Instructions For Filing Form 531 - Local Earned Income Tax (Eit) Return - Pennsylvania - 2014 Page 2

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PARTIAL YEAR RESIDENT PRORATION WORKSHEET
This worksheet needs to be completed if you moved from one or more municipalities into another during the tax year. It will help you to determine the amount of earned income and net profits to file with each
municipality that you resided in during the tax year. You will need to file a seperate return for each municipality you resided in. The day an individual's domicile changes is included as the day he/she is in the
new domicile. Determining which municipality to include the taxable local income earned for the month the move occurred should be based on the majority of days in the old or new domicile. If the number of
days in the calendar month in which an individual lived in the old and new domiciles are equal, the entire month should be credited to the new municipality. For each W-2, employee business expense (EBE)
schedule, self-employment schedule, or other income, divide the total on each form by the number of months you worked for that employer. Multiply the result by the number of months you lived in each
location while working for that employer. (Domicile = Residence)
LOCATION/RATE 1
LOCATION/RATE 2
LOCATION/RATE 3
Tax Year:
TAX OFFICE
Name:
MUNICIPALITY
SSN:
STREET ADDRESS
CITY, STATE, ZIP
TAX RATE %
If both municipalities are CTCB Members, then you must fill out
two seperate 531's (Local Earned Income Tax Return). Visit our
DATE RESIDENT FROM
website for additional forms, information, and
DATE RESIDENT THRU
a list of our Member Municipalities.
NUMBER OF MONTHS
DATES EMPLOYED
[C]
[F]
[I]
DURING THIS TAX
PRORATED
PRORATED
PRORATED
YEAR
[A]
[B]
EMPLOYEE
[D]
[E]
EMPLOYEE
[G]
[H]
EMPLOYEE
LOCAL
LOCAL
EBE FOR
TOTAL
PRORATED
PRORATED
BUSINESS
PRORATED
PRORATED
BUSINESS
PRORATED
PRORATED
BUSINESS
EMPLOYER'S NAME
WAGES
TAX W/H
THIS EMP
FROM
THRU
MONTHS
WAGES
TAX W/H'S
EXPENSES
WAGES
TAX W/H'S
EXPENSES
WAGES
TAX W/H'S
EXPENSES
1
2
3
4
Total
Total
Total
Total
Total
Total
Total
Total
Total
W-2 TOTALS & EMPLOYEE BUSINESS EXPENSE (EBE) TOTALS: Report totals to the corresponding line
(Column A)
(Column B)
(Column C)
(Column D)
(Column E)
(Column F)
(Column G)
(Column H)
(Column I)
on the 531 form for only the location in which CTCB is the collector. Report the totals for the other tax agency on
their form.
531 line 1
531 line 6b
531 line 2
531 line 1
531 line 6b
531 line 2
531 line 1
531 line 6b
531 line 2
DATES OPERATED
DURING THIS TAX
NET PROFIT
MONTHS AT
PRORATION
PRORATED
MONTHS AT
PRORATION
PRORATED
MONTHS AT
PRORATION
PRORATED
YEAR
or LOSS
TOTAL
THIS
% THIS
NET PROFIT
THIS
% THIS
NET PROFIT
THIS
% THIS
NET PROFIT
NET PROFIT(S) or LOSS(ES)
AMOUNT
FROM
THRU
MONTHS
LOCALE
LOCALE
or LOSS
LOCALE
LOCALE
or LOSS
LOCALE
LOCALE
or LOSS
5
6
7
8
Total
Total
Total
NET EFFECT OF PROFIT(S) AND LOSS(ES) TOTALS: Report totals to the corresponding line on the 531 form
for only the location in which CTCB is the collector. Report the totals for the other tax agency on their form.
531 LINE 4a
531 LINE 4a
531 LINE 4a
DATES EARNED
DURING THIS TAX
MONTHS
PRORATION
PRORATED
MONTHS
PRORATION
PRORATED
MONTHS
PRORATION
PRORATED
YEAR
TOTAL
TOTAL
THIS
% THIS
OTHER
THIS
% THIS
OTHER
THIS
% THIS
OTHER
FROM
THRU
OTHER INCOME
AMOUNT
MONTHS
LOCALE
LOCALE
INCOME
LOCALE
LOCALE
INCOME
LOCALE
LOCALE
INCOME
9
10
OTHER INCOME TOTALS: Report totals to the corresponding line on the 531 form for only the location in which
Total
Total
Total
CTCB is the collector. Report the totals for the other tax agency on their form.
531 LINE 4b
531 LINE 4b
531 LINE 4b
PLEASE REMIT THIS WORKSHEET IF YOU HAVE FILLED IT OUT TO CTCB WITH THE PRORATED RETURNS.

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