Local Services Tax Form - Mifflin County School District Area

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L O C A L S E R V I C E S T A X
Mifflin County School District Area
INSTRUCTIONS
1. Any Self-Employed person earning less than $2000 per year shall be exempt from this Tax.
2. Complete Form LST and correct Name and Residence Address if necessary.
3. Send to: Miffco Tax Service, Inc, 139 West Market Street, PO Box 746, Lewistown, PA 17044
Phone: 717-242-2777
miffcotaxservice3@verizon.net
Municipal Code_________
Annual Tax $10.00
____-___-_____
Name:______________________________________________
Address____________________________________________
City, State Zip_____________________________________
Cut Along Lines
Form LST Due April 30, 20__
Social Security # ____-___-______
Name:______________________________________________
Address____________________________________________
City, State Zip_____________________________________
Municipal Code__________
$10.00
Tax Due
Penalty 5%
.
Interest ½% Per Month__________.______
Total Due__________.______

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