Form 531- Final Earned Income Tax Return - West Shore Tax Bureau

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TAX RETURN.qxd
1/12/06
1:59 PM
Page 1
FORM 531
Please use the enclosed
return envelope and the
WEST SHORE TAX BUREAU
appropriate mailing labels
PHONE: 717-761-4900
WEB SITE:
to file this Return
FINAL EARNED INCOME TAX RETURN
Click Here to Clear Form
2005
CALENDAR YEAR
PLEASE FILE THIS RETURN BY APRIL 15TH EVEN IF NO TAX IS DUE OR IF IT HAS ALL BEEN WITHHELD
Reference # T/P A:
(enter your address here)
Reference # T/P B:
MUNICIPALITY:
FULL YEAR RESIDENT YES ( )
NO ( )
...select your municipality
A husband and wife may both file on this form, however,
Á
tax calculations must be reported in separate columns. Joint
filing (combining income or expenses) is not permitted.
Taxpayer A - Name
Taxpayer B - Name
Taxpayer A SS#
YOU MUST
COMPLETE
Taxpayer B SS#
0.00
0.00
1. Gross Earnings Enclose W-2’s, 1099’s, or explain other income
1.
0.00
0.00
2. Allowable Non-Reimbursed Employee Business Expenses Include detailed
2.
Statement of expenses (PA Forms UE-1, UE-2 and all supporting documents)
0.00
0.00
3. Taxable Earnings (Line 1 minus Line 2) Audit may be required if all W-2’s,
3.
1099’s and supporting documents are not attached or other income is not explained
0.00
0.00
4. Net Loss (Use Line 8 for any Net Profits) Attach PA Schedules C, F, RK-1 and/or
4.
NRK-1 NOTE: PA Schedule C-F Reconciliation is not acceptable.
0.00
0.00
5. Subtotal (Line 3 minus Line 4)
IF LESS THAN ZERO – ENTER ZERO
5.
0.00
0.00
6. Net Profits (Use Line 4 for Net Losses) Include PA Schedules C, F, RK-1
6.
and/or NRK-1
0.00
0.00
7. TOTAL EARNED INCOME SUBJECT TO THIS TAX (Line 5 plus Line 6)
7.
0.00
0.00
0.00
8. Tax Liability Line 7 multiplied by tax rate _____ (See back of Return for tax rates) 8.
0.00
0.00
9. Quarterly Estimated Payments
9.
0.00
0.00
10. Earned Income Tax Withheld as per attached W-2’s
10.
0.00
0.00
11. Credit from last year
11.
0.00
0.00
12. Miscellaneous Credits Please see Instructions for calculating Out-Of-State
12.
Tax Credit or Credit for Philadelphia Tax Withheld.
0.00
0.00
13. TOTAL of 9 + 10 + 11 + 12
13.
0.00
0.00
14. REFUND/CREDIT Subtract Line 8 from Line 13
14.
NO REFUNDS OR CREDITS LESS THAN $1.00
( ) Credit to next year ( ) Refund
0.00
0.00
15. TAX DUE If Line 8 is greater than Line 13 – subtract Line 13 from Line 8
15.
AMOUNTS LESS THAN $1.00 NEED NOT BE PAID
0.00
0.00
16. Interest + Penalty (1% per month after April 15th)
16.
0.00
0.00
17. TOTAL AMOUNT DUE (Line 15 + Line 16)
17.
ATTACH APPROPRIATE COPIES OF STATE SCHEDULES AND/OR ALL W-2’S
MAKE CHECKS PAYABLE TO WEST SHORE TAX BUREAU. A FEE OF $20.00 WILL BE CHARGED FOR RETURNED CHECKS.
I declare under penalties of perjury that I have examined this return and to the best of my knowledge and belief, it is a true, accurate and complete return.
Signature Taxpayer A
Date
Occupation
E-Mail
Daytime Telephone
Signature Taxpayer B
Date
Occupation
E-Mail
Daytime Telephone
Preparer’s Name (Please Print)
Preparer’s Telephone

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