Berks Earned Income Tax Bureau Amended Tax Return Worksheet For Tax Year
Taxpayer A Name:
Spouse B Name:
Soc Sec #
Soc Sec #
Taxpayer A
Original
Spouse B
Original
Taxpayer A
Corrected
Spouse B
Corrected
Taxpayer A
Net Change
Spouse B
Net Change
1
2
3
4
9
10
11
12
15
Total Due
Columns A + B
Total Due
Columns A + B
See Amended Tax Return for line # description Transfer Corrected Columns to Amended Tax Return
Provide this worksheet with your completed amended return amd a copy of Original Filing.
Explanation of Changes:
(for additional space attach separate sheet)