Form 531 - Local Earned Income And Net Profits Tax Return - Franklin County Area Tax Bureau - 2010 Page 2
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1
2
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4RETURN BY APRIL 18, 2011 TO:
TO CONSTITUTE PROOF OF FILING, THE TAXPAYER MUST
HAVE A VALIDATED RECEIPT FROM THE TAX BUREAU. TO
OBTAIN A RECEIPT BY MAIL, INCLUDE A SELF ADDRESSED
FRANKLIN COUNTY AREA TAX BUREAU
STAMPED ENVELOPE WHEN FILING.
443 STANLEY AVE
LOCAL EARNED INCOME AND
CHAMBERSBURG PA 17201-3600
NET PROFITS TAX RETURN
PHONE (717) 263-5141
(FORM 531)
BUREAU HOURS
10
8 A.M. TO 6 P.M. MON. THRU FRI.
Website:
TYPE OR PRINT INFORMATION BELOW. IF PREPRINTED, CHECK FOR ACCURACY AND MAKE CORRECTIONS WHERE NECESSARY.
SPOUSE’S NAME, SIGNATURE, AND OTHER INFORMATION SHOULD BE PROVIDED ONLY IF HE OR SHE IS ALSO FILING ON THIS FORM.
YOUR RESIDENT MUNICIPALITY (TOWNSHIP OR BOROUGH):
DO NOT WRITE IN ABOVE AREA – TAX BUREAU USE ONLY
A HUSBAND AND WIFE MAY BOTH FILE ON THIS FORM. HOWEVER,
TAX CALCULATIONS MUST BE REPORTED IN SEPARATE COLUMNS.
JOINT FILING (COMBINING INCOME, ETC.) IS NOT PERMITTED.
DID YOU MOVE BETWEEN JAN 1, 2010 AND THE PRESENT?
YES
NO
IF YES,
COMPLETE SECTIONS A & C ON THE BACK OF ORIGINAL
SOC. SEC. NO. A
SOC. SEC. NO. B
1
W-2 EARNINGS – COMPENSATION (From attached W-2’s)
1
2
EMPLOYEE BUSINESS EXPENSES – EBE’s (Attach PA UE And Federal 2106 if used)
2
-
-
(Subtract Line 2 from Line 1)
3
TAXABLE W-2 EARNINGS – COMPENSATION LESS EBE’s
3
4
4
OTHER TAXABLE EARNED INCOME – FROM SECTION B ON BACK
(NO INTEREST OR DIVIDENDS)
5
TOTAL TAXABLE EARNED INCOME – COMPENSATION (Add Lines 3 and 4)
5
6
NET PROFIT(S) FROM BUSINESS, PROFESSION, OR FARM
6
(ATTACH PA SCHEDULES C, F, RK-1)
7
NET LOSS(ES) FROM BUSINESS, PROFESSION, OR FARM
7
-
-
(ATTACH PA SCHEDULES C, F, RK-1)
8
TAXABLE PROFITS – Subtract Line 7 from Line 6 (IF LESS THAN ZERO, ENTER ZERO)
8
SUBCHAPTER S AND OTHER NON-TAXABLE PASSIVE INCOME:
(ATTACH PA RK-1’S, ETC.)
9
9
.
ENTER PASSIVE BUSINESS, PROFESSION, OR FARM INCOME AS REPORTED ON YOUR PA-40 RETURN
10
TOTAL TAXABLE EARNED INCOME AND NET PROFITS (Add Lines 5 and 8)
10
If you moved from one tax rate area to
TAX
Chambersburg Area S D Residents (1.7%) Enter .017
11
11
another during the year, complete a
RATE
All other School District Residents (1%) Enter .01
Schedule X to determine rate to enter.
12
TAX LIABILITY: (Multiply Line 10 by Line 11)
12
13
13
TOTAL LOCAL INCOME TAXES WITHHELD EXCEPT PHILADELPHIA INCOME TAX (FROM ATTACHED W-2’s)
14
QUARTERLY PAYMENTS AND/OR LAST YEAR’S OVERPAYMENT CREDITED TO THIS YEAR
14
15
15
CREDIT FOR TAXES PAID TO PHILADELPHIA AND/OR STATES OTHER THAN PA
(ATTACH LOCAL SCHEDULE G)
16
TOTAL WITHHOLDINGS, PAYMENTS, AND CREDITS (Add Lines 13, 14 and 15)
16
17
TAX BALANCE DUE IF LINE 12 IS GREATER THAN LINE 16
17
(Subtract Line 16 from Line 12)
18
INTEREST & PENALTY – 1% PER MONTH OF LINE 17 IF PAID AFTER APRIL 18
18
19
LATE FILING FEE – ENTER $10.00 AFTER APRIL 18
19
20
QUARTERLY INTEREST & PENALTY
20
(SEE INSTRUCTIONS)
IF LESS THAN
21
TOTAL DUE (Add Lines 17, 18, 19 and 20.) Make check payable to “FCATB"
21
$1.00 ENTER ZERO
If Line 21 was paid by credit/debit card, enter Official Payments confirmation number(s) here
#
#
OVERPAYMENT IF LINE 16 IS GREATER THAN LINE 12 (Subtract Line 12 from Line 16)
22
22
IF LESS THAN $1.00 ENTER ZERO
23
AMOUNT OF LINE 22 TO BE REFUNDED
23
‘Savings’ or ‘Checking’
DIRECT
Taxpayer ‘A’, ‘B’, OR ‘BOTH’
ROUTING NUMBER
ACCOUNT NUMBER
Account
DEPOSIT
INFORMATION
FOR REFUND
24
AMOUNT OF LINE 22 TO BE CREDITED TO NEXT YEAR’S TAX
24
25
AMOUNT OF LINE 22 TO BE CREDITED TO SPOUSE’S BALANCE DUE ON LINE 21
25
I DECLARE UNDER PENALTIES PROVIDED BY LAW, THAT THIS RETURN IS TRUE, COMPLETE AND CORRECT.
YOUR SIGNATURE
DATE
OCCUPATION
DAYTIME PHONE
SPOUSE’S SIGNATURE
DATE
OCCUPATION
DAYTIME PHONE
PAID PREPARER’S NAME (PLEASE PRINT)
PAID PREPARER’S EIN
PAID PREPARER’S PHONE
TAXPAYER’S COPY / WORKSHEET
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