Form 531 - Local Earned Income And Net Profits Tax Return

FRANKLIN COUNTY AREA TAX BUREAU MEMBER MUNICIPALITIES

The jurisdictions listed below are served by the Franklin County Area Tax Bureau. If you resided in any of the jurisdictions listed, at any time during the tax

year, you must file a return with our office and calculate your tax based on the rate(s) indicated. If you did not reside in any of these areas for any part of the

tax year, you should not file with our office; but, if you received a form from us, return it noting where you resided during the tax year. If you are unsure

where you are to file, phone our office and we will be happy to assist you. BECAUSE OF THEIR DIFFERENT TAX RATES, IF YOU MOVED

BETWEEN CHAMBERSBURG AREA SCHOOL DISTRICT AND THE OTHER SCHOOL DISTRICTS LISTED BELOW, YOU WILL NEED TO

COMPLETE A “SCHEDULE X” TO DETERMINE YOUR CORRECT TAX LIABILITY FOR THE YEAR. SCHEDULE X FORMS ARE

AVAILABLE FROM THE TAX OFFICE OR FROM OUR WEBSITE.

Chambersburg Area School District

Fannett Metal School District

Greencastle-Antrim School District

TAX RATE – 1.7% (.017)

TAX RATE – 1.0% (.01)



Chambersburg Borough

Fannett Township

Antrim Township



Greene Township

Metal Township

Greencastle Borough



Guilford Township – CASD portion

Toboyne Twp – FMSD portion



(2nd Voting District Only)

Hamilton Township



Letterkenny Township



Lurgan Township

NOTICE TO DISABLED PERSONS

Tuscarora School District *

Waynesboro Area School District

Auxiliary aids and/or other special assistance will

TAX RATE – 1.0% (.01)

be provided if you contact the tax office in



Mercersburg Borough

Guilford Township –WASD portion

advance to make an appointment for your visit.



(5th Voting District Only)

Montgomery Township



Mont Alto Borough

DISCLOSURE STATEMENT

Peters Township



Quincy Township

Saint Thomas Township

You are entitled to receive a written explanation



Washington Township

Warren Township

of your rights with regard to the audit, appeal,



Waynesboro Borough

enforcement, refund and collection of local taxes

by calling Franklin County Area Tax Bureau at

717-263-5141 during the hours of 8:00 a.m. and

* Some jurisdictions within Tuscarora School District do not tax residents under the age of 18. If you had

4:30 p.m., Monday thru Friday.

tax withheld, file a tax return to obtain a refund. Include your date of birth when filing the tax return.

IF TWO TAXPAYERS ARE FILING ON THIS RETURN, PLACE AN “H” (HUSBAND) OR “W” (WIFE) BEFORE EACH ENTRY IN SECTIONS A AND B BELOW.

SECTION A: TAXPAYER’S EMPLOYER INFORMATION (Complete only if you moved during the tax year.)

DATE EMPLOYED DURING THE TAX YEAR

LOCAL INCOME TAX

EMPLOYER’S NAME

EMPLOYER’S LOCAL ADDRESS

GROSS EARNINGS

H/W

WITHHELD

FROM

SECTION B: OTHER TAXABLE INCOME (Enter total(s) in appropriate column of Line 4 on front.)

PAYMENT FOR (WORK OR SERVICES PERFORMED)

RECEIVED FROM (PAYOR)

AMOUNT

H/W

SECTION C: MOVING INFORMATION (If you moved during the tax year, also complete Section A above.)

DATES LIVED AT EACH ADDRESS

MAILING ADDRESS

CITY/BOROUGH/TOWNSHIP & COUNTY

1 / 1 / 12

(IF DIFFERENT THAN

CURRENT ADDRESS:

LAST LINE ABOVE)

Form 531 - Local Earned Income And Net Profits Tax Return - 2012 Page 2

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