Quarterly Estimated Earned Income Tax Return Form

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Greencastle Antrim Tax Bureau
Estimated Earned Income Tax Return
J a n . l - M a r . 3 l
DueApril l5
April 1 -June 30
Due July 15
Taxoaver Name and Address:
J u l y l - S e p t . 3 0
Due October 15
O c t . 1 - D e c . 3 1
Due January 15
Use Upper Stub For Yor Records
Below To Subrnit Your Estimated
Record Of Payment
O c t . 1 - D e c . 3 l
Payment
4
Due On Or
Before January 15th
Tax Comnutation
Greencastle Antrim Tax Bureau
Estimated Earned Income Tax
Make Checks Pavable To:
Greencastle Antrim Tax Bureau
P.O. Box 220 Greencastle , PA 17225
I
l%e Earned Incorne Ta*
I
2
Late Fee - I 7o Per Month Penaltv
I
3
Credit - O
From Prior Year
4
Taxpayer Name:
Social Security Number
4'h Quarter Return
J u l y I - S e p t . 3 0
Payment
3
Due On Or
Befbre October l5th
Tax Computation
I
l%o Earned Income Tax
Greencastle Antrim Tax Bureau
Estimated Earned Incorne Tax
Make Checks Pavable To:
Greencastle Antrim Tax Bureau
PO. Box 220 Greencastle,PAll225
Taxpayer Name:
Social Security Number
3d Quarter Return
2
LateFee - 1 o/o Per Month Penal
April | -June30
Payment
)
Duebn or
Before July l5th
Greencastle Antrim Tax Bureau
Estimated Eamed lncome Tax
Make Checks Pavable To:
Greencastle Antrim Tax Bureau
PO. Box 220 Greencastle,PA 1'1225
Tax Comoutation
1
17o Eamed Income Tax
I
2
Late Fee - I 7o Per Month Penalty
I
.3
Credit - Overpayment From Prior Year
I
.4
Payment Due
I
Taxpayer Name:
2nd Quarter Return
Social Security Number
J a n . 1 - M a r c h 3 l
Payment
I
Due On Or
Before April l5th
Tax Comoutation
I '
l7oEamed Income Tax
Greencaslle Antrim Tax Bureau
Estimated Earned Income Tax
Make Checks Pavable To:
Greencastle Antrim Tax Bureau
P O . B o x 2 2 0 G r e e n c a s t l e , P A l ' 7 2 2 5
2
Late Fee - | Vo Per Month
3
Credit - Ove
Taxpayer Name:
l" Quarter Return
From Prior Year
Social Security Number

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