Form Dq-1 - Local Earned Income Tax Withholding - Quarterly Estimated

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QUARTERLY ESTImATED

Local Earned Income Tax Withholding

DQ-1

FORM

PO Box 25157

Lehigh Valley, PA 18002-5157

RECORD OF ESTIMATED TAX PAYMENTS

Please keep a record of your payments on the schedule below. The total tax

payments should be entered on line 11 of your Local Earned Income Tax Return, to

be filed by April 15 of the following year.

Penalty &

Delinquent

Payment

Tax

Due Date

Interest

Cost

1st Quarter

04/30/13

2nd Quarter

07/31/13

3rd Quarter

10/31/13

4th Quarter

01/31/14

File your quarterly DQ-1 return

Total $

online at

GENERAL INSTRUCTIONS FOR FILING

DQ-1-QUARTERLY ESTImATED EARNED INCOmE TAx FORm

Berkheimer is the administrator of the Earned Income Tax, which is levied by your local Township, Borough, City and/or School District.

WHO mUST FILE: All self-employed taxpayers who have gross earnings for services rendered are required to pay their tax on or before the quarterly due

dates. Also, taxpayers who receive regular wages from an employer, but DO NOT have their Earned Income Tax withheld OR do not have the full amount

withheld, must pay their tax quarterly.

NOTE: Act 32 requires all Pennsylvania employers to withhold the earned income tax from their employees’ pay at a rate equal to either the rate

due the employee’s place of residence or the tax rate due their place of employment, whichever is higher. Individuals who do not have the tax

withheld, are required to pay the higher of the two tax rates, if applicable.

HOW TO COmPUTE TAx: The tax can be computed either by estimating your earnings and paying an estimated tax, or by paying the tax on your actual

earnings each quarter. Round figures to the nearest whole dollar. If your employer withholds part of the tax, the amount withheld for the quarter should

be deducted from your quarterly payment. Calculate tax due using either your resident tax rate or work location tax rate, whichever is higher. Visit

to determine your applicable tax rate.

PAYmENT AND RECEIPT: Please file your quarterly DQ-1 return online at . Alternatively, you can mail your paper return to: Berkheimer

Tax Administrator, PO Box 25157, Lehigh Valley, PA 18002-5157. Please correct any error in name, address, social security number, or resident/work

municipality (add if not shown). Checks should be made payable to: HAB-EIT. Your canceled check is sufficient proof of payment. NOTE: Failure to file

or pay correctly and in a timely fashion can result in delinquent fees and costs being added to your account. There will be additional cost

assessed for returned payments.

PENALTY and INTEREST: Penalty and monthly interest will be charged at a rate determined by the PA Dept. of Revenue, if paid after the quarterly due

date, unless otherwise instructed.

For further information or assistance in completing this form please refer to our website at: .

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 Berkheimer at

610-599-3139, during the hours of 8:00 a.m. through 4:00 p.m., Monday through Friday. Or, you can visit our website at

Berkheimer is not the appointed tax hearing officer for your taxing district and will not accept any petitions for appeal. Petitions for appeal must be filed with the appropriate appeals

board for your County. Berkheimer can provide you with the proper procedures and forms necessary to file an appeal with the appeals board for your Tax Collection District.

QUARTER ESTIMATED EARNED INCOME TAX

DQ-1

Name and Address:

If you moved enter the effective date: ____/____/______

Check here if address change also applies to spouse

DQ1

QUARTER: ________ YEAR: ____________

1. Earned Income and/or net profits

0 0

(Must enter amount)

......

REMIT TO:Berkheimer Tax Administrator