Form 1306 - Local Earned Income Tax Return Page 5

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I306
8/09
LOCAL EARNED INCOME TAX RETURN
610-599-3139
YOUR COPY
KEEP for Your Records
Tax Rate __________ Tax Year __________
Tax Jurisdiction ________________________
Your S. S. #
Spouse's S. S. #
* SEE INSTRUCTION SHEET FOR DETAILS *
1.
.........
1
Gross Earnings as reported on W-2. Enclose W-2(s) with your return (photocopies of W-2s are accepted)
2.
Allowable Non-reimbursed Employee Business expenses. (See Instructions Line 2)
............................................. 2
3. Taxable W-2 earnings (1 minus 2)
.... 3
Audit may be required if all W-2s & supporting schedules are not enclosed
Net Losses can no longer be used to offset wages reported on Line 1
4. Net Profits/Net Losess IF LESS THAN ZERO, ENTER ZERO (See Instructions Line 4)............................ 4
5. Total Earned Income subject to this tax (Line 3 plus line 4) .......................................................................... 5
6. Tax Liability - Line 5 multiplied by Tax rate printed on tax return................................................................ 6
7. Quarterly Estimated Payments .......................................................................................................................... 7
8. Earned Income Tax Withheld as per W-2 (See instructions line 10) .............................................................. 8
9. Credit from last year (If Credit Due)................................................................................................................ 9
10. Miscellaneous credits (i.e. Philadelphia Tax or Out-of-State Tax Credit - see reverse) .................................. 10
11. Total of 7 + 8 + 9 + 10 .................................................................................................................................... 11
12. REFUND / CREDIT: (Line 11 minus line 6) IF $1.00 OR MORE, enter amount and check one box below: 12
Credit to Spouse
Credit to next year
Refund
NO REFUNDS OR CREDITS UNDER $1.00
13.TAX DUE: (Line 6 minus line 11) OMIT IF LESS THAN $1.00.......................................................................13
14. Interest & Penalties... LEAVE BLANK IF PAID WHEN DUE .......................................................................... 14
15. TOTAL AMOUNT DUE (lines 13 + 14) ...................................................................................................... 15
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 9:00 a.m. through 4:30 p.m., Monday
through Friday. Or, you can visit our website at If Berkheimer is not the appointed tax hearing officer
for your taxing district, you must contact your taxing district about the proper procedures and forms necessary to file an
appeal.
* QUESTIONS AND ANSWERS ON REVERSE SIDE *

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