Local Earned Income Tax Return Form - 2006

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MIFFLIN COUNTY SCHOOL DISTRICT
RETURN DUE DATE, APRIL 16
Please staple W-2 forms to
LOCAL EARNED INCOME TAX RETURN
TAX YEAR 2006
the BACK, and checks to
MIFFCO TAX SERVICE, INC., 139 WEST MARKET STREET, P.O.BOX 746, LEWISTOWN, PA 17044
the FRONT in this corner.
TEL: (717) 242-2777 FAX: (717) 242-6132
IF YOU MOVED DURING THIS TAX YEAR, PLEASE PROVIDE.
PREVIOUS
ADDRESS
CURRENT
ADDRESS
Name__________________________________________________
Address________________________________________________
DATE MOVED
MO.
DAY
YR.
______________________________________________________
______________________________________________________
SOC. SEC. NO. A
SOC. SEC. NO. B
Rounding Permitted ($.50 or more =$1.00, and $.49 or less =$0)
A HUSBAND AND WIFE MAY BOTH FILE ON THIS FORM, HOWEVER, TAX CALCULATIONS MUST BE
REPORTED IN SEPARATE COLUMNS. JOINT FILING (COMBINE INCOME, ETC.) IS NOT PERMITTED.
1 W-2 EARNINGS
(From attached W-2’s - Use Local Box 18 or State Box 16 Wages only)
1
LIMITATIONS APPLY
2 EMPLOYEE BUSINESS EXPENSES
(Attach State Schedule UE and Federal 2106 if used )
2
SEE INSTRUCTIONS
3 TAXABLE W-2 EARNINGS
( Subtract line 2 from Line 1)
3
ATTACH
4 OTHER TAXABLE EARNED INCOME (NO INTEREST OR DIVIDENDS)
4
SUPPORT
4a (INFO ONLY) K-1 EARNINGS $____________SUB_S CORP. $_______________PASSIVE PARTNERSHIP
XXXXXXXXXXXX XXXXXXXXXX
4a
5 TOTAL TAXABLE EARNED INCOME
(Add Lines 3 and 4)
5
ATTACH
6 NET LOSS FROM BUSINESS, PROFESSION, OR FARM
(Use Line 8 for Net Profits)
6
SCHEDULES
7 ADJUSTED EARNED INCOME
IF LESS THAN ZERO ENTER ZERO
7
(Subtract Line 6 from Line 5)
ATTACH
8 NET PROFIT FROM BUSINESS, PROFESSION, GUARANTEED PMTS, OR FARM
(Use Line 6 for Net Losses.)
8
SCHEDULES
9 TOTAL TAXABLE EARNED INCOME AND NET PROFITS
(Add Lines 7 and 8)
9
10 TAX LIABILITY: 1.35% of Line 9
Rounding Permitted.
10
(Multiply Line 9 by .0135)
11 TOTAL LOCAL INCOME TAXES WITHHELD
Rounding Permitted.
(From attached W-2’s, Box 19)
OUT OF STATE CREDIT, PHILADELPHIA TAX CREDIT up to Local Tax Liability
11
12 QUARTERLY PAYMENTS AND/OR LAST YEAR’S OVERPAYMENT CREDITED TO THIS YEAR
Rounding
12
Permitted
13 TOTAL WITHHOLDINGS & PAYMENTS
13
(Add Lines 11 and 12)
14 OVERPAYMENT-REFUND DUE
(Subtract Line 10 from Line 13) $3 or less will not be refunded or credited
14
15 AMOUNT OF REFUND TO BE CREDITED TO NEXT YEAR
15
$3 or less will not be credited
16 AMOUNT OF REFUND TO BE TRANSFERRED
TO SPOUSE’S CURRENT TAX BALANCE DUE
16
(nothing less than $3)
17 TAX BALANCE DUE
(Subtract Line 13 and Line 16 from Line 10). No payment $3 or less required
17
18 INTEREST
AND PENALTY
-1% PER MONTH OF LINE 10 LESS LINE 13 AFTER APRIL 16, LATE FILING FEE
18
.5%
.5%
19 TOTAL BALANCE DUE (Add line 17 and 18) Make Checks Payable to MIFFCO. Nothing if $3.00 or less
19
TYPE OR PRINT INFORMATION BELOW. IF PRE-PRINTED, CHECK FOR ACCURACY AND MAKE CORRECTIONS WHERE NECESSARY.
SPOUSE’S NAME, SIGNATURE, AND OTHER INFORMATION SHOULD BE PROVIDED ONLY IF HE OR SHE IS ALSO FILING ON THIS FORM.
YOUR RESIDENT MUNICIPALITY
(TOWNSHIP OR BOROUGH)
TAX OFFICE USE ONLY
YOUR TELEPHONE#
TAX PREPARERS TELEPHONE#
CHECK IF FINAL RETURN
CHECK TO OFFSET BALANCE DUE WITH SPOUSE OVERPAYMENT
CHECK IF USING PAID PREPARER AND WILL NOT NEED FORMS NEXT YEAR
FOR PERMISSION TO ALLOW ANOTHER PERSON TO DISCUSS THIS RETURN WITH TAX COLLECTOR
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS RETURN AND ACCOMPANYING SCHEDULES AND
STATEMENTS, AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, THEY ARE TRUE, CORRECT, AND COMPLETE.
YOUR SIGNATURE
DATE
CURRENT EMPLOYER
SPOUSE’S SIGNATURE (ONLY IF ALSO FILING ON THIS FORM)
DATE
CURRENT EMPLOYER
PREPARER’S NAME (PLEASE PRINT)
FIRM’S NAME (OR ENTER “S.E.” IF SELF EMPLOYED

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