Occupation Tax Notice Form

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℠
Keystone Collections Group
PO Box 519
Irwin, PA 15642
(724) 978-0300 • FAX (724) 978-0339
Northern Bedford County School District
2016 Flat Rate Occupational Tax Notice
Keystone Collections Group serves as the Flat Rate Occupational Tax Collector for the Northern Bedford County School
District. This tax is in addition to the Local Services Tax and applies to those persons who are residents of the Northern
Bedford County School District and have earned or made a profit of $1,000 or more for the period of time from January 1
to December 31. Exemption from flat rate occupational tax: if you have not earned, or have not made a profit of $1,000
during the above period. Previously, this tax was invoiced as a part of the NBCSD final EIT return, due to the state
mandated uniform EIT forms used under Act 32 of 2008 this is no longer possible.
If you need further assistance concerning this Flat Rate Occupational Tax or need an exemption form, please visit our
website at
or contact Keystone at: 546 Wendel Road – Irwin PA 15642 – Phone: (724) 978-
0300.
GENERAL INFORMATION
1.
To ensure proper credit to your account, detach and return the bottom portion with your payment. Retain the
top portion for your records. Your cancelled check will be your official receipt.
2.
Make checks payable to: Keystone Collections Group. There will be a $29.00 fee for returned checks.
3.
Taxes not paid by April 15, 2017 will be subject to added costs of collections.
NOTE: You are entitled to receive a written explanation of your rights with regard to the audit, appeal, enforcement, refund
and collection of local taxes by calling Keystone Collections Group, during the hours of 8:00 am to 4:00 pm, Monday
through Friday.
FLAT RATE OCCUPATIONAL TAX DUE as follows:
Face Payment
If Paid:
By 4/15/2017
Amount:
$10.00
Please remit bottom portion with your next payment to insure proper credit.
--------------------------------------------------------------------------------------------------------------------------------------------
PAYMENT VOUCHER
℠
Keystone Collections Group
PO Box 519
Irwin, PA 15642
(724) 978-0300 • FAX (724) 978-0339
Make checks payable and mail to:
Keystone Collections Group
Northern Bedford County School District
PO Box 519
2016 Flat Rate Occupation Tax Notice
Irwin, PA 15642
SSN:
_____________________________
Name:
_____________________________
$ 10.00
Address: _____________________________
Amount Remitted:
_____________________________
1654041600000000004151700000000100000000000000000001

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