Form 531-Smt - Local Earned Income Tax Return/chart A - 2010

ADVERTISEMENT

TAX OFFICE USE ONLY - DO NOT WRITE IN THIS AREA
2010
DO NOT STAPLE HERE!
USE PAPERCLIP ONLY!
RETURN BY APRIL 15, 2011 TO:
LOCAL EARNED INCOME TAX
CAPITAL TAX COLLECTION BUREAU
RETURN (FORM 531-SMT)
DICKINSON TWP, MOUNT HOLLY SPRINGS
TO CONSTITUTE PROOF OF FILING, THE TAXPAYER'S COPY MUST BE VALIDATED BY
THE BUREAU. TO HAVE YOUR COPY VALIDATED BY MAIL, RETURN BOTH THE BUREAU'S
BOROUGH
AND TAXPAYER'S COPIES ALONG WITH A SELF ADDRESSED STAMPED ENVELOPE.
NORTH MIDDLETON TWP, SOUTH MIDDLETON
SCHOOL DISTRICT
SOC. SEC. NO. A
SOC. SEC. NO. B
A HUSBAND AND WIFE MAY BOTH FILE ON THIS FORM. HOWEVER, TAX CALCULATIONS MUST BE REPORTED IN SEPARATE
COLUMNS. JOINT FILING (I.E., COMBINING INCOME, ETC.) IS NOT PERMITTED.
W-2 EARNINGS (From attached W-2s)
1
1
2
EMPLOYEE BUSINESS EXPENSES (EBEs) (From attached Federal Form 2106 & State Schedule UE)
2
3
TAXABLE W-2 EARNINGS LESS EBEs (Subtract Line 2 from Line 1)
3
OTHER TAXABLE EARNED INCOME (NO INTEREST OR DIVIDENDS) LIST TYPE: __________________
4
4
TOTAL TAXABLE EARNED INCOME (Add Lines 3 and 4)
5
5
6
NET PROFIT FROM BUSINESS, PROFESSION OR FARM (From attached Federal and State Schedules C, F and/or K1 (1065))
6
7
7
NET LOSS(ES) FROM BUSINESS, PROFESSION OR FARM (From attached Federal and State Schedules C, F and/or K-1 (1065))
Subtract Line 7 from Line 6 (IF LESS THAN ZERO, ENTER ZERO)
8
8
REQUIRED FOR INFORMATION PURPOSES ONLY: Enter Net, Subchapter S Corporation pass-thru Net Profit(s)/Loss(es) as reported on
9
9
your PA-40 return
TOTAL TAXABLE EARNED INCOME AND NET PROFITS (Add Lines 5 and 8)
10
10
11
TAX RATE FOR CARLISLE AREA SCHOOL DISTRICT OR SOUTH MIDDLETON SCHOOL DISTRICT
0.011
0.011
11
TAX LIABILITY: Multiply Line 10 by Line 11
12
12
TOTAL LOCAL INCOME TAXES WITHHELD EXCEPT PHILADELPHIA INCOME TAX
(Complete Chart A on the reverse side of the "Bureau's
13
13
Copy" of the return to determine the correct entry/entries for this line. Also attach a copy of the W-2 form provided by each of your employers.)
14
QUARTERLY PAYMENTS AND/OR LAST YEAR’S OVERPAYMENT CREDITED TO THIS YEAR
14
CREDITS FOR TAXES PAID TO PHILADELPHIA AND/OR STATES OTHER THAN PA (ATTACH SCH. G) AND/OR CREDITS FOR
15
15
CERTIFIED RESIDENTS OF THE HARRISBURG KEYSTONE OPPORTUNITY ZONE (KOZ)
TOTAL WITHHOLDINGS & PAYMENTS (Add Lines 13, 14 and 15)
16
16
17
TAX BALANCE DUE (Subtract Line 16 from Line 12) PAYMENT NOT NECESSARY IF LESS THAN $1.00
17
18
INTEREST & PENALTY (See Instructions)
18
RETURNS FILED AFTER THE DUE DATE MAY BE SUBJECT TO ADDITIONAL COSTS OF COLLECTION
19
19
TOTAL BALANCE DUE (Add Lines 17, 18 and 19) Make check payable to "CTCB"
Place Social Security Number on Check
20
20
21
OVERPAYMENT (Subtract Line 12 from Line 16) IF LESS THAN ZERO, ENTER ZERO
21
22
OVERPAYMENT TO BE REFUNDED
22
ROUTING NO.
ACCOUNT NO.
Taxpayer 'A', 'B', or 'BOTH' Savings or Checking Acct.
DIRECT
DEPOSIT
INFORMATION
23
OVERPAYMENT TO BE CREDITED TO NEXT YEAR'S TAX
23
OVERPAYMENT TO BE CREDITED TO SPOUSE'S BALANCE DUE FOR THIS FILING YEAR
24
24
TYPE OR PRINT INFORMATION BELOW. IF PREPRINTED, CHECK FOR ACCURACY AND MAKE CORRECTIONS WHERE NECESSARY.
SPOUSE’S NAME, SIGNATURE, AND OTHER INFORMATION SHOULD BE PROVIDED ONLY IF HE OR SHE IS ALSO FILING ON THIS FORM.
YOUR PIN NUMBER FOR
YOUR NAME
A
YOUR CTCB ACCOUNT NUMBER (IF KNOWN)
(LAST, FIRST, M)
ONLINE FILING
Enter at right >>>>>>>
SPOUSE'S PIN NUMBER FOR
SPOUSE'S NAME
B
SPOUSE'S CTCB ACCOUNT NUMBER (IF KNOWN)
ONLINE FILING
(LAST, FIRST, M)
Enter at right >>>>>>>
IF YES, COMPLETE SCHEDULE P AND A
HAVE YOU MOVED FROM THE
YES
HOME
SEPARATE RETURN FOR EACH CTCB
BEGINNING OF THE TAX FILING
MUNICIPALITY WHERE YOU RESIDED
ADDRESS Enter at right >
NO
YEAR TO PRESENT?
DURING THE TAX YEAR
DAYTIME PHONE NUMBER
YOUR RESIDENT MUNICIPALITY
(TOWNSHIP, BOROUGH OR CITY)
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS RETURN AND ACCOMPANYING SCHEDULES AND STATEMENTS,
AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, THEY ARE TRUE, CORRECT AND COMPLETE.
YOUR SIGNATURE
DATE
YOUR OCCUPATION
X
X
X
X
SPOUSE'S SIGNATURE (ONLY IF ALSO FILING ON THIS FORM)
DATE
SPOUSE'S OCCUPATION (ONLY IF ALSO FILING ON THIS FORM)
X
X
X
X
PAID PREPARER’S NAME (PLEASE PRINT)
FIRM’S NAME (OR ENTER “S.E.” IF SELF EMPLOYED)
PAID PREPARER’S PHONE NUMBER
BUREAU'S COPY

ADVERTISEMENT

00 votes

Related Articles

Related forms

Related Categories

Parent category: Financial
Go
Page of 2