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CLGS-32-3  (8-11)                                                                                                                                                                                                                                                                                                                                                                                                                       JORDAN  TAX  SERVICE,  INC.
                                     QUARTERLY  ESTIMATED                                                                                                                                                                                                                                                                                                                                                          Allegheny  County  Southwest  Tax  Collection  District
                                                                                                                                                                                                                                                                                                                                                                                                                                                  7100  BAPTIST  RD
                  Local  Earned  Income  Tax  Withholding                                                                                                                                                                                                                                                                                                                                                                               BETHEL  PARK  PA  15102-3908
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  contacting  your  Tax  Officer.

                  Make  Check  Payable  to:
                                      ALLEGHENY  COUNTY  SOUTHWEST  TCD  (ACSWTCD)                                                                                                                                                                                                                                                                                                                                                                                  For  additional  information
                                                                                                                                                                                                                                                                                                                                                                                                                                                                       regarding  Act  32,  visit
                                                                                                                                                                                                                                                                                                                                                                                                                                                                       jordantax.com/act32

                  Mailing  Address:

                                      JORDAN  TAX  SERVICE,  INC
                                      ALLEGHENY  COUNTY  SOUTHWEST  TCD
                                      7100  BAPTIST  ROAD
                                      BETHEL  PARK  PA  15102-3908

Allegheny  County  Central  Tax  Collection  District         Allegheny  County  Southwest  Tax  Collection  District                                                                                                                                                                                                                                                                                                                                Allegheny  County  Southwest  Tax  Collection  District
               Resident  PSD  Codes  and  Tax  Rates                                                                                                                                              Resident  PSD  Codes  and  Tax  Rates                                                                                                                                                                                                                          Resident  PSD  Codes  and  Tax  Rates
PSD  CODE         TAX  ENTITY  NAME          TAX  RATE        PSD  CODE                                                                                                                                  TAX  ENTITY  NAME                                                                                                                                                                                                     TAX  RATE             PSD  CODE                               TAX  ENTITY  NAME                                  TAX  RATE
700101         MOUNT  OLIVER  BORO                   3.00%                                                                                                                                        730601 CLAIRTON  CITY                                                                                                                                                                                                             1.50%             731602        STOWE  TWP                                                                      1.00%
700102         PITTSBURGH  CITY                      3.00%                                                                                                                                        730701 CORAOPOLIS  BORO                                                                                                                                                                                                           1.00%             731701        UPPER  ST  CLAIR  TWP                                                           1.30%
                                                                                                                                                                                                  730702 NEVILLE  TWP                                                                                                                                                                                                               1.00%             731801        FINDLAY  TWP                                                                    1.00%
                                                                                                                                                                                                  730801 DUQUESNE  CITY                                                                                                                                                                                                             1.90%             731802        NORTH  FAYETTE  TWP                                                             1.00%
Allegheny  County  Southwest  Tax  Collection  District                                                                                                                                           730901 CASTLE  SHANNON  (KOSD)                                                                                                                                                                                                    1.00%             731803        OAKDALE  BORO                                                                   1.00%
               Resident  PSD  Codes  and  Tax  Rates                                                                                                                                              730902 DORMONT  BORO                                                                                                                                                                                                              1.00%             731901        JEFFERSON  HILLS  BORO                                                          1.00%
PSD  CODE         TAX  ENTITY  NAME          TAX  RATE                                                                                                                                            730903 GREEN  TREE  BORO                                                                                                                                                                                                          1.00%             731902        PLEASANT  HILLS  (WJHSD)                                                        1.00%
730101         BALDWIN  BORO                         1.00%                                                                                                                                        731001 INGRAM  BORO                                                                                                                                                                                                               1.00%             731903        WEST  ELIZABETH  BORO                                                           1.00%
730102         BALDWIN  TWP                          1.00%                                                                                                                                        731002 KENNEDY  TWP                                                                                                                                                                                                               1.00%             732001        WEST  MIFFLIN  BORO                                                             1.00%
730104         WHITEHALL  BORO                       1.70%                                                                                                                                        731003 PENNSBURY  VILLAGE  BORO                                                                                                                                                                                                   1.00%             732002        WHITAKER  BORO                                                                  1.00%
730201         BETHEL  PARK  BORO                    1.40%                                                                                                                                        731004 ROBINSON  TWP                                                                                                                                                                                                              1.00%
730301         BRENTWOOD  BORO                       1.00%                                                                                                                                        731005 THORNBURG  BORO                                                                                                                                                                                                            1.00%                              Annexations  /  Exceptions
730401         CARNEGIE  BORO                        1.00%                                                                                                                                        731101 CRESCENT  TWP                                                                                                                                                                                                              1.00%            PSD  CODE                               TAX  ENTITY  NAME                                  TAX  RATE
730402         CRAFTON  BORO                         1.00%                                                                                                                                        731102 MOON  TWP                                                                                                                                                                                                                  1.00%             730103        PLEASANT  HILLS                                                                 1.00%
730403         ROSSLYN  FARMS  BORO                  1.00%                                                                                                                                        731201 MT  LEBANON  TWP                                                                                                                                                                                                           1.30%                           (Assessed  to  Baldwin  Whitehall  S.D.)
730501         BRIDGEVILLE  BORO                     1.00%                                                                                                                                        731301 SOUTH  FAYETTE  TWP                                                                                                                                                                                                        1.00%             730105        PITTSBURGH  CITY                                                                1.50%
730502         COLLIER  TWP                          1.00%                                                                                                                                        731401 SOUTH  PARK  TWP                                                                                                                                                                                                           1.00%                           (Assessed  to  Baldwin  Whitehall  S.D.)
730503         HEIDELBERG  BORO                      1.00%                                                                                                                                        731501 HOMESTEAD  BORO                                                                                                                                                                                                            1.00%             730202        CASTLE  SHANNON  BORO                                                           1.00%
730504         SCOTT  TWP                            1.00%                                                                                                                                        731502 MUNHALL  BORO                                                                                                                                                                                                              1.00%                           (Assessed  to  Bethel  Park  S.D.)
                                                                                                                                                                                                  731503 WEST  HOMESTEAD  BORO                                                                                                                                                                                                      1.00%
                                                                                                                                                                                                  731601 MCKEES  ROCKS  BORO                                                                                                                                                                                                        1.00%
_  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _                                                                                                                                                                                                                  _  _  _  _  _  _  _
                                                                                                                                                                                                                                                                                                                                                                 CLGS-32-3  (8-11) JORDAN  TAX  SERVICE,  INC CUT  ALONG       DOTTED     LINE       and  RETURN          THIS                                        PORTION            WITH  YOUR PAYMENT
                  ALLEGHENY  COUNTY  SOUTHWEST  TCD
                                                                                                                                                                                                                      1ST                                                                                                                                                                                          QUARTER                ESTIMATED                                       Local                                Earned          Income  Tax
                                                                                                                                                                                                                                                                                                                                                                                                                                                  If  you  moved  enter  the  effective  date:____/____/____
NAME:                                                                                                                                                                                                                 DUE 4/15/2022                                                                                                                                                                                                               Check  here  if  address  change  also  applies  to  spouse.
                                                                                                                                                                                                                                                                                                                                                                                                                                                  Make  any  corrections  to  NAME,  STREET  ADDRESS
ADDRESS:                                                                                                                                                                                                                                                                                                                                                                                                                                          or  RESIDENT  MUNICIPALITY  and  check  here.
                                                                                                                                                                                                                                                                                                                                                                                                                                                  INCLUDE  INFO  IF  NOT  SHOWN.
CITY:                                                                                                                                                    STATE:                              ZIP:                  1.  Earned  Income  and/or  net  profits
                                                                                                                                                                                                                           (must  enter  amount)    January  1  thru  March  31  .  .  .
Resident  PSD  Code                  Work  Location  PSD  Code                                                                                                                                                      
                                                                                                                                                                                                                    2.                                                                                                                                                                                        Tax  rate    of  ________multiplied      by                  line  1  .  .  .  .  .  .  .  .
    7 3                                                                                                                                                                                                             
                                                                                                                                                                                                                   3.                                                                                                                                                                                         Employer     Withheld    (January    1  thru  March      31  Only)
Resident  Municipality:________________________________________                                                                                                                                                     
                                                                                                                                                                                                                   4.                                                                                                                                                                                         TAX  DUE:    (line    2  minus                                     line  3)  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
                                                                                                                                                                                                                   5.                                                                                                                                                                                         Penalty  and     Interest:  Line    4  multiplied  by
If  you  have  no  earned  income,  state  the  reason:  retired/homemaker/                                                                                                                                                1.25 %  per                                                                                                                                                                                     month    if  paid  after   the  due              date  .  .  .  .  .  .  .
student/disabled/temporarily  unemployed/minor  (state  age)/other                                                                                                                                                  
(please  specify)                                                                                                                                                                                                  6.                                                                                                                                                                                         TOTAL  PAYMENT           DUE  (add     lines                      4  &  5)  .  .  .  .  .  .  .  .
                                                    ______________________________________                                                                                                                          
                 Check  here  if  ALL  TAX  IS  WITHHELD  by  employer(s).                                                                                                                                                 Payable  to:    ACSWTCD
                  Do  not  complete  information  requested  on  Lines  1  thru  6.
                                                                                                                                                                                                                                                                                                                                                                                                                                        Social  Security  Number



- 2 -

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CLGS-32-3  (8-11) JORDAN  TAX  SERVICE,  INC
                  ALLEGHENY  COUNTY  SOUTHWEST  TCD
                                                                                                                                                               2ND  QUARTER  ESTIMATED  Local  Earned  Income  Tax
                                                                                                                                                                                                                                                                                                                                                                                                                                                    If  you  moved  enter  the  effective  date:____/____/____
NAME:                                                                                                                                                          DUE 7/15/2022                                                                                                                                                                                                                                                                        Check  here  if  address  change  also  applies  to  spouse.
                                                                                                                                                                                                                                                                                                                                                                                                                                                    Make  any  corrections  to  NAME,  STREET  ADDRESS
ADDRESS:                                                                                                                                                                                                                                                                                                                                                                                                                                            or  RESIDENT  MUNICIPALITY  and  check  here.
                                                                                                                                                                                                                                                                                                                                                                                                                                                    INCLUDE  INFO  IF  NOT  SHOWN.
                                                                                                                                                         1.                                                                                                                                                                                                                                                   Earned  Income   and/or     net     profits
CITY:                                                                                                                                                    STATE:                                     (must                                                                                                                                                                                                             enter    ZIP:amount)        April  1  thru  June              30  .  .  .  .  .  .  .
Resident  PSD  Code            Work  Location  PSD  Code                                                                                                  
                                                                                                                                                         2.                                                                                                                                                                                                                                                   Tax  rate    of  ________multiplied          by                  line  1  .  .  .  .  .  .  .  .
    7 3                                                                                                                                                   
                                                                                                                                                         3.                                                                                                                                                                                                                                                   Employer     Withheld    (April    1  thru    June   30  Only)                                         .  .  . 
Resident  Municipality:________________________________________                                                                                             
                                                                                                                                                           4.                                                                                                                                                                                                                                                 TAX  DUE:    (line    2  minus                                       line  3)  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
                                                                                                                                                             5.                                                                                                                                                                                                                                               Penalty  and     Interest:  Line    4  multiplied    by
If  you  have  no  earned  income,  state  the  reason:  retired/homemaker/                                                                                         1.25 %  per                                                                                                                                                                                                                                            month    if  paid    after     the  due              date  .  .  .  .  .  .  .
student/disabled/temporarily  unemployed/minor  (state  age)/other                                                                                             
(please  specify)                                                                                                                                             6.                                                                                                                                                                                                                                              TOTAL   PAYMENT          DUE     (add      lines                      4  &  5)  .  .  .  .  .  .  .  .
                                                    ______________________________________                                                                
                 Check  here  if  ALL  TAX  IS  WITHHELD  by  employer(s).                                                                                       Payable  to:    ACSWTCD
                  Do  not  complete  information  requested  on  Lines  1  thru  6.
                                                                                                                                                                                                                                                                                                                                                                                                                                        Social  Security  Number

_  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _
                                                                                                                                                                                                                                                                                                                                                                 CLGS-32-3  (8-11) JORDAN  TAX  SERVICE,  INC CUT  ALONG  DOTTED  LINE  and  RETURN  THIS  PORTION  WITH  YOUR  PAYMENT
                  ALLEGHENY  COUNTY  SOUTHWEST  TCD
                                                                                                                                                               3RD  QUARTER  ESTIMATED  Local  Earned  Income  Tax
                                                                                                                                                                                                                                                                                                                                                                                                                                                    If  you  moved  enter  the  effective  date:____/____/____
NAME:                                                                                                                                                          DUE 10/17/202                                                                                                                                                                                                                                                              2         Check  here  if  address  change  also  applies  to  spouse.
                                                                                                                                                                                                                                                                                                                                                                                                                                                    Make  any  corrections  to  NAME,  STREET  ADDRESS
ADDRESS:                                                                                                                                                                                                                                                                                                                                                                                                                                            or  RESIDENT  MUNICIPALITY  and  check  here.
                                                                                                                                                                                                                                                                                                                                                                                                                                                    INCLUDE  INFO  IF  NOT  SHOWN.
                                                                                                                                                         1.                                                                                                                                                                                                                                                   Earned  Income   and/or     net     profits
CITY:                                                                                                                                                    STATE:                                     (must                                                                                                                                                                                                             enter    ZIP:amount)        July  1  thru  Sept.              30  .  .  .  .  .  .  . 
Resident  PSD  Code            Work  Location  PSD  Code                                                                                                  
                                                                                                                                                         2.                                                                                                                                                                                                                                                   Tax  rate    of  ________multiplied          by                  line  1  .  .  .  .  .  .  .  .
    7 3                                                                                                                                                   
                                                                                                                                                         3.                                                                                                                                                                                                                                                   Employer     Withheld    (July    1  thru     Sept   30  Only)                                         .  .  .  .
Resident  Municipality:________________________________________                                                                                            
                                                                                                                                                          4.                                                                                                                                                                                                                                                  TAX  DUE:    (line    2  minus                                       line  3)  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
                                                                                                                                                              5.                                                                                                                                                                                                                                              Penalty  and     Interest:  Line    4  multiplied    by
If  you  have  no  earned  income,  state  the  reason:  retired/homemaker/                                                                                         1.25 %  per                                                                                                                                                                                                                                            month    if  paid    after     the  due              date  .  .  .  .  .  .  .
student/disabled/temporarily  unemployed/minor  (state  age)/other                                                                                            
(please  specify)                                                                                                                                            6.                                                                                                                                                                                                                                               TOTAL   PAYMENT          DUE     (add      lines                      4  &  5)  .  .  .  .  .  .  .  .
                                                    ______________________________________                                                                
                 Check  here  if  ALL  TAX  IS  WITHHELD  by  employer(s).                                                                                       Payable  to:    ACSWTCD
                  Do  not  complete  information  requested  on  Lines  1  thru  6.
                                                                                                                                                                                                                                                                                                                                                                                                                                        Social  Security  Number

_  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _  _
                                                                                                                                                                                                                                                                                                                                                                 CLGS-32-3  (8-11) JORDAN  TAX  SERVICE,  INC CUT  ALONG  DOTTED  LINE  and  RETURN  THIS  PORTION  WITH  YOUR  PAYMENT
                  ALLEGHENY  COUNTY  SOUTHWEST  TCD
                                                                                                                                                               4TH  QUARTER  ESTIMATED  Local  Earned  Income  Tax
                                                                                                                                                                                                                                                                                                                                                                                                                                                    If  you  moved  enter  the  effective  date:____/____/____
NAME:                                                                                                                                                          DUE 1/17/202                                                                                                                                                                                                                                                             3           Check  here  if  address  change  also  applies  to  spouse.
                                                                                                                                                                                                                                                                                                                                                                                                                                                    Make  any  corrections  to  NAME,  STREET  ADDRESS
ADDRESS:                                                                                                                                                                                                                                                                                                                                                                                                                                            or  RESIDENT  MUNICIPALITY  and  check  here.
                                                                                                                                                                                                                                                                                                                                                                                                                                                    INCLUDE  INFO  IF  NOT  SHOWN.
                                                                                                                                                         1.                                                                                                                                                                                                                                                   Earned  Income   and/or     net     profits
CITY:                                                                                                                                                    STATE:                                     (must                                                                                                                                                                                                             enter    ZIP:amount)        Oct.  1  thru  Dec.              31  .  .  .  .  .  .  . 
Resident  PSD  Code            Work  Location  PSD  Code                                                                                                  
                                                                                                                                                         2.                                                                                                                                                                                                                                                   Tax  rate    of  ________multiplied          by                  line  1  .  .  .  .  .  .  .  .
    7 3                                                                                                                                                   
                                                                                                                                                         3.                                                                                                                                                                                                                                                   Employer     Withheld    (Oct.    1  thru     Dec.   31  Only)
Resident  Municipality:________________________________________                                                                                           
                                                                                                                                                         4.                                                                                                                                                                                                                                                   TAX  DUE:    (line    2  minus                                       line  3)  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .  .
                                                                                                                                                               5.                                                                                                                                                                                                                                             Penalty  and     Interest:  Line    4  multiplied    by
If  you  have  no  earned  income,  state  the  reason:  retired/homemaker/                                                                                         1.25 %  per                                                                                                                                                                                                                                            month    if  paid    after     the  due              date  .  .  .  .  .  .  .
student/disabled/temporarily  unemployed/minor  (state  age)/other                                                                                           
(please  specify)                                                                                                                                           6.                                                                                                                                                                                                                                                TOTAL   PAYMENT          DUE     (add      lines                      4  &  5)  .  .  .  .  .  .  .  .
                                                    ______________________________________                                                                
                 Check  here  if  ALL  TAX  IS  WITHHELD  by  employer(s).                                                                                       Payable  to:    ACSWTCD
                  Do  not  complete  information  requested  on  Lines  1  thru  6.
                                                                                                                                                                                                                                                                                                                                                                                                                                        Social  Security  Number






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