Final Earned Income And Net Profits Tax Return

State College Area School District and Borough of State College

lease staple W-2 Forms and

FINAL EARNED INCOME AND NET PROFITS TAX RETURN*

checks to the BACK of return

Tax Year 2009

Return Due Date, 04/15/2010

in this corner.

T S

Unemployed

Non-Resident

Part Year Resident

If you are filing as a Non-Resident or Part-Year Resident, please

Retired

Deceased

T=Taxpayer

S=Spouse

see instructions for additional documentation to be attached.

Dates

(Complete address)

___/___/___ to ___/___/___

Please list all addresses

___/___/___ to ___/___/___

that you lived at for this

___/___/___ to ___/___/___

calendar year.

Current Name and Address

Social Security Number

(Taxpayer)

(Spouse)

Return form, supporting

State College Borough Tax Office

documentation & payment to:

243 South Allen Street

State College, PA 16801-4864

If you have questions call:

Phone: (814) 278-4709

Web-site:

Office Hours: 8 a.m. - 5 p.m. M-F (call for tax season special hours)

Two-income couples may each file separately on this form. However tax calculations must be entered in separate columns.

Taxpayers must provide verification of earned income/expense items as indicated below with this return.

TAXPAYER

SPOUSE

Earned Income/Compensation

(Box 18) (Attach W-2, 1099 Misc. Forms.) (See Reverse Side)

Less Allowable Business Expenses

(Attach PA UE Forms)

TOTAL Earned Income & Compensation

(Line 1 minus Line 2)

Net Effect of Profits From Business, Profession, Farm

(Attach Documentation) Loss = 0

TOTAL Taxable Earned Income/Compensation & Net Profits

(Line 3 plus Line 4.)

6. Calculation of Tax - Multiply Line 5 by 2.25% (Resident rate) or 1% (Non-Resident rate, see instructions)

Tax Credits

Tax Withheld by Employer (Box 19 from W-2 form)

Quarterly Tax Payments

Prior Year Overpayment

Credit for tax paid to other states

)

(complete & attach Sch G & copy of non-PA return

e. TOTAL (Add Lines a, b c & d.)

Overpayment

(If Line 7 e. is greater than Line 6-Amounts less than $2 will not be refunded or credited.)

Refund

(No refund will be processed without complete documentation.)

Credit to Next Year

(No credit will be processed without complete documentation.)

Unpaid Tax Balance

(If Line 7 e. is less than Line 6 enter amount due.)

Penalty & Interest

10.

(1% per month of Line 9 if taxes are paid after April, 15. Additional charges will be

assessed for failure to make proper quarterly tax payments.)

TOTAL Payment Due

11.

(Line 9 plus Line 10.) NO PAYMENTS UNDER $2.00 ARE REQUIRED

If paying jointly, enter amount enclosed

12.

(A payment due & a credit balance may be combined.)

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.

Has your state or federal income been changed as a result of an audit in the past 3 years?

YES

Are you a student?

Please circle:

Full-time

Part-Time

None

Taxpayer Signature

Date

Phone Number

Are you a student?

Please circle:

Full-Time

Part-Time

None

Spouse's Signature

Date

Phone Number

Preparer's Name

Date

Phone Number

Signature of Preparer

TAX OFFICE COPY

*Filing this tax return does not constitute an appeal.

MAKE CHECKS PAYABLE TO - STATE COLLEGE BOROUGH TAX OFFICE

Final Earned Income And Net Profits Tax Return - 2009

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