Form F1 - Local Earned Income Tax Return, Form F300 - Local/non-Reciprocal State Worksheet
Download a blank fillable Form F1 - Local Earned Income Tax Return, Form F300 - Local/non-Reciprocal State Worksheet in PDF format just by clicking the "DOWNLOAD PDF" button.
Open the file in any PDF-viewing software. Adobe Reader or any alternative for Windows or MacOS are required to access and complete fillable content.
Complete Form F1 - Local Earned Income Tax Return, Form F300 - Local/non-Reciprocal State Worksheet with your personal data - all interactive fields are highlighted in places where you should type, access drop-down lists or select multiple-choice options.
Some fillable PDF-files have the option of saving the completed form that contains your own data for later use or sending it out straight away.
ADVERTISEMENT
1
2
3
4TAX YEAR
1
092311
LOCAL EARNED INCOME TAX RETURN
RESIDENT
JURISDICTION:
CHECK HERE IF EXTENSION FILED
IF YOU MOVED during the tax year printed above, please complete below.
AND MAIL THIS FORM.
DATES LIVING AT EACH
ADDRESS
TWP OR BORO
COUNTY
ADDRESS
/
/
/
/
TO
/
/
/
/
TO
THIS RETURN MUST BE FILED BY APRIL 15 unless this is a Saturday or Sunday
then next business day. You are required to file whether tax is due, refund/credit
due, tax is withheld, OR YOU HAVE NO EARNED INCOME.
WEB
The calculations reported in the first column MUST pertain to the name printed in the
column, regardless of whether the husband or wife appears first.
Name
Address
This is an INDIVIDUAL return. Combining income is NOT permitted.
City
State
&
Zip
DO NOT STAPLE DOCUMENTATION TO FORM
ONLY USE BLACK OR BLUE INK TO COMPLETE THIS FORM
ENTER SPOUSE’S NAME
Home Phone
(please provide)
Enter Social Security #
Enter spouse’s Social Security #
Make any corrections to NAME, ADDRESS, SSN, or RESIDENT
JURISDICTION and check here. ADD IF NOT SHOWN.
If you had NO EARNED INCOME,
If you had NO EARNED INCOME,
check the reason why:
check the reason why:
disabled
student
disabled
student
deceased
military
deceased
military
homemaker
retired
homemaker
retired
unemployed
unemployed
.
.
0 0
0 0
,
,
,
,
1
Gross Earnings as Reported on W-2.
1.
Enclose W-2(s) with this form ................... 1
Allowable Non-reimbursed Employee Business Expenses.
2.
Include detailed
.
.
0 0
0 0
,
,
,
,
2
statement of expenses (See Instructions Line 2) ................................................................ 2
Taxable W-2 Earnings
3.
(Line 1 minus line 2) Audit may be required if all W-2s and
.
0 0
.
0 0
,
,
,
,
3
supporting schedules are not enclosed .............................................................................. 3
Net Losses can no longer be used to offset wages reported on Line 1
.
.
0 0
0 0
,
,
,
,
4
Net Profits/Net Losses
4.
.. 4
IF LESS THAN ZERO, ENTER ZERO (See Instructions Line 4)
NON-TAXABLE S-Corp earnings check this box:
.
0 0
.
0 0
,
,
,
,
5
Total Earned Income
5.
subject to this tax (Line 3 plus line 4) ........................................ 5
Enter totals from this line on line 16 below.
.
0 0
0 0
.
,
,
,
,
6
Tax Liability:
6.
Line 5 multiplied by tax rate of
..................................... 6
.
0 0
.
0 0
,
,
,
,
7
Quarterly Estimated Payments.
7.
.............................................................................. 7
0 0
0 0
.
.
,
,
,
,
Earned Income Tax Withheld
8 .
as per W-2 (See Instructions Line 8) ......................... 8
.
0 0
0 0
.
,
,
,
,
9
Credit from Last Year
9.
(If Credit Due) .......................................................................... 9
.
0 0
0 0
,
,
.
,
,
10
Miscellaneous Credits
10.
10
(i.e. Philadelphia Tax or Out-of-State Tax Credit - see instructions) .......
0 0
0 0
.
.
,
,
,
,
11
Total
11.
of 7 + 8 + 9 + 10 ....................................................................................................... 11
REFUND/CREDIT
12.
(Line 11 minus line 6) IF $1.00 OR MORE, enter amount & check box below:
.
0 0
0 0
.
,
,
,
,
12
12
Credit to spouse
Credit to next year
Refund
.
0 0
0 0
.
,
,
,
,
13
TAX DUE
13.
(Line 6 minus line 11) OMIT IF LESS THAN $1.00 ........................................ 13
.
0 0
0 0
.
,
,
,
,
14
Interest & Penalties
14.
..................................................................................................... 14
.
0 0
0 0
.
TOTAL AMOUNT DUE
15.
(Line 13 + 14) Enter on line 15 and 17 ................................... 15
,
,
,
,
15
DATE
MAKE CHECK PAYABLE TO: HAB-EIT
YOUR SIGNATURE
I declare under penalty of law that the information herein is correct.
To contact Berkheimer call 610-599-3139
DATE
SPOUSE’S SIGNATURE
Website:
DATE
Print Form
PREPARED BY OTHER THAN TAXPAYER
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Financial