Form Lst-3 - Local Services Tax printable pdf download

LOCAL SERVICES TAx

TAxPAYER COPY

PO BOX 25156

LEHIGH VALLEY, PA 18002-5156

The Local Services Tax is a local tax due from all individuals who are

employed within the taxing jurisdiction printed below. All Federal Employees

and all Self-Reporting Individuals who perform services of any kind or

engage in any occupation or professions within the stated Borough,

Township, or School District are required to pay a Local Services Tax.

Please complete and return the LST-3 form below with your payment due. If

your primary employment jurisdiction has the Local Services Tax, the tax is

not to be deducted from the secondary place of employment.

You are entitled to receive a written explanation of your rights with regard to the audit, appeal, enforcement, refund and collection of local taxes by calling Berkheimer

at 610-599-3142 during the hours of 8:00 AM - 4:00 PM, Monday through Friday. Or, you can visit our website at If Berkheimer is not the

appointed tax hearing officer for your taxing district, you must contact your taxing district about the proper procedures and forms necessary to file an appeal.

TAXING JURISDICTION:

DUE DATE:

CALCULATE TAx dUE

Enter totals from right column on stub below and remit with

Your cancelled check is sufficient proof of payment.

payment to HAB-LST.

THIS AREA FOR CALCULATIONS ONLY

There will be a $20.00 cost for insufficient funds and returned

payments.

1. LST Annual Rate

......

Make Checks payable to: HAB-LST.