Local Earned Income/net Profits Tax And Flat Rate Occupation Tax Return Form - 2005
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1HOLLIDAYSBURG AREA SCHOOL DISTRICT AND/OR MUNICIPALITIES*
2005 LOCAL EARNED INCOME/NET PROFITS TAX AND FLAT RATE OCCUPATION TAX RETURN
Hollidaysburg Area School District Tax Office
*MUNICIPALITIES
TAX OFFICE USE ONLY
201 Jackson Street
Allegheny Twp
Duncansville Borough
Date
Amount
Hollidaysburg, PA 16648
Phone: (814) 695-5589
Blair Twp
Hollidaysburg Borough
FrankstownTwp
Newry Borough
Office Hours: Mon-Thurs: 7:30-4:30 Fri: 7:30-4:00
Juniata Twp
PLEASE COMPLETE
Twp/Borough:
Social Security #
Date of Birth:
Employer:
SPOUSE INFORMATION
Name:
Social Security #
ADDRESS CHANGE INFORMATION
MAKE CHANGES/CORRECTIONS TO PREPRINTED INFORMATION
Date Moved to District:
Date Moved from District:
CHANGE FOR TAX YEARS BEGINNING 1/1/2003:
Enactment of Act 166 of 2002 amended the Local Tax Enabling Act 511 changing the definition of
taxable compensation for local tax purposes. Pennsylvania Department of Revenue compensation will correspond with local compensation for tax years
beginning 1/1/2003. Refer to Pennsylvania Department of Revenue guidelines for acceptable supporting documentation for local tax purposes.
1a
W-2 Earnings (Attach copy of W-2's) Use State Wages Per W-2 Form
1a
1b
Other Taxable Earned Income
1b
(DO NOT include interest, dividends, or unemployment compensation)
1c
Employee Business Expenses (Attach PA Schedule UE)
1c
1d
TAXABLE COMPENSATION (Add Lines 1a, 1b minus Line 1c)
1d
2.
Net Loss from Business, Profession, or Farm (Attach copies of PA Schedules C, F, PA
RK-1)
2
3.
SUBTOTAL (Subtract Line 2 from Line 1d) IF LINE 2 IS GREATER THAN LINE 1d ENTER ZERO
3
4.
Net Profit from Business, Profession, or Farm (Attach copies of PA Schedules C, F, PA RK-1)
4
5.
TOTAL TAXABLE EARNED INCOME (Add Lines 3, 4)
5
6.
TAX LIABILITY: 1% of Line 5 (Multiply Line 5 by .01)
6
7.
Total Local Taxes Withheld (DO NOT include City of Altoona .2% Non-Resident Tax)
7
8.
Quarterly Payments and/or Applied Credits from 2004 Return
8
9.
TOTAL WITHHOLDINGS AND PAYMENTS (Add Lines 7, 8)
9
10.
EARNED INCOME TAX DUE (Subtract Line 9 from Line 6) If less then zero, enter as negative
10
11.
FLAT RATE OCCUPATION TAX (See Instructions) $1.00 Penalty if paid after April 17
11
10
00
12.
PENALTY AND INTEREST - 1% PER MONTH OF LINE 10 IF PAID AFTER APRIL 17TH
12
TOTAL EARNED INCOME AND FLAT RATE OCCUPATION TAX DUE (Add Lines 10, 11, 12)
13
(
HASD TAX OFFICE) -- $20.00 SERVICE CHARGE FOR ALL RETURNED CHECKS
13.
CHECKS PAYABLE TO
AMOUNTS UNDER $1.00 ARE NOT DUE OR REFUNDABLE
OVERPAYMENT: If Line 13 is less than zero, Check appropriate box
:
‘
‘
Credit my 2006 Tax Return
Refund
THIS RETURN MUST BE FILED BY APRIL 17, 2006
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief it is
true, correct and complete.
SIGN HERE:___________________________________________________
_______________
______________________________________________
______________
Your Signature
Date
Signature of preparer, other than taxpayer, based on
Date
all information of which preparer has any knowledge.
Telephone Number ____________________________
Telephone Number ___________________________
THIS FORM MUST BE RETURNED EVEN IF YOU HAVE NO EARNED INCOME TO REPORT
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