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                                 LST  QUARTERLY  ETURN R ORM F NSTRUCTIONSI      
                                                        
       *You will need to fill out a form for each quarter for each worksite you are reporting.* 
 
 Employer Information EIT/Account  No.:   Write the  employer’s  identification  number (EIN)  or  CTCB  account  number if  it is  not  pre-
      printed.  If you are unsure of the EIN / Account Number, please contact CTCB. 
   Worksite PSD:  Write the PSD code for the worksite you are submitting for. 
   Quarter and Year:  Please write the year and quarter that corresponds to the quarterly remittance that you are 
      submitting to the CTCB. 
   Employer Name & Mailing Address:  Write the name and mailing address of the employer if it is not pre-printed. 
   Employer Business Phone Number and Fax Number  : At minimum write the business phone number.  If a fax 
      number is available please provide as well. 
 
 Worksite Information Worksite Address:  Write the worksite address if different from main business location. 
   Worksite PSD:  Supply the worksite PSD code. 
 
 Taxing Authority Municipal Taxing Authority in which business or worksite is located:  If not pre-printed on the form write the 
      name of the municipality, county, and school district where the business is located. 
  
 Quarterly Return Reporting 
    Fill in the required information and follow the directions for each line to calculate the total amount of LST to be 
      withheld for this quarter. 
     
 Primary Contact Information Primary Contact Individual Information:  Please provide the first and last name, title, phone number, and email 
      address of the primary contact individual. 
   Sign and Date: Primary contact sign and date. 
 
 Employee Information and LST Detail (Lower portion of the LST Quarterly Return and Supporting Form LST-2) Employee Social Security Number:  Fill in the social security number of each employee that you employ. 
   Employee Name and Address:  Fill in the name and address of each employee that you employ. 
   Employee Exemption:  Check the exemption box if employee is exempt from LST withholding.  You must supply 
      a copy of each individual employee’s LST-Exempt form with each Quarterly LST Return. 
   Complete LST tax withheld for this quarter:  Enter the sum of the entire amount of LST tax withheld by the 
      employer for that employee for this particular quarter.  Again, the purpose of form LST-2 portion of the Quarterly 
      Return is so that CTCB knows which LST monies withheld by the employer correspond to which employees. 
   School tax portion of LST withheld NOTE:  With low-income exemptions (less than $12,000), employees in the 
      above-listed municipalities can be exempt from a municipality’s LST, but not be exempt from the municipality’s 
      coterminous  school  district’s  LST.    In this  case  the  employer must  withhold  an  LST  in the  amount of  $5.00, 
      which is the school district’s portion of the LST using the pro-rated LST payroll period method. 
   Total Amount of Combined LST per page         : For each supporting LST-2 form that you attach to the Quarterly 
      return add each Combined LST amount for a total per page. 
   Total Amount of School LST per page: For each supporting LST-2 form that you attach to the Quarterly return 
      add each School LST amount for a total per page. 
   Total LST Withheld this Quarter per page      : For each supporting LST-2 form that you attach to the Quarterly 
      return add the total amount of the Combined LST and School LST per page. 
   Total Amount LST Enclosed: On the Quarterly return page only record the Total Amount of LST Enclosed by 
      adding the total LST withheld this Quarter on each supporting LST-2 form. 
 
                       LST YEAR  ND E  ECONCILIATION R   ORMF  INSTRUCTIONS          
 
 Fill this section out exactly as the same named section of the LST Quarterly Return.  See above. Employer Information Worksite Information Taxing Authority Primary Contact Information 
       
 Federal EIN for EIT  
     Fill in the Federal EIN under which this employer files Earned Income Tax (EIT) withholdings for at least the 
      employees included in this LST report.  Note: this may or may not be the same EIN. 
 
 Year End Reporting 
     Fill  in  the  required information  and follow  the  directions  for  each  line  to  calculate  the  total  amount  of LST 
      withheld for this tax year. 



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                                        ____ TAX YEAR LOCAL SERVICES TAX (LST) 
                        EMPLOYER REPORTING INSTRUCTIONS FOR TAXING JURISDICTIONS  
                           ADMINISTERED BY THE CAPITAL TAX COLLECTION BUREAU (CTCB) 
                                                         
CTCB WEBSITE – WWW.CAPTAX.COM                    11/09/17 version    CTCB E-MAIL – CAPTAX@CAPTAX.COM 
 These instructions are for every LST taxing jurisdiction collected by the CTCB for the ____ Tax year.   
SECTION 1. BACKGROUND 
 For ____ and later tax years, wherever you see the words or acronyms of “Emergency and Municipal Services Tax (EMST)” or 
“Occupational Privilege Tax (OPT)” used, they are synonymous with “Local Services Tax (LST)”.    
SECTION 2.  AMOUNT OF TAX 
 The ____ “LST TAX RATE TABLE” shows the annual LST levies for every taxing jurisdiction that is administered by CTCB.  
Also, the taxing jurisdictions for which you were mailed this packet, and their ____ tax year rate is found on the combined LST-2 and 
LST-4 Form enclosed. You will want to make additional copies of this form to use when reporting subsequent quarters for this tax year. 
SECTION 3.  DUTY OF EMPLOYERS TO WITHHOLD THE LST 
 (A) AUTHORITY & REQUIREMENT TO WITHHOLD THE LST - Each employer within a listed taxing jurisdiction, as well as 
those employers situated outside a listed taxing jurisdiction but who engage in business within a listed taxing jurisdiction, is charged with 
the duty of collecting the LST from each of his employees and making a return and payment thereof to CTCB.  Further, each employer is 
authorized to deduct this tax from each employee performing services in a listed taxing jurisdiction whether salary, wage, or commission 
pays such employee.  
 (B) WITHHOLDING -- HOW MUCH & WHEN - For tax year ____, where the LST is levied at a combined rate exceeding $10, 
withholding of the LST shall be made on a pro-rated payroll period basis for each payroll period during the calendar year in which an 
employee is engaging in an occupation unless the employee is engaging in concurrent employment, or another exemption applies.   
 DEFINITION OF “PAYROLL PERIOD” FOR LST PURPOSES:  For many employers, the “LST payroll period” may be different 
than the actual payroll period associated with a pay date.   For LST purposes, the “payroll period” associated with any pay date is the 
payroll period within which the pay date resides.  Please note that a payroll period in ____ if the corresponding paycheck was issued to 
the employee in  ____ (even for work performed in  ____).  For example, if an employee was paid on January 2,  ____ for the work 
performed  between  December  16,  ____  and  December  30,  ____,  the  January  2,  ____  paycheck  counts  as  a  ____  paycheck  for 
purposes of LST.  Simply stated, the date the employee is paid determines the LST payroll period.   
 The pro-rated share of the tax assessed on a employee for a payroll period shall be determined by dividing the appropriate 
combined rate of the LST levied for the calendar year by the number of “LST payroll periods” (which is equal to the number of pay dates) 
established by the employer for the entire calendar year.  The employer shall round down the calculated amount of the Tax collected 
each payroll period (pay date) to the nearest one-hundredth of a dollar.  For example, where an employer pays the employees on a bi-
weekly basis, they will have 26 payroll periods for ____.  When an employer pays the employees on a weekly basis, they will have 52 
payroll periods in ____.   
 If an employer is in a taxing jurisdiction where the LST is $52 and the employee earns over $12,000 per year, the 
employer should withhold $1.00 per check if they pay employees on a weekly basis and $2.00 per check if they pay employees 
on a bi-weekly basis.   
 Where an LST is levied at a combined rate of $10 or less the withholding of the entire tax amount should be withheld 
from the employee’s first pay, if sufficient in amount. 
 (C) EMPLOYEE’S PLACE OF EMPLOYMENT - A person is subject to the LST at his/her “place of employment,” which means 
the  actual  location  where  the  individual  works.    Therefore,  the  headquarters  of  the  employer  and/or  where  the  payroll  checks  are 
prepared do not determine what LST is due unless the employee actually works at those locations.   
  (D) EMPLOYEES WITH MULTIPLE WORK LOCATIONS – Where, for a single employer, an employee works at multiple work 
locations located in different taxing jurisdictions, such employee is subject to the LST levied by the taxing jurisdiction of his “principle” 
work  location.    This  means  that  an  employee  that  only  works  for  one  employer  may  still  be    subject  to  LSTs  for  multiple  taxing 
jurisdictions up to a maximum of $52 for any given tax year.  Facts and circumstances should be used to determine the principle work 
location, such as time spent in each taxing jurisdiction and where the employee’s primary duties are performed.  For example, a mail 
carrier would be subject to the tax where the majority of his regular route is located – not necessarily the taxing jurisdiction where he 
picks up his mail in the morning.  For a combined tax levy of more than $10, the first day of each payroll  period would determine the 
taxing jurisdiction(s) that can levy the LST.  For a combined LST levy equal to or less than $10, the principal work location could change 
on a daily basis.  An employee can have only one principle work location at a single time, but an employee can have multiple principle 
work locations during a calendar year.  
 (E) AMOUNT AND TIMING OF WITHHOLDINGS FROM SUBJECT EMPLOYEES – The employer is required to withhold, from 
subject employees, a listed taxing jurisdiction’s LST in accordance with Section 3 with the only exceptions as provided in Section 4.  
Failure to do so makes the employer liable for the tax as if it had been levied against the employer.   
SECTION 4.  EXCEPTIONS TO WITHHOLDING RULES 
NOTE REGARDING SUBSECTIONS (A) & (B) BELOW:              The exemptions as provided for in the following subsections (A) & (B) are 
applied for by an employee completing an “LST-Exempt Form” and submitting it to the employer with any required documentation.  With 
every Quarterly Return submitted indicating exempt employees the employer must forward a copy (fax/mail) of the completed exemption 
form (no attachments & only the first page of the form, unless for exemption # 1, in which case a complete copy of the LST-Exempt form 
needs to be submitted) to the CTCB and retain the originals of all exemption forms & attachments for a minimum of 3 years.  Employers 
who have not withheld all or a portion of the LST from an employee pursuant to an LST-Exempt Form, AND who do not have copies of 
the employee’s LST-Exempt Form and its supporting documents, will be held responsible for the payment of the LST as if the tax had 



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been originally levied against the employer. 
     (A) EMPLOYEES WITH MULTIPLE,            CONCURRENT OCCUPATIONS – Some employees work at more than one job.  The 
following explains how to determine which employer should withhold the LST.  By law, the priority of claim to collect an LST is based on 
the following 4 factors with such priority going from highest (1), to lowest (4): 
     1.  The employer where the individual first became employed in the calendar year, or if subject to pro-rated withholding of the 
     tax, the day the individual first became employed in the overlapping payroll periods.  For the purposes of this rule, if the 
     individual was employed with each employer on January 1 of the tax year, or initially employed on the same day at both 
     employers, this would be a tie, so it proceeds to factor number 2.   
     2.  The political subdivision in which a person maintains his principal office or is principally employed.  A person’s principle 
     employment would be the one in which he earns the most. 
     3.  The political subdivision in which a person resides & works, if such a tax is levied by that political subdivision. 
     4.  The political subdivision in which a person is employed and which imposes the tax nearest in miles to the person’s home. 
     Each  individual  who shall have more  than  one concurrent  occupation  shall  be  subject to  the  payment  of  the  Tax  on  his 
principal occupation whether self-employed or employed through an employer.  In the case of concurrent employment, all non-principal 
employers shall refrain from withholding the LST, if the employee provides (1) a recent pay statement from his principal employer that 
includes the name of the employer, the length of the payroll period and the amount of the LST withheld, or (2) a tax office or taxing 
jurisdiction receipt of payment of the LST for a self-employed principal occupation; and, (3) a CTCB Bureau approved statement from 
the employee that the pay statement or pay receipt is from the employee’s principal occupation, and the employee will notify other 
employers of a change in principal place of employment within 2 weeks of its occurrence. 
     (B) OTHER EXEMPTIONS FROM EMPLOYER WITHHOLDING - Whenever an employee expects to earn, in the aggregate, 
less than twelve thousand dollars ($12,000.00) per fiscal year in earned income and net profits from all sources within a listed LST 
taxing jurisdiction, and the taxing jurisdiction opts, or is required, to provide for such an exemption (see the “____ LST TAX RATE 
TABLE” for a listing of exemptions for CTCB taxing jurisdictions), an employee may file a certificate for exemption (Form LST-Exempt) 
with the employer directing that employer not to withhold the LST.  The certificate shall be in a form approved by  CTCB and have 
attached to it a copy of all the individual’s last pay stubs or W-2 forms from employment and any net profit schedules from businesses 
within the taxing jurisdiction(s) for the fiscal year prior to which the individual is requesting an exemption.  With low-income exemptions, 
it is quite possible that a taxpayer can be exempt from a municipality’s LST, but not exempt from the municipality’s coterminous school 
district’s LST.  In this case the employer must withhold the school district’s LST using the pro-rated LST payroll period method even if 
the remaining amount is $10 or less. 
     An employee may also be exempt from withholding from the LST due to the occupation being that of a clergy person, a military 
disability,  or  a military  reservist  who is  called  to  active  duty  during  the  taxable  year.    More  detailed  specifications  regarding  these 
exemptions are found on the application for exemption (Form LST-Exempt). 
     If a person who claimed an exemption for a fiscal year pursuant to this Section (4) becomes subject to the Tax for that year, 
either from notification by the employee or CTCB, or in the case of a low-income exemption if the employer pays the employee at 
least $12,000 in that calendar year, the employer shall withhold the Tax in a lump sum for the first payroll period after a notification is 
received or payment equaling or exceeding $12,000 is made, equal to the amount of the tax which was not withheld due to the non-valid 
exemption,  plus  the  per  payroll  amount  due  for  that  first  period.    The  LST  withheld  for  the  rest  of  the  year  should  be  withheld  in 
accordance with Section 3. 
     Employers shall ensure that exemption forms (Form LST-Exempt), for requesting an exemption are readily available 
to employees at all times and shall furnish each to all new employees at the time of hiring. 
     (C) LIMITS ON EMPLOYER’S LIABILITY REGARDING EXEMPTIONS - No employer shall be held liable for failure to withhold 
the Tax or for payment of the withheld tax money to the Collector if the failure  to withhold the Tax arises from incorrect information 
submitted by the employee as to the employee’s place or places of employment, the employee’s principal office or where the employee 
is principally employed.  No employer shall be responsible for investigating exemption certificates or monitoring eligibility or exempting 
an employee from withholding except where a person with an exemption certificate later becomes subject to the Tax as because they 
earned more than $12,000 with the same employer. 
SECTION 5.  DATES FOR DETERMINING TAX LIABILITY & REMITTANCE OF WITHHELD LST  
     Checks for payment of LST withholdings should be made payable to “Capital Tax Collection Bureau” and submitted to the 
CTCB Perry County Office.  An employer must use his employment records for each calendar quarter to determine the number of 
employees from whom said tax must be deducted and paid to the CTCB per the following schedule:  
             CALENDAR QUARTER                                    REMITTANCE DUE TO CTCB                             
             1ST  (January 1 thru March 31)                      April 30 of the current year                       
             2ND (April 1 thru June 30)                          July 31 of the current year                        
             3RD (July 1 thru September 30)                      October 31 of the current year                     
             4TH (October 1 thru December 31)                    January 31 of the following year                   
                          
SECTION 6. EMPLOYER WITHHOLDING & TRANSMITTAL COMMISSION  
     Some taxing jurisdictions’ LST ordinances/resolutions permit an employer to retain a portion of the LST withholdings as a sort 
of commission for doing the withholding.  Any permitted “Employer Commission” is found  in Column C of the “____ LST TAX RATE 
TABLE”.  Timely and full payment of the LST withholdings (net of the employer commission of course) is required to participate in any 
permitted employer commission. 
SECTION 7. ERRONEOUS AMOUNTS WITHHELD FROM AN EMPLOYEE 
     Once an employer withholds an LST  and such withholding appears or will appear on  any of the employee’s pay-stubs we 
strongly discourage an employer from refunding an LST back to the employee.  We suggest that in the case of erroneous withholding, 
the employee apply for a refund from our Bureau.  Our LST-Refund application form is available through our web siteWWW CAPTAX. COM. .  
It’s imperative that no employer provides an LST refund directly to an employee.  However, an employer may provide the LST-Refund 



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        form for the employee to fill out and submit to CTCB.    
SECTION 8.  FORMS, REPORTINGS & RETURNS 
        Each employer shall prepare and/or file (where required) the following returns: 
         (A)  EVIDENCE  OF  DEDUCTION  -  An  employer  must  report  all  LST  withholdings  on  an  employee's  pay  stub  or  other 
appropriate document provided to the employee.  At a minimum, an employee’s pay stub must contain the name of the employer, the 
payroll period dates, the pay date, the tax year and type of the tax, and a separate line entry for each taxing jurisdiction which is levying 
the tax, naming such taxing jurisdiction and the amount of LST deducted both for the payroll period and year to date.   
        (B) LST QUARTERLY RETURN (COMBINED LST-2 AND LST-4) – The ____ quarterly LST return (combined LST-2 and LST-
4) form is included in this mailing.  This form is to be supplied quarterly to the CTCB along with the payment of each calendar quarter’s 
LST withholdings even if there is no tax due as long as you are still doing business in the applicable taxing jurisdiction(s).  Additionally 
the purpose of the quarterly return form, specifically the lower portion or the form regarding the employee(s) and amount of LST tax 
withheld, is to determine how much LST tax the employer paid for each individual employee during the course of a particular quarter. 
        These are the instructions for completing the Quarterly LST Return (combined LST-2 and LST-4) form for the ____ tax year.  
The  following  directions  should  provide  step-by-step  directions  to  assist you in completing the  LST Quarterly  Return form  for  each 
quarter.  Please make additional copies of each side of the form for your subsequent quarterly submissions. You can also access a 
copy of all blank LST forms on by visiting our website      WWW CAPTAX. COM. .  You can also register with us online and submit your returns 
through our employer e-filing system.   
        (C) LST YEAR END RECONCILIATION FORM LST-5 –The ____ LST-5 Form reconciles the annual total of LST paid, adjusted 
by any LST-2 report totals and any employer commission taken; to the number of same tax year W-2’s submitted for EIT purposes, 
multiplied by the appropriate LST tax rate.  This form must be filed by March 31 following the tax year. (Due date for tax year of ____ 
LST-5 is March 31, ____. 
        (D) LST-EXEMPT FORM, TAXPAYER/EMPLOYEE EXEMPTION FROM LST - This form will be used by an employee to seek 
exemption from employer withholding of the LST.  See Section 4, Subsection (B) of these instructions for detailed information regarding 
this form. See form actual form for instructions on filling it out.  The exemption form is availableat WWW CAPTAX.    COM. .  
        (E) LST-REFUND FORM, TAXPAYER/EMPLOYEE REFUND FROM LST - This form will be used by an employee seeking a 
refund of the employer withholding of the LST.  See Section 4, of these instructions for detailed information regarding this form. See the 
actual refund form for instructions on filling it out. Also see Section 7. The refund from is available atWWW CAPTAX. COM.    .  
SECTION 9.  INTEREST AND PENALTIES—OVERDUE TAX 
        If for any reason this tax is not paid when due, interest on the amount of said tax shall be due, beginning with the due date of 
said tax,  and  a penalty  shall  be  in  addition to  any  interest  (see  listing  of interest  &  penalties  for  CTCB  LST  taxing  jurisdictions in 
Columns E & F on the “EMPLOYER REFERENCE SHEET” on page 6 of these instructions.  Where suit is brought for the recovery of 
this tax, the individual liable therefore shall, in addition, be responsible and liable for the costs of collection.  
 
     DISCLOSURE STATEMENT:  You are entitled to receive a written explanation of your rights with regard to the audit, appeal, 
 enforcement, refund and collection of local taxes by visiting our webpageWWW CAPTAX.   COM.   or calling one of our Capital Tax Collection 
                                                                Bureau offices. 
                                                                          
                                                       OFFICE PHONE NUMBERS: 
                                                                          
                                                       HUNTINGDON COUNTY OFFICE 
                                                                (814) 447-3111 
                                                                          
                                                       PERRY COUNTY OFFICE 
                                                                 (717) 957-7281 
                                                                          






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