Form 531 - Local Earned Income Tax Return - 2010

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2010
TAX OFFICE USE ONLY - DO NOT WRITE IN THIS AREA
DO NOT STAPLE HERE!
USE PAPERCLIP ONLY!
RETURN BY APRIL 15, 2011 TO:
LOCAL EARNED INCOME TAX
CAPITAL TAX COLLECTION BUREAU
RETURN (FORM 531)
Click Here To Clear Form Data
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 BUREAU'S
AND TAXPAYER'S COPIES ALONG WITH A SELF ADDRESSED STAMPED ENVELOPE.
SOC. SEC. NO. A
SOC. SEC. NO. B
A HUSBAND AND WIFE MAY BOTH FILE ON THIS FORM. HOWEVER, TAX CALCULATIONS MUST BE REPORTED IN SEPARATE
COLUMNS. JOINT FILING (I.E., COMBINING INCOME, ETC.) IS NOT PERMITTED.
1
W-2 EARNINGS (From attached W-2s)
1
EMPLOYEE BUSINESS EXPENSES (EBEs) (From attached Federal Form 2106 & State Schedule UE)
2
2
TAXABLE W-2 EARNINGS LESS (EBEs) (Subtract Line 2 from Line 1)
3
3
0.00
0.00
4
OTHER TAXABLE EARNED INCOME (NO INTEREST OR DIVIDENDS) LIST TYPE:__________________
4
5
TOTAL TAXABLE EARNED INCOME (Add Lines 3 and 4)
0.00
0.00
5
NET PROFIT FROM BUSINESS, PROFESSION OR FARM (From attached Federal and State Schedules C, F and/or K-1 (1065))
6
6
7
7
NET LOSS(ES) FROM BUSINESS, PROFESSION OR FARM (From attached Federal and State Schedules C, F and/or K-1 (1065))
8
Subtract Line 7 from Line 6 (IF LESS THAN ZERO, ENTER ZERO)
8
0.00
0.00
REQUIRED FOR INFORMATION PURPOSES ONLY: Enter Net, Subchapter S Corporation pass-thru Net Profit(s)/Loss(es) as reported on
9
9
your PA-40 return
TOTAL TAXABLE EARNED INCOME AND NET PROFITS (Add Lines 5 and 8)
10
10
0.00
0.00
11
TAX RATE (If you moved, you need to complete Schedule P on the back of this page)
11
0.0180
0.0180
TAX LIABILITY: Multiply Line 10 by Line 11
12
0.00
0.00
12
13
TOTAL LOCAL INCOME TAXES WITHHELD EXCEPT PHILADELPHIA INCOME TAX (From attached W-2s, Box 19)
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 CREDITS FOR
15
15
CERTIFIED RESIDENTS OF THE HARRISBURG KEYSTONE OPPORTUNITY ZONE (KOZ)
TOTAL WITHHOLDINGS & PAYMENTS (Add Lines 13, 14 and 15)
16
0.00
0.00
16
17
TAX BALANCE DUE (Subtract Line 16 from Line 12) PAYMENT NOT NECESSARY IF LESS THAN $1.00
17
0.00
0.00
INTEREST & PENALTY (See Instructions)
18
18
19
RETURNS FILED AFTER THE DUE DATE MAY BE SUBJECT TO ADDITIONAL COSTS OF COLLECTION
19
TOTAL BALANCE DUE (Add Lines 17, 18 and 19) Make check payable to "CTCB"
Place Social Security Number on Check
20
0.00
0.00
20
21
OVERPAYMENT (Subtract Line 12 from Line 16) IF LESS THAN ZERO, ENTER ZERO
21
0.00
0.00
OVERPAYMENT TO BE REFUNDED
22
0.00
0.00
22
Taxpayer 'A', 'B', or 'BOTH' Savings or Checking Acct.
ROUTING NO.
ACCOUNT NO.
DIRECT
DEPOSIT
Select
Select
INFORMATION
Select
Select
OVERPAYMENT TO BE CREDITED TO NEXT YEAR'S TAX
23
23
OVERPAYMENT TO BE CREDITED TO SPOUSE'S BALANCE DUE FOR THIS FILING YEAR
24
24
TYPE OR PRINT INFORMATION BELOW. IF PREPRINTED, CHECK FOR ACCURACY AND MAKE CORRECTIONS WHERE NECESSARY.
SPOUSE’S NAME, SIGNATURE, AND OTHER INFORMATION SHOULD BE PROVIDED ONLY IF HE OR SHE IS ALSO FILING ON THIS FORM.
YOUR PIN NUMBER FOR
YOUR NAME
Your Social Security Number
YOUR CTCB ACCOUNT NUMBER (IF KNOWN)
A
ONLINE FILING
(LAST, FIRST, M)
Enter at right >>>>>>>>>
SPOUSE'S PIN NUMBER FOR
SPOUSE'S NAME
B
SPOUSE'S CTCB ACCOUNT NUMBER (IF KNOWN)
Spouse Social Security Number
ONLINE FILING
(LAST, FIRST, M)
Enter at right >>>>>>>>>
HAVE YOU MOVED FROM THE
YES
IF YES, COMPLETE SCHEDULE P
HOME
BEGINNING OF THE TAX FILING
ON BACK OF "BUREAU'S COPY"
ADDRESS
Enter at right >>
NO
YEAR TO PRESENT?
OF RETURN.
DAYTIME PHONE NUMBER
YOUR RESIDENT MUNICIPALITY
(TOWNSHIP, BOROUGH OR CITY)
SELECT YOUR MUNICIPALITY
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
X
X
X
1/6/2011
SPOUSE'S SIGNATURE (ONLY IF ALSO FILING ON THIS FORM)
DATE
SPOUSE'S OCCUPATION (ONLY IF ALSO FILING ON THIS FORM)
X
X
X
X
1/6/2011
PAID PREPARER’S NAME (PLEASE PRINT)
FIRM’S NAME (OR ENTER “S.E.” IF SELF EMPLOYED)
PAID PREPARER’S PHONE NUMBER
BUREAU'S COPY
Bureau's Copy

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