Form 531 - Local Earned Income Tax Return - 2014

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2014
CAPITAL TAX COLLECTION BUREAU
LOCAL EARNED INCOME TAX RETURN
Return this form with supporting
documentation attached to the back of
PO BOX 60547 HARRISBURG PA 17106-0547
Phone: (717) 234-3217
TH
Physical address: 2301 N 3RD ST HARRISBURG PA 17110
WEBSITE:
the return by APRIL 15
, 2015
Hours: 8 am - 4 pm MONDAY - THURSDAY 8:30 am - 4 pm FRIDAY
FOR ELECTRONIC FILING
(Enclose payments, do not attach)
Dates
Physical Address [No PO Box, RR or RD] include temporary addresses
CHECK HERE IF YOU MOVED DURING THIS TAX YEAR.
___/___/___ to ___/___/___
PROVIDE EACH PHYSICAL ADDRESS FOR TAX YEAR.
***
FIRST COMPLETE THE PART-YEAR RESIDENT
___/___/___ to ___/___/___
WORKSHEET IF YOU LIVED WITHIN MORE THAN
___/___/___ to ___/___/___
Taxpayer A
Taxpayer B
ONE MUNICIPALITY.
Current Name and Address
Electronic PIN:
Social Security #:
Account #:
School District:
Municipality:
PSD:
Extension
Amended Return
Non- Resident Return
Extension and Non-Resident Return, see instructions
FOR ELECTRONIC FILING AND ADDITIONAL FORMS
Taxpayer A
Taxpayer B
Disabled Unemployed
Disabled Unemployed
If you had NO
Two-income couples may both file on this form, order of names is not pertinent.
Active Duty Military
Active Duty Military
EARNED INCOME
Tax calculations must be entered in separate columns. Taxpayers must provide
Homemaker
Retired
Homemaker
Retired
circle the reason why:
Deceased
Deceased
DATE:______
DATE:______
verification of earned income/expense items as indicated below with this return.
Round to the whole dollar
Round to the whole dollar
Earned Income/Compensation
00
00
1.
(From W-2 form or amount from income proration worksheet)
(Attach W-2)
1
Less Allowable Business Expenses
2.
00
00
(Attach PA UE Forms)
2
TOTAL Earned Income & Compensation
3.
00
00
(Line 1 minus Line 2)
3
4. a. Net Effect of Profits & Losses From Business, Profession, & Farm
00
00
4a
(Attach Documentation & Complete Net Effect Worksheet) Loss = 0
00
00
b. Other Taxable Income
4b
(Attach documentation if available and complete Other Taxable Income Worksheet)
TOTAL Taxable Earned Income/Compensation & Net Profits
5.
00
00
(Add Line 3, Line 4a & Line 4b.)
5
Calculation of Tax: Multiply Line 5 by proper tax rate
RATE:
00
00
6.
6
. Tax Credits:
00
00
a. Tax Withheld by Employer
)
7
7a
(Box 19 of W-2 or total from Partial Year Resident Worksheet
Quarterly Tax Payments
00
00
b.
7b
00
00
Prior Year Overpayment
c.
(unless refunded)
7c
d
Credit for tax paid to other states
.
00
00
(Attach Sch G & required copies )
7d
e. TOTAL
00
00
(Add Lines a, b, c & d)
7e
Overpayment
8.
00
00
(If Line 7e is greater than Line 6. AMOUNTS $2.00 OR LESS WILL NOT BE REFUNDED)
8
NO CREDIT OR REFUND WILL BE
Credit to Next Year
Credit to Spouse
a.
00
00
8a
PROCESSED WITHOUT COMPLETE
Refund
b.
00
00
Paper Check
8b
Direct Deposit
DOCUMENTATION.
Direct Deposit Information
Taxpayer,
Checking or
ROUTING NO.
ACCOUNT NUMBER
Name of Bank
Spouse, Both
Savings Acct
Tax Balance Due
9.
00
00
(If Line 7e is less than Line 6 enter the difference as the balance due.)
9
00
00
a. Minus Credit Amount from Spouse
9a
Interest and Penalty
10. a.
1% per month of Line 9 minus 9a if taxes are paid after April 15. (Please note individuals
00
00
who have failed to make quarterly self-payments sufficient to meet their tax obligations are subject to additional charges.)
10a
b. Collection Fee
(Returns filed after the due date may be subject to additional cost of collection.)
10b
TOTAL Payment Due
11.
(Line 9 plus Line 10a & 10b.)
NO PAYMENTS OF $2.00 OR LESS ARE REQUIRED
00
00
11
If paying combined, enter amount enclosed
12.
.
(A payment due & a credit balance may be combined.)
12
SIGN YOUR RETURN. Under penalties of perjury I (we) have examined this return, and to the best of my (our) belief it is true, correct and complete.
|
Taxpayer Signature
Date
Phone Number
Spouse's Signature
Date
Phone Number
Preparer's Name
Date
Phone Number
Signature of Preparer
MAKE TWO COPIES OF THE
COMPETED RETURN. ONE TO
SUBMIT TO CTCB AND ONE TO
FORM 531
*Filing this tax return does not constitute an appeal.
MAKE CHECKS PAYABLE TO - CTCB
KEEP FOR YOUR RECORDS.

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