Form Lst-1 - Local Services Tax - Employer Return

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PALMER
TOWNSHIP LST
3 WELLER PLACE
EASTON PA 18045
2010 LOCAL SERVICES TAX EMPLOYER RETURN
LST 1
Quarter
1 Due
4 30 10
ACCOUNT NO
Number
of
Exemptions
Enclosed
c
J
1
Number of
Employees Reported
enter 0 if
none
2
Total amount of tax withheld this
quarter
see
enclosed instructions
3
Net amount due
4
Penalty
line 3
x
5
5
Interest line 3
x
1 2
per month
6
Total
penalty
interest
line 4
line 5
7
TOTAL AMOUNT DUE line 3
line 6
DO NOT WRITE BELOW THIS LINE
LST 1
2010 LOCAL SERVICES TAX EMPLOYER RETURN
Quarter
2 Due
8 3 10
Payable
to
PALMER TOWNSHIP LST
3 WELLER PLACE
EASTON PA
18045
610
252 0440
Number of
Exemptions
Enclosed
c
J
ACCOUNT NO
1
Number of
Employees Reported
enter 0 if
none
2
Total amount of tax withheld this
quarter
see
enclosed instructions
3
Net amount due
4
Penalty
line 3
x
5
5
Interest line 3
x
1 2
per month
6
Total
penalty
interest line 4
line 5
7
TOTAL AMOUNT DUE
line 3
line 6
DO NOT WRITE BELOW THIS LINE
LST 1
2010 LOCAL SERVICES TAX EMPLOYER RETURN
Quarter 3 Due
10 30 10
Payable
to
PALMER TOWNSHIP LST
3 WELLER PLACE
EASTON PA 18045
610 252 0440
ACCOUNT NO
Number of
Exemptions
Enclosed
c
J
1
Number of
Employees
Reported
enter 0 if
none
2
Total amount of tax withheld this
quarter
see
enclosed instructions
3
Net amount due
4
Penalty
line 3
x
5
5
Interest line 3
x
1 2
per month
6
Total
penalty
interest line 4
line 5
7
TOTAL AMOUNT DUE line 3
line 6
DO NOT WRITE BELOW THIS LINE
LST 1
2010 LOCAL SERVICES TAX EMPLOYER RETURN
Quarter
4 Due
1
31
11
Payable
to
PALMER TOWNSHIP LST
3 WELLER PLACE
EASTON PA 18045
610 252 0440
Number of
Exemptions
Enclosed
c
J
ACCOUNT NO
1
Number of
Employees Reported
enter 0 if
none
2
Total amount of tax withheld this
quarter
see
enclosed instructions
3
Net amount due
4
Penalty
line 3
x
5
5
Interest line 3
x
1 2
per month
6
Total
penalty
interest
line 4
line 5
7
TOTAL AMOUNT DUE
line 3
line 6
cr
E
Ii
9
DO NOT WRITE BELOW THIS LINE

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