Form Eit - Local Earned Income Tax Return - 2012
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1
2
3LOCAL EARNED INCOME TAX RETURN
TAX YEAR
EIT
BERKS E.I.T. BUREAU | 920 VAN REED ROAD, WYOMISSING, PA 19610-1700
20 12
Form
Phone: (610) 372-8439 | Toll Free: (855) 372-8439 | Fax: (610) 372-1102
Check here IF YOU MOVED during the tax year printed above. Provide each address and dates living there. NOTE: If you need additional space, please see back of form
DATES LIVING AT EACH ADDRESS
STREET ADDRESS (No PO Box, RD or RR)
CITY / TOWNSHIP / BORO
COUNTY
TAXPAYER / SPOUSE / BOTH
TO
TO
LAST NAME, FIRST NAME, MIDDLE INITIAL
SPOUSE’S LAST NAME, FIRST NAME, MIDDLE INITIAL
Office Use Only
STREET ADDRESS (No PO Box, RD or RR)
CITY
STATE
ZIP CODE
DAYTIME PHONE NUMBER
RESIDENT PSD CODE
EXTENSION
AMENDED RETURN
NON-RESIDENT
TAXPAYER A
SPOUSE B
This return must be filed by April 15, or next business day. Every individual is
Social Security Number
Social Security Number
required to file, whether tax is due, refund/credit due, tax is withheld, or you have
NO EARNED INCOME. Failure to file will result in audit and/or delinquent fines.
-
-
-
-
Combining income is NOT permitted.
If you had NO EARNED INCOME,
If you had NO EARNED INCOME,
check the reason why:
check the reason why:
ONLY USE BLACK OR BLUE INK TO COMPLETE THIS FORM
disabled
student
disabled
student
Single
Married, Filing Jointly
Married, Filing Separately
Final Return
deceased
military
deceased
military
* Refer to instructions on Taxpayer Worksheet
homemaker
retired
homemaker
retired
unemployed
unemployed
1. Gross Compensation as Reported on W-2(s) * (Enclose W-2s) . . . .
1
1
2. Unreimbursed Employee Business Expenses *
2
2
(Enclose PA UE and Page 1 of Form PA-40) . . . . . . . . . . . . . . . . . .
3. Other Taxable Earned Income * . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
3
4. Total Taxable Earned Income
(Subtract Line 2 from Line 1 and
4
4
add Line 3, if less than zero, enter zero ) . . . . . . . . . . . . . . . . . . . . . .
5. Net Profit from a business, farm, profession, partnership, etc. *
5
5
(Enclose PA Schedules) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6. Net Loss from a business, farm, profession, partnership, etc. *
6
6
(Enclose PA Schedules) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
7. Total Taxable Net Profit
7
7
(Subtract Line 6 from Line 5, if less than zero, enter zero) . . . . . . . .
8. Total Taxable Earned Income and Net Profit
(Add Lines 4 and 7) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8
8
9. Total Resident Local Income Tax *
9
9
(Line 8 multiplied by Taxpayer’s resident tax rate) . . .
Tax Rate Used
9a. City of Reading Distressed Commuter Tax *
9a
9a
(If applicable) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Total Taxable Liability * (Add Lines 9 and 9a) . . . . . . . . . . . . . . . . .
9b.
10. Total Local Earned Income Tax Withheld as Reported on W-2(s). *
10
10
(DO NOT INCLUDE PHILADELPHIA OR OUT OF STATE TAX) . . . .
11. Quarterly Estimated Payments/Credit from Previous Tax Year *
11
11
2012 Estimated Payments
2011 Prior Year Credit . . . . .
12. Miscellaneous Tax Credits *
12
12
Philadelphia Credit
Out of State Credit . . . . . . . .
13. TOTAL PAYMENTS and CREDITS
13
13
(Add Lines 10, 11 and 12) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14. Overpayment/Refund Due
REFUND DUE
(Subtract Line 13 from Total Tax Liability, if less than $1, enter zero) .
14
14
(If Line 13 is greater than Line 9b, enter amount. If less than $1, enter zero)
15. Credit Taxpayer/Spouse
(Amount of Line 13 you want as credit to your account)
15
15
Credit to Next Year
Credit to Spouse . . . . . . . . .
16. EARNED INCOME TAX BALANCE DUE
16
16
(Subtract Total Tax Liability from Line 13, if less than $1, enter zero) . . . .
(If Line 13 is less than 9b, enter amount. If less than $1, enter zero)
17. Penalty after April 15 *
17
17
(Multiply Line 16 by 0.5% per month). . . . . . . . . . . . . . . . . . . . . . . . . .
18. Interest after April 15 *
18
18
(Multiply Line 16 by 0.5% per month). . . . . . . . . . . . . . . . . . . . . . . . . .
19. TOTAL PAYMENT DUE
19
19
(Add Lines 16, 17 and 18) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
Under penalties of perjury, I (we) declare that I (we) have examined this information, including all accompanying schedules and statements and to
the best of my (our) belief, they are true, correct and complete.
YOUR SIGNATURE
SPOUSE’S SIGNATURE (If Filing Jointly)
DATE (MM/DD/YYYY)
TELEPHONE NUMBER
YOUR E-MAIL ADDRESS
TAX PREPARER’S SIGNATURE
PREPARER’S COMPANY
PREPARER’S TELEPHONE NUMBER
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