Form Lst-I - Individual Local Services Tax Page 2

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Form LST­I
Due Date
Quarter
Keystone Collections Group
PO Box 539
Individual Local Services Tax
4
January 31, 2018
Irwin, PA 15642
Business Name
SSN ............................................
.
1.
Tax Remitted
,
Business Municipality
2.
Penalty/Interest
,
.
(1.25% per month)
3.
Total Tax Paid
,
.
13720117004013118000000000000000000003
Form LST­I
Due Date
Quarter
Keystone Collections Group
Individual Local Services Tax
3
October 31, 2017
PO Box 539
Irwin, PA 15642
Business Name
SSN . ...........................................
1.
Tax Remitted
,
.
Business Municipality
2.
Penalty/Interest
,
.
(1.25% per month)
3.
Total Tax Paid
,
.
13720117003103117000000000000000000004
Form LST­I
Due Date
Quarter
Keystone Collections Group
Individual Local Services Tax
2
PO Box 539
July 31, 2017
Irwin, PA 15642
Business Name
SSN . ...........................................
1.
Tax Remitted
,
.
Business Municipality
2.
Penalty/Interest
,
.
(1.25% per month)
3.
Total Tax Paid
,
.
13720117002073117000000000000000000000
Form LST­I
Due Date
Quarter
Keystone Collections Group
1
Individual Local Services Tax
April 30, 2017
PO Box 539
Irwin, PA 15642
Business Name
SSN .............................................
1.
Tax Remitted
,
.
Business Municipality
2.
Penalty/Interest
,
.
(1.25% per month)
3.
Total Tax Paid
,
.
13720117001043017000000000000000000005

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