Employer'S Reconciliation Of Earned Income Tax And Ls Tax For Tax Year 2009

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WEST SHORE TAX BUREAU
3607 ROSEMONT AVE, PO BOX 656, CAMP HILL, PA 17001-0656
EMPLOYER'S RECONCILIATION OF EARNED INCOME TAX AND LS TAX FOR TAX YEAR 2009
2009
EMPLOYER NAME AND NO.
EIN NO.
EMPLOYER'S
RECONCILIATION
1. ENTER NUMBER OF W-2 STATEMENTS SENT WITH THIS RETURN
2. EMPLOYERS WITH MORE THAN (5) EMPLOYEES, ENTER TOTAL OF
LOCAL EARNED INCOME TAX WITHHELD SHOWN ON W-2'S AND ENCLOSE
A LISTING OF THE INDIVIDUAL TAX AMOUNTS MAKING UP THE TOTAL.
This form must be
EARNED INCOME TAX
LS TAX
returned even though no
tax was withheld during
QUARTER ENDING
COMPENSATION REPORTED
TAX REPORTED
TAX PAID
TAX REPORTED
TAX PAID
the year. This form must
be filed on or before
MARCH 31
February 28, 2010 and
JUNE 30
must be accompanied by
a W-2 form or a magnetic
SEPTEMBER 30
media record for every
DECEMBER 31
employee from whom
earned income tax was
withheld during the year.
I DECLARE UNDER PENALTIES PROVIDED BY THE LAW THAT THIS RETURN HAS BEEN EXAMINED BY ME AND TO
THE BEST OF MY KNOWLEDGE IS A TRUE, CORRECT, AND COMPLETE RETURN.
X
Signature
Phone:
(
)
Date:
WESTAB FORM W-2 REC (Rev 12-09)

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