Form 32-1 - Earned Income Tax Return 2013
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1DO NOT STAPLE OR TAPE
FORM: 32-1(YA 08-13)
TAXPAYER ANNUAL
YORK ADAMS TAX BUREAU
EARNED INCOME TAX RETURN
YORK
717-845-1584
GETTYSBURG
717-334-4000
Information and Efile at
2013
Tax Year
EXTENSION
AMENDED RETURN
*If you have relocated during the tax year, please supply additional information.
DATES LIVING AT EACH ADDRESS
STREET ADDRESS (No PO Box, RD or RR)
C
T I
Y
O
R
P
O
S
T
O
F
F
C I
E
STATE
Z
P I
TO
TO
TO
Name and Address
*See Instructions
TAXPAYER’S SOCIAL SECURITY #
SPOUSE’S SOCIAL SECURITY #
RESIDENT PSD CODE
TAXPAYER’S PHONE NUMBER
If you had NO EARNED INCOME,
If you had NO EARNED INCOME,
TAXPAYER’S EMAIL
check the reason why:
check the reason why:
DISABLED
DATE____________
DISABLED
DATE____________
DECEASED
DATE____________
DECEASED
DATE____________
The amounts reported must correspond to the individuals social security number
RETIRED
DATE____________
RETIRED
DATE____________
printed in each column. Combining income is NOT permitted.
1.
1. Gross Compensation as Reported on W-2(s). (
) . . . . . . . . . . . . .
Enclose W-2s
.00
.00
DO NOT USE BOX 1 FEDERAL WAGES.
.
2
2. Unreimbursed Employee Business Expenses. (
) . . . .
.00
.00
Enclose PA Schedule UE
.
3
3. Other Taxable Earned Income * . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
.00
.
4
4. Total Taxable Earned Income
. . . .
(Subtract Line 2 from Line 1 and add Line 3)
.00
.00
.
A $___________________
5
5. Net Profit (
*)
Taxpayer
Enclose PA Schedules
.00
.00
B $____________________
NON-TAXABLE S-Corp earnings enter here
Taxpayer
.
6
6. Net Loss (
*) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
.00
.00
Enclose PA Schedules
.
7
7. Total Taxable Net Profit
. .
.00
.00
(Subtract Line 6 from Line 5. If less than zero, enter zero)
.
8
8. Total Taxable Earned Income and Net Profit
) . . . . . . . . . . .
.00
.00
(Add Lines 4 and 7
.
9
9. Total Tax Liability (
) . . . . . . . . . .
.00
.00
Line 8 multiplied by rate from Local EIT Tax chart
10.
10. Total Local Earned Income Tax Withheld as Reported on W-2(s) . . . . . . . . .
.00
.00
11.
11.Quarterly Estimated Payments/Credit From Previous Tax Year . . . . . . . . . . .
.00
.00
12.
12. Miscellaneous Tax Credits (enclose documentation)* . . . . . . . . . . . . . . . . . .
.00
.00
13.
13. TOTAL PAYMENTS and CREDITS (
) . . . . . . . . . . . .
.00
.00
Add Lines 10 through 12
14.
14. Refund If $2.00 or more, enter amount
.00
.00
(or select option in 15) . . . . . . . .
15.
15. Credit Taxpayer/Spouse (
) . . .
Amount of Line 14 you want to transfer to your account
.00
.00
Credit to next year
Credit to spouse
16. EARNED INCOME TAX BALANCE DUE (
) . . . . . . . . . . .
16.
Line 9 minus Line 13
.00
.00
If $2.00 or more, enter amount
MAKE CHECKS PAYABLE TO YATB
17.
17. Penalty after April 15* (
. . . . . . . .
multiply Line 16 by % rate per instructions)
18.
18. Interest after April 15* (
. . . . . . . . .
multiply Line 16 by % rate per instructions)
19.
19. TOTAL PAYMENT DUE (
) . . . . . . . . . . . . . . . . . . . . .
Add Lines 16, 17, and 18
Under penalties of perjury, I (we) declare that I (we) have examined this information, including all accompanying
schedules and statements and to the best of my (our) belief, they are true, correct and complete.
TAYPAYER’S SIGNATURE
OCCUPATION
DATE (MM/DD/YYYY)
SPOUSE’S SIGNATURE
OCCUPATION
DATE (MM/DD/YYYY)
PREPARER’S PRINTED NAME & SIGNATURE
PREPARER’S PHONE NUMBER
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