Local Services Tax-Mifflin County School District Area Form
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1L O C A L S E R V I C E S T A X
Mifflin County School District Area
INSTRUCTIONS
1. Any Self-Employed person earning less than $12000 per year shall be exempt from this Tax.
2. Complete Form LST and correct Name and Residence Address if necessary.
3. Send to: Miffco Tax Service, Inc, 139 West Market Street, PO Box 746, Lewistown, PA 17044
Phone: 717-242-2777
miffcotaxservice3@verizon.net
Municipal Code__________
Name_______________________________________
Address 1___________________________________
Address 2___________________________________
City, State Zip________________________________
Annual Tax $___.___
_____-____-______
Cut On Lines
Form LST 1
Quarter Due April 30, 20____
Form LST 2
Quarter Due July 30, 20____
st
nd
Name__________________________________
Name__________________________________
Municipal Code_____________
Municipal Code_____________
Social Security _____-____-_______
Social Security _____-____-_______
Tax Due This Quarter $___.___
Tax Due This Quarter $___.___
Penalty 5%
Penalty 5%_______________
Interest ½% Per Month_______________
Interest ½% Per Month_______________
Total Due________________
Total Due_______________
Form LST 3
Quarter Due October 30, 20____
Form LST 4
Quarter Due January 30, 20____
rd
th
Name__________________________________
Name__________________________________
Municipal Code_____________
Municipal Code_____________
Social Security _____-____-_______
Social Security _____-____-_______
Tax Due This Quarter $___.___
Tax Due This Quarter $___.___
Penalty 5%
Penalty 5%_______________
Interest ½% Per Month________________
Interest ½% Per Month_______________
Total Due________________
Total Due_______________
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