Form 531 - Local Earned Income Tax Return - 2005
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1RETURN BY APRIL 17, 2006 TO:
2005
TAX OFFICE USE ONLY - DO NOT WRITE IN THIS AREA.
CAPITAL TAX COLLECTION BUREAU
See Page 3 of Instruction Sheets
LOCAL EARNED INCOME
in this packet for mailing address labels or
TAX RETURN (FORM 531)
see back of Taxpayer’s Copy of return for
ACT 24
Click Here to Clear Form Data
addresses, phone numbers, and office hours.
TO CONSTITUTE PROOF OF FILING, THE TAXPAYER’S COPY MUST
BE VALIDATED BY THE BUREAU. TO HAVE YOUR COPY VALIDATED
BY MAIL, RETURN BOTH THE TAX BUREAU’S AND TAXPAYER’S COPIES
ALONG WITH A SELF ADDRESSED STAMPED ENVELOPE.
COLUMN #
1
COLUMN #
2
TOTALS
THIS FORM IS ONLY FOR USE BY AN INDIVIDUAL TAXPAYER WHERE SPLIT-YEAR
ACTIVITY FROM JAN. 1
ACTIVITY FROM JULY 1
Your Social Security No.
THRU JUNE 30
THRU DEC 31
FILINGS ARE REQUIRED. A SPOUSE CANNOT ALSO FILE ON THIS RETURN.
W-2 EARNINGS (From attached W-2’s)
1
1
0.00
EMPLOYEE BUSINESS EXPENSES (Attached Federal Form 2106 & State Schedule UE)
2
2
0.00
TAXABLE W-2 EARNINGS LESS EBE’s (Subtract Line 2 from Line 1)
3
3
0.00
0.00
0.00
OTHER TAXABLE EARNED INCOME (No interest or dividends) List Type _______________
4
4
0.00
TOTAL TAXABLE EARNED INCOME (Add Lines 3 and 4)
5
5
0.00
0.00
0.00
(Attach Federal and State Schedules
NET PROFIT(S) FROM BUSINESS, PROFESSION, OR FARM
6
6
0.00
C, F and/or K-1 (1065))
SPECIAL RULE AMOUNT
NET LOSS FROM BUSINESS, PROFESSION, OR FARM (Attach Federal
7
7
0.00
and/or State Schedules C, F and/or K-1 (1065))
Subtract Line 7 from Line 6 (IF LESS THAN ZERO, ENTER ZERO). Enter result in appropriate Column 1 or 2 to right.
0.00
8
8
0.00
0.00
REQUIRED FOR INFORMATION PURPOSES ONLY: In “TOTALS” column, enter the total Net,
9
9
Subchapter S Corporation pass-thru Net Profit(s) Loss(es) as reported on your PA-40 return.
TOTAL TAXABLE EARNED INCOME AND NET PROFITS (Add Lines 5 and 8)
0.00
10
10
0.00
0.00
ENTER TAX RATES FOR COLUMNS 1 & 2 FROM THE “TAX RATE TABLE” FOUND ON THE LAST PAGE
0.01
11
11
0.0175
OF THIS FORM PACKET. BE SURE TO DIFFERENTIATE BETWEEN 1ST HALF & 2ND HALF RATES
TAX LIABILITY (COLUMNS 1 & 2: Multiply Line 10 by Line 11; TOTALS COLUMN: Add Line 12
12
12
0.00
0.00
0.00
Items, columns 1 & 2)
TOTAL LOCAL INCOME TAXES WITHHELD EXCEPT PHILADELPHIA INCOME TAX (From attached W-2’s, Box 19)
13
13
QUARTERLY PAYMENTS AND/OR LAST YEAR’S OVERPAYMENT CREDITED TO THIS YEAR
14
14
CREDITS FOR TAXES PAID TO PHILADELPHIA AND/OR STATES OTHER THAN PA (ATTACH SCH. G) AND/OR
0.00
15
15
CREDITS FOR CERTIFIED RESIDENTS OF THE HARRISBURG KEYSTONE OPPORTUNITY ZONE (KOZ)
TOTAL WITHHOLDINGS & PAYMENTS (Add Line 13, 14 and 15)
0.00
16
16
TAX BALANCE DUE (Subtract Line 16 from Line 12) PAYMENT NOT NECESSARY IF LESS THAN $1.00
17
17
0.00
INTEREST & PENALTY (See Instructions)
18
18
PLACE SOCIAL SECURITY
TOTAL BALANCE DUE (Add Lines 17 and 18) Make check payable to “CTCB”
19
19
0.00
NUMBER ON CHECK
OVERPAYMENT (Subtract Line 12 from Line 16) IF LESS THAN ZERO, ENTER ZERO
20
20
0.00
OVERPAYMENT TO BE REFUNDED
21
21
0.00
DIRECT DEPOSIT
ROUTING NO.
ACCOUNT NO.
SELECT ONE
CHECKING
SAVINGS
INFORMATION
OVERPAYMENT TO BE CREDITED TO NEXT YEAR’S TAX
22
22
DO NOT USE THIS LINE
23
23
TYPE OR PRINT INFORMATION BELOW. IF PREPRINTED, CHECK FOR ACCURACY AND MAKE CORRECTIONS WHERE NECESSARY.
YOUR RESIDENT MUNICIPALITY
DAYTIME PHONE NUMBER
(TOWNSHIP, BOROUGH, OR CITY)
SELECT YOUR MUNICIPALITY
YOUR NAME
YOUR CTCB ACCOUNT
YOUR SOCIAL SECURITY NUMBER
(LAST, FIRST, MI)
NUMBER (IF KNOWN)
IF YES, COMPLETE SCHEDULE P
HAVE YOU MOVED FROM THE
YES
HOME
BEGINNING OF THE TAX FILING
ON BACK OF “BUREAU’S” COPY
ADDRESS
YEAR TO PRESENT?
OF RETURN
NO
UNDER PENALTIES OF PERJURY, I DECLARE THAT I HAVE EXAMINED THIS RETURN AND ACCOMPANYING SCHEDULES AND STATEMENTS,
AND TO THE BEST OF MY KNOWLEDGE AND BELIEF, THEY ARE TRUE, CORRECT AND COMPLETE.
YOUR SIGNATURE
DATE
YOUR OCCUPATION
X
2/16/2006
PAID PREPARER’S NAME (PLEASE PRINT)
FIRM’S NAME (OR ENTER “S.E.” IF SELF EMPLOYED)
PAID PREPARER’S PHONE NUMBER
Bureau's Copy
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