Berks Earned Income Tax Bureau Amended Tax Return Worksheet For Tax Year
Taxpayer A Name:
Spouse B Name:
so
sec
#
Soc
sec
#
Taxpayer A
Original
Spouse B
Original
Taxpayer A
Corrected
Spouse B
Corrected
Taxpayer A
Net
Change
Spouse B
Net
Change
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
Totdl Due
Columns A + B
Total Due
Coluiins A 4- B
Total Due
Colurins A + B
see Amended Tax Return for line # description Transfer Corrected Columns to Amended Tax Return
Provide this worksheet with your completed amended return amd a copy of Original Filng.
Explanation of Changes:
(for additional space attch separate sheet)