Form Lst-I - Individual Local Services Tax - 2016

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Keystone Collections Group
P.O. Box 539
Irwin, PA 15642
(724) 978-0300 • FAX (724) 978-0339
Local Services Tax
The Local Services Tax (LST) is due from working individuals based on the taxing jurisdiction of the workplace. If you are
employed by the Federal government and the LST is not withheld from payroll, you must self report and pay the LST. Likewise,
individuals who earn income through self employment or operation of a business or profession must also report and pay the
LST.
Your specific tax rate can be determined by visiting the Pennsylvania Department of Community and Development's website:
If your tax rate is greater than $10 per year, you may pay the tax in one lump sum using the ANNUAL PAYMENT VOUCHER
(below) or in quarterly installments using the LST-I quarterly voucher form (found on page 2). The first installment or lump-
sum payment is due May 2, 2016.
A tax rate of $10 or less must be paid as a one-time annual payment using the ANNUAL PAYMENT VOUCHER (below).
Make checks payable to Keystone Collections Group.
If you previously paid the 2016 tax to another taxing jurisdiction, please provide proof of payment for credit or adjustment of
tax due. If you have questions regarding the tax,
contact
us.
You are entitled to receive a written explanation of your rights with regard to the audit, appeal,
enforcement, refund and collection of local taxes by calling the above number during our normal hours of operation.
--------------------------------------------------------------------------------------------------------------------------------------------
Keystone Collections Group
ANNUAL PAYMENT VOUCHER
PO Box 539
Irwin, PA 15642
(724) 978-0300 • FAX (724) 978-0339
Local Services Tax Individual Return
LST-I
OFFICE COPY
Due Date: 05/02/2016
Tax Year:
2016
Business Municipal Location: ______________________
1. Total number of
Social Security Number: __________________
1
employees reported
2. Total Tax Remitted
$
3. Penalty and Interest
Name
Address
$
(1.25% per month)
City
State
4. TOTAL DUE
&
$
Zip
13720115001043015000000000000000000001

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