or this is the first time:

AppID:

Confirmation #:

Is this application for benefits for a (check all that apply):

Failure to check all that apply will limit your benefits.

Real Property Owner Business Resident

Business/Resident/Property Owner

Name:

Entity Type

Indicate how your entity type reports to the Internal Revenue Service.

C Corp	LLC
Trust	Sole Proprietorship/Individual
Non-Profit	S Corp
Non-Profit Authority	QSSS
Partnership

(mandatory if Business selected) : Business Type:

Number of locations in Pennsylvania:

Business Description:

(include products and/or services provided; at least 10 characters)

NAICS Code: Find Code