Local Earned Income Tax Return - Mifflin County School District - 2015
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1
2MIFFLIN COUNTY SCHOOL DISTRICT
RETURN DUE DATE, APRIL 15, 2016
Please staple W-2 forms to
TAX YEAR 2015
LOCAL EARNED INCOME TAX RETURN
the BACK, and checks to
the FRONT in this corner.
MIFFCO TAX SERVICE, INC., 139 WEST MARKET STREET, P.O. BOX 746, LEWISTOWN, PA 17044
TEL: (717) 242-2777 FAX: (717) 242-6132
IF YOU MOVED DURING THIS TAX YEAR, PLEASE PROVIDE:
PREVIOUS
ADDRESS _________________________________________
_________________________________________
CURRENT
ADDRESS _________________________________________
_________________________________________
DATE MOVED
MO. ________ DAY ________YR. _________
Must Round ($.50 or more = $1.00, and $.49 or less = $0)
SOC. SEC. NO. A
SOC. SEC. NO. B
A HUSBAND AND WIFE MAY BOTH FILE ON THIS FORM, HOWEVER, TAX CALCULATIONS MUST BE
REPORTED IN SEPARATE COLUMNS. JOINT FILING (COMBINE INCOME, ETC.) IS NOT PERMITTED.
_________________________________________________________________________________________________________
1
1
W-2 EARNINGS (Attach W-2’s - Use local Box 18 or State Box 16 Wages only)
_________________________________________________________________________________________________________
LIMITATIONS APPLY
2
2
EMPLOYEE BUSINESS EXPENSES
_________________________________________________________________________________________________________
(Attach State Schedule UE and Federal 2106 if used)
SEE RESTRICTIONS
3
3
TAXABLE W-2 EARNINGS (Subtract line 2 from Line 1)
_________________________________________________________________________________________________________
ATTACH
4
4
OTHER TAXABLE EARNED INCOME (NO INTEREST OR DIVIDENDS)
_________________________________________________________________________________________________________
SUPPORT
(INFO ONLY)
XXXXXXXXXXX XXXXXXXXXXX
4a
4a
K-1 EARNINGS $___________ SUB_S CORP. $___________ PASSIVE PARTNERSHIP
_________________________________________________________________________________________________________
REQUIRED FOR
5
5
TOTAL TAXABLE EARNED INCOME (Add Lines 3 and 4)
_________________________________________________________________________________________________________
(Must Attach Federal and State
NO C-F
6
6
NET PROFIT FROM BUSINESS, PROFESSION, OR FARM
_________________________________________________________________________________________________________
RECONCILIATION
Schedule C, F and/or K-1 (1065))
NO C-F
(Must Attach Federal and State
7
7
NET LOSS(ES) FROM BUSINESS, PROFESSION, OR FARM
_________________________________________________________________________________________________________
RECONCILIATION
Schedule C, F and/or K-1 (1065))
(Per PA Act 32, effective January 1, 2009,
8
8
SUBTRACT LINE 7 FROM LINE 6. IF LESS THAN ZERO ENTER “ZERO”
_________________________________________________________________________________________________________
losses cannot be offset against wages.)
9
9
TOTAL TAXABLE EARNED INCOME AND NET PROFITS
_________________________________________________________________________________________________________
(Add Lines 5 and 8)
10
10
TAX LIABILITY: 1.35% OF LINE 9 (Multiply Line 9 by .0135) Must Round
_________________________________________________________________________________________________________
TOTAL LOCAL INCOME TAXES WITHHELD (From attached W-2’s, Box 19) Must Round
11
11
_________________________________________________________________________________________________________
OUT OF STATE CREDIT, PHILADELPHIA TAX CREDIT up to Local Tax Liability
Must
QUARTERLY PAYMENTS AND/OR LAST YEAR’S OVERPAYMENT CREDITED TO THIS YEAR
12
12
_________________________________________________________________________________________________________
Round
TOTAL WITHHOLDINGS & PAYMENTS
13
(Add Lines 11 and 12)
13
_________________________________________________________________________________________________________
14
OVERPAYMENT
14
(Subtract Line 10 from Line 13) $3 or less will not be refunded or credited
_________________________________________________________________________________________________________
15
15
AMOUNT OF OVERPAYMENT TO BE CREDITED TO NEXT YEAR $3 or less will not be credited
_________________________________________________________________________________________________________
16
16
AMOUNT OF OVERPAYMENT TO BE TRANSFERRED (nothing $3.00 or less) TO SPOUSE’S CURRENT TAX BALANCE DUE
_________________________________________________________________________________________________________
17
AMOUNT OF OVERPAYMENT TO BE REFUNDED
17
_________________________________________________________________________________________________________
18
TAX BALANCE DUE (Subtract Line 13 from Line 10) No payment if $3.00 or less required
18
_________________________________________________________________________________________________________
19
19
INTEREST .25% AND PENALTY 1% - 1.25% PER MONTH OF LINE 18 AFTER APRIL 15, PLUS PROCESSING FEE
_________________________________________________________________________________________________________
20
TOTAL BALANCE DUE (Add line 18 and 19) Make Checks Payable to MIFFCO. Nothing if $3.00 or less
20
_________________________________________________________________________________________________________
TYPE OR PRINT INFORMATION BELOW. IF PRE-PRINTED, CHECK FOR ACCURACY AND MAKE CORRECTIONS WHERE NECESSARY.
_________________________________________________________________________________________________________
SPOUSE’S NAME, SIGNATURE, AND OTHER INFORMATION SHOULD BE PROVIDED ONLY IF HE OR SHE IS ALSO FILING ON THIS FORM.
YOUR RESIDENT MUNICIPALITY (TOWNSHIP OR BOROUGH)
TAX OFFICE USE ONLY
YOUR TELEPHONE #
TAX PREPARER’S TELEPHONE #
❏ CHECK IF FINAL RETURN
❏ CHECK TO OFFSET BALANCE DUE WITH SPOUSE OVERPAYMENT
❏
❏ CHECK IF USING PAID PREPARER AND WILL NOT NEED FORMS NEXT YEAR
✓ FOR PERMISSION TO ALLOW ANOTHER PERSON TO DISCUSS THIS RETURN WITH TAX COLLECTOR
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS RETURN AND ACCOMPANYING SCHEDULES AND STATEMENTS, AND TO THE BEST
OF MY KNOWLEDGE AND BELIEF, THEY ARE TRUE, CORRECT, AND COMPLETE.
YOUR SIGNATURE
DATE
CURRENT EMPLOYER
SPOUSE’S SIGNATURE (ONLY IF ALSO FILING ON THIS FORM)
DATE
CURRENT EMPLOYER
PREPARER’S NAME (PLEASE PRINT)
FIRM’S NAME (OR ENTER “S.E.” IF SELF EMPLOYED) AND TELEPHONE NUMBER
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