Form Business Entity Questionnaire - York Adams Tax Bureau printable pdf download

Form Business Entity Questionnaire - York Adams Tax Bureau

YORK ADAMS TAX BUREAU

1415 N Duke St

PO Box 15627

York, PA 17405-0156

(717) 812-0759 Fax (717) 854-6376

email:

OUT OF AREA BUSINESS ENTITY QUESTIONNAIRE

COMPLETE AND RETURN WITHIN 15 DAYS

This questionnaire is to be completed by businesses with no work location in York or Adams County, but

withholding Local Earned Income Tax from employees residing in the York Adams Tax Bureau collection area.

To comply with the Act of December 31, 1965 P.L. 1257 No. 511 and known as the “Local Tax

Enabling Act”, including amendments and the provisions mandated by Act 166 of December 9,

2002 and Act 32 of 2008 and the Tax Ordinances and Resolutions adopted by this Bureau’s

member taxing authorities, the following information is to be provided by each employer

withholding local earned income tax from residents of our collection area.

All information received will be confidential.

This questionnaire must be signed by the person responsible for the fiduciary duties of the

company, Incomplete or unsigned forms will be returned.

All businesses entities or organizations should notify the York Adams Tax Bureau promptly of

any change in status so that all records may be adjusted accordingly. Please advise us within

thirty days, should the business be liquidated or sold. If sold give the name and address of new

owners.

Pages one and two of this employer questionnaire are to be completed by each business entity.

The enclosed employer questionnaire is applicable to a business entity who chooses to withhold

as a courtesy, earned income tax from an employee who resides in our collection area.

Form Business Entity Questionnaire - York Adams Tax Bureau