You’ll have to sign up for an international account. If you’re using an existing US account that you set up before you moved here, you cannot join the two.
So far, I have never been successful in transfer Paypal balances in my TW Paypal account to my local bank account and I don’t believe you can pay using a TW account either (drawing money from TW account, into Paypal, to be paid to a seller). AFAIK, you can only Get Verified using a TW bank account, and then you can use your Paypal acct as much as you want to send money using your Paypal balance, a credit card, or a US bank account.
Even if you had a friend send money to your Paypal account (and you paid him in cash) so you could send payments from a Paypal Balance, you’d be limited to sending US$100 (as of the last time I checked). Then you’d need to have a credit card or US bank account on file.
I ended up just opening a new US account when I went home a few months ago. PITA.