Form Lst-3 - Local Services Tax Return - Self Employed
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1LST
3
2010 LOCAL SERVICES TAX RETURN
SELF EMPLOYED
ENTER YOUR SOCIAL SECURITY NO
ITTl ITJ
I
n
PALMER
TOWNSHIP LST
3 WELLER PLACE
EASTON
PA 18045
ACCOUNT NUMBER
DUE DATE
4
30 10
1
Local Services Tax
Annual Rate
52 4
2
PENALTY
5
X Line 1
after Due Date
3
INTEREST
1
2
X Line
1
per month after Due Date
4
Total PENALTY
INTEREST
add lines 2 and 3
5
TOTAL DUE
DO NOT WRITE BELOW THIS LINE
LST 3
2010 LOCAL SERVICES TAX RETURN
SELF EMPLOYED
ENTER YOUR SOCIAL SECURITY NO
I
t
IITJl
n
Payable
to
PALMER TOWNSHIP LST
3 WELLER PLACE
EASTON PA 18045
610 252 0440
DUE DATE
8 3 10
ACCOUNT NUMBER
1
Local Services Tax
Annual Rate
52
4
2
PENALTY
5
X Line 1
after Due Date
3
INTEREST
1 2
X Line 1
per month after Due Date
4
Total PENALTV
INTEREST
add lines 2 and 3
5
TOTAL
DUE
DO NOT WRITE BELOW THIS LINE
LST 3
2010 LOCAL SERVICES TAX RETURN
SELF EMPLOYED
ENTER YOUR SOCIAL SECURITY NO
t
IITJI
I
Payable
to
PALMER TOWNSHIP LST
3 WELLER PLACE
EASTON PA 18045
610 252 0440
DUE DATE
10 30 10
ACCOUNT NUMBER
1
Local Services Tax
Annual Rate
52 4
2
PENALTY
5
X Line
1
after Due Date
3
INTEREST
1
2
X Line
1
per month after Due Date
4
Total PENALTY
INTEREST
add lines 2 and 3
5
TOTAL
DUE
e
c
x
0
E
iii
c
iT
1
I
1
mH lfiillll wl 0
m iiiIIIIBJj 1
DO NOT WRITE BELOW THIS LINE
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