Form 531 - Local Earned Income Tax Return - 2002
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1TAX OFFICE USE ONLY - DO NOT WRITE IN THIS AREA.
RETURN BY APRIL 15, 2003 TO:
2002
CAPITAL TAX COLLECTION BUREAU
LOCAL EARNED INCOME
See Page 3 of Instruction Sheets
TAX RETURN (FORM 531)
in this packet for mailing address labels or
Click Here to Clear Form Data
see back of Taxpayer’s Copy of return for
addresses, phone numbers, and office hours.
TO CONSTITUTE PROOF OF FILING, THE TAXPAYER’S COPY MUST
BE VALIDATED BY THE BUREAU. TO HAVE YOUR COPY VALIDATED
BY MAIL, RETURN BOTH THE TAX BUREAU’S AND TAXPAYER’S COPIES
ALONG WITH A SELF ADDRESSED STAMPED ENVELOPE.
SOC. SEC. NO.
A
SOC. SEC. NO.
B
A HUSBAND AND WIFE MAY BOTH FILE ON THIS FORM. HOWEVER, TAX CALCULATIONS MUST BE
REPORTED IN SEPARATE COLUMNS. JOINT FILING (i.e., COMBINING INCOME, ETC.) IS NOT PERMITTED.
1
W-2 EARNINGS (From attached W-2’s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1
2
EMPLOYEE BUSINESS EXPENSES (Attach Federal Form 2106 & State Schedule UE) . . . . . . . . . . . . . .
2
0.00
0.00
3
TAXABLE W-2 EARNINGS (Subtract Line 2 from Line 1) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
3
4
OTHER TAXABLE EARNED INCOME
LIST TYPE:_________________________
4
(NO INTEREST OR DIVIDENDS)
0.00
0.00
5
TOTAL TAXABLE EARNED INCOME (Add Lines 3 and 4) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5
6
NET LOSS FROM BUSINESS, PROFESSION, OR FARM (
) . .
6
Attach Federal and/or State Schedules C, F and/or K-1 (1065)
0.00
0.00
7
SUBTOTAL (Subtract Line 6 from Line 5) IF LESS THAN ZERO, ENTER ZERO . . . . . . . . . . . . . . . . . . . . .
7
8
NET PROFIT FROM BUSINESS, PROFESSION, OR FARM (
) .
8
Attach Federal and/or State Schedules C, F and/or K-1 (1065)
0.00
0.00
9
TOTAL TAXABLE EARNED INCOME AND NET PROFITS (Add Line 7 and 8) . . . . . . . . . . . . . . . . . . . . . .
9
2.00%
2.00%
10
ENTER TAX RATE FROM THE “TAX RATE TABLE” FOUND ON THE LAST PAGE OF THIS FORM PACKET . . . . . . .
10
0.00
0.00
11
TAX LIABILITY: Multiply Line 9 by Line 10 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
11
12
TOTAL LOCAL INCOME TAXES WITHHELD EXCEPT PHILADELPHIA & PITTSBURGH INCOME TAX (From attached W-2’s, Box 19) . .
12
13
QUARTERLY PAYMENTS AND/OR LAST YEAR’S OVERPAYMENT CREDITED TO THIS YEAR . . . . . . . .
13
CREDITS FOR TAXES PAID TO PHILADELPHIA AND/OR STATES OTHER THAN PA (ATTACH SCH. G) AND/OR CREDITS FOR CERTIFIED
14
. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
14
RESIDENTS OF THE HARRISBURG KEYSTONE OPPORTUNITY ZONE (KOZ)
0.00
0.00
15
TOTAL WITHHOLDINGS & PAYMENTS (Add Line 12, 13 and 14) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
15
0.00
0.00
TAX BALANCE (Subtract Line 15 from Line 11) PAYMENT NOT NECESSARY IF LESS THAN $1.00 . . . . . . . . . . . . . . . . . . .
16
16
17
INTEREST & PENALTY (See Instructions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
17
0.00
0.00
18
TOTAL BALANCE DUE (Add Lines 16 and 17) Make check payable to “CTCB” . . . . . . . . . . . . . . . . . . . . . .
18
0.00
0.00
19
OVERPAYMENT (Subtract Line 11 from Line 15) IF LESS THAN ZERO, ENTER ZERO . . . . . . . . . . . . . . .
19
0.00
0.00
20
OVERPAYMENT TO BE REFUNDED . . . . . . . . HAVE IT DIRECTLY DEPOSITED! . . . . . . . . . . . . . . . . . .
20
DIRECT DEPOSIT INFORMATION
CIRCLE ONE
CHECK ONE
ROUTING NO.
ACCOUNT NO.
SELECT TAXPAYER(S)
TAXPAYER
CHECKING
SAVINGS
Taxpayer "A"
A
B BOTH
Taxpayer "B"
A
B BOTH
21
OVERPAYMENT TO BE CREDITED TO NEXT YEAR’S TAX . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
21
22
OVERPAYMENT TO BE CREDITED TO SPOUSE’S BALANCE DUE FOR THIS FILING YEAR . . . . . . . . .
22
TYPE OR PRINT INFORMATION BELOW. IF PREPRINTED, CHECK FOR ACCURACY AND MAKE CORRECTIONS WHERE NECESSARY.
SPOUSE’S NAME, SIGNATURE, AND OTHER INFORMATION SHOULD BE PROVIDED ONLY IF HE OR SHE IS ALSO FILING ON THIS RETURN.
YOUR RESIDENT MUNICIPALITY
DAYTIME PHONE NUMBER
(TOWNSHIP, BOROUGH, OR CITY)
SELECT YOUR MUNICIPALITY
YOUR SOCIAL SECURITY
YOUR NAME
A
NUMBER
(LAST, FIRST, MI)
SPOUSE’S SOCIAL
SPOUSE’S NAME
B
SECURITY NUMBER
(LAST, FIRST, MI)
HAVE YOU MOVED FROM THE
IF YES, COMPLETE SCHEDULE P
HOME
YES
BEGINNING OF THE TAX FILING
ON BACK OF “BUREAU’S” COPY
ADDRESS
YEAR TO PRESENT?
OF RETURN
NO
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS RETURN AND ACCOMPANYING SCHEDULES AND STATEMENTS,
AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, THEY ARE TRUE, CORRECT AND COMPLETE.
YOUR SIGNATURE
DATE
YOUR OCCUPATION
X
02/11/2003
SPOUSE’S SIGNATURE (ONLY IF ALSO FILING ON THIS FORM)
DATE
SPOUSE’S OCCUPATION (ONLY IF ALSO FILING ON THIS FORM)
02/11/2003
X
PAID PREPARER’S NAME (PLEASE PRINT)
FIRM’S NAME (OR ENTER “S.E.” IF SELF EMPLOYED)
PAID PREPARER’S PHONE NUMBER
Bureau's Copy
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