Form F1ch - Local Earned Income Tax Return - 2007
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1SCHOOL DISTRICT OF CHELTENHAM TOWNSHIP & TOWNSHIP OF CHELTENHAM
F1CH
10/07
LOCAL EARNED INCOME TAX RETURN
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
PROPERTY ADDRESS
TWP OR BORO
COUNTY
ADDRESS
/
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TO
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/
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.
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
This is an INDIVIDUAL return. Combining income is NOT permitted.
Address
City
State
&
Zip
If you had NO EARNED INCOME,
If you had NO EARNED INCOME,
check the reason why:
check the reason why:
disabled
student
disabled
student
Home Phone
deceased
military
deceased
military
(please provide)
homemaker
retired
homemaker
retired
IF TOTAL GROSS
Make any corrections to NAME, ADDRESS, SSN, or RESIDENT
unemployed
unemployed
JURISDICTION and check here. ADD IF NOT SHOWN.
EARNINGS
ENTER SPOUSE’S NAME
ARE LESS THAN
$3,000 ENTER
Enter Social Security #
Enter spouse’s Social Security #
-0- ON LINE 1
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1. Gross Earnings as Reported on W-2. Enclose W-2(s) with this form . 1
1
2. Allowable Non-reimbursed Employee Business Expenses. Include
.
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detailed statement of expenses (See Instructions Line 2)........................ 2
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2
3. Taxable W-2 Earnings (Line 1 minus line 2) Audit may be required if all
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W-2s and supporting schedules are not enclosed .................................. 3
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3
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IF FILING A
4. Net Loss (Use line 6 for any Net profits) (See Instructions Line 4) ....... 4
4
JOINT RETURN,
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5. Subtotal (Line 3 minus 4) IF LESS THAN ZERO, ENTER ZERO ...... .... 5
5
TOTAL IN
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COLUMN C
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6. Net Profits (Use line 4 for Net losses) (See Instructions Line 6) ........... 6
6
NON-TAXABLE S-Corp earnings check this box:
ONLY ON
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7. Total Earned Income subject to this tax (Line 5 plus line 6) .................. 7
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7
LINES 14, 15, 16, & 17
Write each account Total Earned Income Tax (figures from line 7 ) on line 18.
IF APPLICABLE.
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8. Tax Liability: Line 7 multiplied by tax rate of
..... . ...... 8
8
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9. Quarterly Estimated Payments. ........................................................... 9
9
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10. Earned Income Tax Withheld as per W-2 (See Instructions Line 10)..10
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10
COLUMN C
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11. Credit from Last Year (If Credit Due) ...................................................11
11
For Joint Filing Only
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12. Miscellaneous credits
12
(Philadelphia Tax or Out-of-State Tax Credit) see instructions)
12
13. Total of 9 + 10 + 11 + 12 ................................................ ...................... 13
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13
14. REFUND/CREDIT(Line 13 minus line 8) Enter amount and check below:
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Credit to spouse
Credit to next year
Refund No refund/credit under $1
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14
14
14
15. TAX DUE (Line 8 minus line 13) OMIT IF LESS THAN $1.00 ............... 15
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15
15
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16. Interest & Penalties ............................................................................. 16
16
16
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17. TOTAL AMOUNT DUE (Line 15 + 16) Enter on line 17 and 19 ........... 17
17
17
YOUR SIGNATURE
DATE
I declare under penalty of law that the information herein is correct.
WRITE EACH ACCOUNT TOTAL
WRITE COMBINED TOTAL
DATE
SPOUSE’S SIGNATURE
ON LINES 17 & 19
ON LINES 17 & 19
DATE
PREPARED BY OTHER THAN TAXPAYER
DO NOT DETACH
RETURN ENTIRE NOTICE TO TAX OFFICE
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Please write last 4 digits of your social security number(s) on
18
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your check.
TOTAL FROM LINE 7
TOTAL FROM LINE 7
Remit entire notice to appropriate address, using return
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envelope provided.If you pay in person, you MUST present
19
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this entire notice unless filing online.
TOTAL FROM LINE 17
TOTAL FROM LINE 17
Include all required documentation with this form. Photocopies of W-2s and
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schedules ARE accepted. DO NOT STAPLE DOCUMENTATION TO FORM.
AMOUNT OF
There will be a $20.00 cost for returned checks for insufficient funds.
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ENCLOSED CHECK
There will be a $12.50 cost if no check enclosed for tax due at time of filing.
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To ensure proper credit to your account, please remit to the
20
appropriate address.
CHELTENHAM TWP / CHELTENHAM TWP SD
MAKE CHECK PAYABLE TO:
c/o BERKHEIMER
HAB-EIT / Township of Cheltenham
P.O. BOX 909
BANGOR PA 18013-0909
Website:
Email:
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