Form It 1 - Declaration - City Of Allentown

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IT 1
DECLARATION
1. Established earnings and/or net profits subject to earned income tax
1.
for period Jan. 1 to Dec. 31 subject to withholding
FOR EARNED INCOME TAX, CITY OF ALLENTOWN, PA.
IF YOU DESIRE A RECEIPT, DO NOT DETACH FORMS
2. Estimated income tax @
of line 1
2.
ENCLOSE A STAMPED ENVELOPE
SELF EMPOLYED AND EMPLOYEES NOT WITHHELD
3.
3. Credit from previous year
EMPLOYERS NAME & ADDRESS
4.
4. Balance (Line 2 minus line 3)
POSITION HELD
5. Amount paid with this declaration: NOTE Pay balance shown on line 4
in full no later than April 15 or in equal installments on or before
AUTHORIZED SIGNATURE
installment dates April 15, June 15, September 15 and January 15.
5.
6. Late charges 1% per month
6.
DATE FILED
7.
7. TOTAL PAID
DATE ACCOUNT CLOSED OR DISCONTINUED
MAKE CHECK(S) PAYABLE TO: "City of Allentown"
Include payment with this return to:
CITY OF ALLENTOWN
435 Hamilton St., Room 110
Allentown, PA 18101-1686
TREASURER’S COPY
IT 1
DECLARATION
1. Established earnings and/or net profits subject to earned income tax
1.
for period Jan. 1 to Dec. 31 subject to withholding
FOR EARNED INCOME TAX, CITY OF ALLENTOWN, PA.
IF YOU DESIRE A RECEIPT, DO NOT DETACH FORMS
2. Estimated income tax @
of line 1
2.
ENCLOSE A STAMPED ENVELOPE
SELF EMPOLYED AND EMPLOYEES NOT WITHHELD
3.
3. Credit from previous year
EMPLOYERS NAME & ADDRESS
4.
4. Balance (Line 2 minus line 3)
POSITION HELD
5. Amount paid with this declaration: NOTE Pay balance shown on line 4
in full no later than April 15 or in equal installments on or before
AUTHORIZED SIGNATURE
installment dates April 15, June 15, September 15 and January 15.
5.
6. Late charges 1% per month
6.
DATE FILED
7.
7. TOTAL PAID
DATE ACCOUNT CLOSED OR DISCONTINUED
MAKE CHECK(S) PAYABLE TO: "City of Allentown"
Include payment with this return to:
CITY OF ALLENTOWN
435 Hamilton St., Room 110
Allentown, PA 18101-1686
TAXPAYER’S COPY SEE INSTRUCTIONS BELOW
INSTRUCTIONS FOR FILING INSTALLMENT NOTICES
WHO MUST FILE
Every person engaged in a business, trade, profession or other activity the net profits of which are subject to the earned income tax, and
every employee who is not subject to withholding shall on or before April 15, make and file with the treasurer a declaration of the estimated
amounts of net profits, salaries, wages, commissions, or the other compensation basis reasonably expected to be earned by the taxpayer for
the period January 1 to December 31 of the stated year.
PAYMENT SCHEDULE
Pay balance shown on line 4 in full with this declaration OR pay 1st installment on or before April 15. Installment bills will be issued separate-
ly payable on or before the following dates unless otherwise specified:
2nd Installment
June 15
3rd Installment
Sept. 15
4th Installment
Jan. 15
IN ALL CASES, payment must accompany this declaration when filed (either ¼ OR full amount due). All shaded areas must be filled in.
If not applicable, enter 0.
Notify the Tax & Utility Systems Office of any changes in name, address or tax status. Phone 610-437-7507.

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