Local Services Tax (Lst) Form - Richland Township - 2014
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1
2
3Richland Township
2014 Local Services Tax (LST)
Employer’s Return
Payable To/Return To:
1. Number of employees reporting
_________
Richland Township
2. Gross amount of tax
_________
1328 California Rd., Suite A
3. Penalty (5%)
_________
Quakertown, PA 18951
4. Interest (1/2% per month)
_________
5. Total – Including any penalty
and interest due
__________
I DECLARE UNDER PENALTY OF LAW THAT THE
INFORMATION HEREIN CONTAINED IS TRUE AND CORRECT
Due within 30 days of taxable quarter:
AUTHORIZED
SIGNATURE
th
st
Jan-Mar due Apr 30
. Jul-Sept due Oct 30
Quarter
1.
3
st
st
Apr-Jun due July 30
Oct-Dec due Jan 30
DATE FILED
Due ________
2.
4.
Employer Name & Address
*An attached list of employee names, addresses,
social security numbers, and amount of
remittance for each employee is required.
Local Subsidiary Name & Local Address (if applicable)
Richland Township
2014 Local Services Tax (LST)
Employer’s Return
Payable To/Return To:
1. Number of employees reporting
_________
Richland Township
2. Gross amount of tax
_________
1328 California Rd., Suite A
3. Penalty (5%)
_________
Quakertown, PA 18951
4. Interest (1/2% per month)
_________
5. Total – Including any penalty
and interest due
__________
I DECLARE UNDER PENALTY OF LAW THAT THE
INFORMATION HEREIN CONTAINED IS TRUE AND CORRECT
Due within 30 days of taxable quarter:
AUTHORIZED
SIGNATURE
th
st
Jan-Mar due Apr 30
. Jul-Sept due Oct 30
Quarter
1.
3
st
st
Apr-Jun due July 30
Oct-Dec due Jan 30
DATE FILED
Due ________
2.
4.
Employer Name & Address
*An attached list of employee names, addresses,
social security numbers, and amount of
remittance for each employee is required.
Local Subsidiary Name & Local Address (if applicable)
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