Local Earned Income Tax Return - Mifflin County School District - 2011
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1Mifflin County SChool DiStriCt
reTurn Due DaTe, aPriL 16, 2012
Please staple W-2 forms to
Tax Year 2011
loCal EarnED inCoME tax rEturn
the baCk, and checks to
the front in this corner.
Miffco Tax Service, inc., 139 WeST MarkeT STreeT, P.o. Box 746, LeWiSToWn, Pa 17044
TeL: (717) 242-2777 fax: (717) 242-6132
if You MoveD During ThiS Tax Year, PLeaSe ProviDe:
PreviouS
aDDreSS _________________________________________
_________________________________________
name _______________________________________________
currenT
aDDreSS _________________________________________
address _____________________________________________
_________________________________________
____________________________________________________
DaTe MoveD
Mo. _______ DaY ________Yr. ________
____________________________________________________
Must round ($.50 or more = $1.00, and $.49 or less = $0)
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 (coMBine incoMe, eTc.) iS noT PerMiTTeD.
_________________________________________________________________________________________________________
1
1
W-2 earningS (attach W-2’s - use local box 18 or State box 16 wages only)
_________________________________________________________________________________________________________
LiMiTaTionS aPPLY
2
2
eMPLoYee BuSineSS exPenSeS
(attach State Schedule ue and federal 2106 if used)
_________________________________________________________________________________________________________
See reSTricTionS
3
3
TaxaBLe W-2 earningS (Subtract line 2 from Line 1)
_________________________________________________________________________________________________________
attaCh
4
4
oTher TaxaBLe earneD incoMe (no inTereST or DiviDenDS)
_________________________________________________________________________________________________________
Support
(info onLY)
4a
4a
xxxxxxxxxxx xxxxxxxxxxx
k-1 earningS $___________ SuB_S corP. $___________ PaSSive ParTnerShiP
_________________________________________________________________________________________________________
reQuireD for
5
5
_________________________________________________________________________________________________________
ToTaL TaxaBLe earneD incoMe (add Lines 3 and 4)
no C-f
(attach federal and State Schedule
6
6
nEt profit froM BuSineSS, ProfeSSion, or farM
_________________________________________________________________________________________________________
rEConCiliation
c, f and/or k-1 (1065))
no C-f
(attach federal and State Schedule
7
7
nEt loSS(ES) froM BuSineSS, ProfeSSion, or farM
_________________________________________________________________________________________________________
rEConCiliation
c, f and/or k-1 (1065))
8
(per pa act 32, effective January 1, 2009,
8
SuBTracT Line 7 froM Line 6. if LeSS Than zero enTer “ZEro”
_________________________________________________________________________________________________________
losses cannot be offset against wages.)
9
9
ToTaL TaxaBLe earneD incoMe anD neT ProfiTS
_________________________________________________________________________________________________________
(add Lines 5 and 8)
10
10
Tax LiaBiLiTY: 1.35% of Line 9 (Multiply Line 9 by .0135) Must round
_________________________________________________________________________________________________________
ToTaL LocaL incoMe TaxeS WiThheLD (from attached W-2’s, Box 19) Must round
11
11
_________________________________________________________________________________________________________
ouT of STaTe creDiT, PhiLaDeLPhia Tax creDiT up to Local Tax Liability
Must
12
12
QuarTerLY PaYMenTS anD/or LaST Year’S overPaYMenT creDiTeD To ThiS Year
_________________________________________________________________________________________________________
round
13
13
ToTaL WiThhoLDingS & PaYMenTS
_________________________________________________________________________________________________________
(add Lines 11 and 12)
14
14
overPaYMenT
_________________________________________________________________________________________________________
(Subtract Line 10 from Line 13) $3 or less will not be refunded or credited
15
15
_________________________________________________________________________________________________________
aMounT of overPaYMenT To Be creDiTeD To nexT Year $3 or less will not be credited
16
16
_________________________________________________________________________________________________________
aMounT of overPaYMenT To Be TranSferreD (nothing $3.00 or less) To SPouSe’S currenT Tax BaLance Due
17
17
aMounT of overPaYMenT To Be rEfunDED
_________________________________________________________________________________________________________
18
18
_________________________________________________________________________________________________________
Tax BaLance Due (Subtract Line 13 from Line 10) no payment if $3.00 or less required
19
19
_________________________________________________________________________________________________________
inTereST .5% anD PenaLTY .5% - 1% Per MonTh of Line 18 afTer aPriL 15, PLuS ProceSSing fee
20
20
_________________________________________________________________________________________________________
ToTaL BaLance Due (add line 18 and 19) Make checks Payable to Miffco. nothing if $3.00 or less
TYPe or PrinT inforMaTion BeLoW. if Pre-PrinTeD, 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 forM.
Your reSiDenT MuniciPaLiTY (ToWnShiP or Borough)
tax offiCE uSE only
Your TeLePhone #
Tax PreParer’S TeLePhone #
❏ check if finaL reTurn
❏ check To offSeT BaLance Due WiTh SPouSe overPaYMenT
❏ check if uSing PaiD PreParer anD WiLL noT neeD forMS nexT Year
❏
✓ For permission to allow another person to discuss this return with tax collector
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
currenT eMPLoYer
SPouSe’S SignaTure (onLY if aLSo fiLing on ThiS forM)
DaTe
currenT eMPLoYer
PreParer’S naMe (PLeaSe PrinT)
firM’S naMe (or enTer “S.e.” if SeLf eMPLoYeD) anD TeLePhone nuMBer
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