Application For Exemption From The Local Services Tax - Pennsylvania Capital Tax Collection Bureau - 2011 Page 2

ADVERTISEMENT

SCHEDULE I. – 2011 LOW-INCOME EXEMPTION INFORMATION ►HOW TO USE: Look first for the MUNICIPALITY in which
your occupation is located, If it is not listed, look for the SCHOOL DISTRICT in which your occupation is located.
A
B
C
D
E
F
2010 LST Tax
Amount Exempt if
Amount NOT
COUNTY
Amount (combined
Low Income
Low-Income
Exempt if Low-
CTCB Division Serving
Taxing Jurisdiction
if applicable)
Exemption Limit
Exemption
Income Exemption
this Taxing Jurisdiction
CUMBERLAND COUNTY
Big Spring SD
$10.00
N/A
$0.00
$10.00
Carlisle
Carlisle Bo.
$52.00
< $12,000
$52.00
$0.00
Carlisle
Hopewell Twp.
$10.00
N/A
$0.00
$10.00
Carlisle
Newville Bo.
$52.00
< $12,000
$47.00
$5.00
Carlisle
Shippensburg Area SD
$10.00
N/A
$0.00
$10.00
Carlisle
Shippensburg Bo.
$52.00
< $12,000
$47.00
$5.00
Carlisle
Shippensburg Twp.
$52.00
< $12,000
$47.00
$5.00
Carlisle
South Middleton SD
$10.00
N/A
$0.00
$10.00
Carlisle
South Newton Twp.
$35.00
< $12,000
$30.00
$5.00
Carlisle
Southampton Twp.
$10.00
N/A
$0.00
$10.00
Carlisle
DAUPHIN COUNTY
Harrisburg City
$52.00
< $12,000
$47.00
$5.00
Harrisburg
Highspire Bo.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
Steelton Bo.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
West Hanover Twp.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
FRANKLIN COUNTY
Shippensburg Area SD
$10.00
N/A
$0.00
$10.00
Carlisle
Shippensburg Bo.
$52.00
< $12,000
$47.00
$5.00
Carlisle
PERRY COUNTY
(New) Bloomfield Bo.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
Howe Twp.
$20.00
< $12,000
$20.00
$0.00
Harrisburg
Marysville Bo.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
Newport Bo.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
Penn Twp
$52.00
< $12,000
$52.00
$0.00
Harrisburg
Watts Twp.
$10.00
N/A
$0.00
$10.00
Harrisburg
JUNIATA COUNTY
Susquehanna Twp.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
SOMERSET COUNTY
Paint Bo.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
Paint Twp.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
Windber Bo.
$52.00
< $12,000
$52.00
$0.00
Harrisburg
SCHEDULE II. -- CTCB DIVISION OFFICES (Find the appropriate Division for a particular taxing jurisdiction in Schedule I. above
[Columns A & F] & match to appropriate CTCB Division below)
CAPITAL TAX COLLECTION BUREAU
CAPITAL TAX COLLECTION BUREAU
CARLISLE DIVISION
HARRISBURG DIVISION
19 S HANOVER ST STE 102
2301 N 3RD ST
CARLISLE PA 17013-3336
HARRISBURG PA 17110-1893
Phone: (717) 243-3725
Phone: (717) 234-3217
Fax:
(717) 243-9224
Fax:
(717) 234-2962
SCHEDULE III. – COTERMINOUS EMPLOYER INFORMATION – List all places of employment for the applicable tax year. List your PRIMARY
EMPLOYER under # 1 below and your secondary employers under the other columns. If self-employed, enter SELF in the “Employer Name” Row. If you
need to list more than 3 employers use an additional Exemption Form & change the numbers of the employers listed to 4., 5, etc.
1. Primary Employer
2.
3.
Employer Name
Street Address 1
Street Address 2
City, State & Zip Code
Municipality
Phone
Start Date
Status (Full or Part Time)
Expected 2010 Earnings

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Application For Exemption From The Local Services Tax - Pennsylvania Capital Tax Collection Bureau - 2008 Application For Exemption From The Local Services Tax - Pennsylvania Capital Tax Collection Bureau - 2008 Financial
Application For Exemption From The Local Services Tax - Pennsylvania Capital Tax Collection Bureau - 2010 Application For Exemption From The Local Services Tax - Pennsylvania Capital Tax Collection Bureau - 2010 Financial
Application For Exemption From The Local Services Tax - Pennsylvania Capital Tax Collection Bureau - 2009 Application For Exemption From The Local Services Tax - Pennsylvania Capital Tax Collection Bureau - 2009 Financial
Application Form For Refund From The Local Services Tax (lst) - 2009 Application Form For Refund From The Local Services Tax (lst) - 2009 Financial
Application Form For Refund From The Local Services Tax (lst) - 2010 Application Form For Refund From The Local Services Tax (lst) - 2010 Financial
Form Ldr R-1318 - Application For Exemption From The Payment Of Advance State Sales Tax On Resale Inventory - Form Ldr R-1318 - Application For Exemption From The Payment Of Advance State Sales Tax On Resale Inventory - "w" Number Form Legal
Form N-289 - Certification For Exemption From The Withholding Of Tax On The Disposition Of Hawaii Real Property - 2013 Form N-289 - Certification For Exemption From The Withholding Of Tax On The Disposition Of Hawaii Real Property - 2013 Financial
Form N-289 - Certification For Exemption From The Withholding Of Tax On The Disposition Of Hawaii Real Property Form N-289 - Certification For Exemption From The Withholding Of Tax On The Disposition Of Hawaii Real Property Financial
Form N-289 - Certification For Exemption From The Withholding Of Tax On The Disposition Of Hawaii Real Property Form N-289 - Certification For Exemption From The Withholding Of Tax On The Disposition Of Hawaii Real Property Financial
Form N-289 - Certification For Exemption From The Withholding Of Tax On The Disposition Of Hawaii Real Property Form N-289 - Certification For Exemption From The Withholding Of Tax On The Disposition Of Hawaii Real Property Financial

Related Categories

Parent category: Financial
Download
Go
Page of 2