Enlarge image | LOCAL EARNED INCOME TAX RETURN THIS RETURN MUST BE FILED BY APRIL 15. LANCASTER COUNTY TAX COLLECTION BUREAU Please Note: If you received a Tax Return it 1845 William Penn Way Suite 1 • Lancaster, PA 17601-6713 must be filed with the bureau. Failure to file Phone (717) 569-4521 • www.lctcb.org will result in audit and/or prosecution. FOR OFFICIAL USE ONLY A Taxpayer information TAX YEAR Taxpayer A Taxpayer B Check all that apply: Address Moved (Complete Section B and Schedule P) Extension Request Amended Return City State If you had no Earned Income check reason: Zip Code A B Taxpayer Disabled Please Indicate: Single Married, Filing Jointly Married, Filing Separately Deceased B COMPLETE THIS SECTION IF YOU MOVED DURING THE TAX YEAR. ACCOUNT FOR ALL 12 MONTHS. Homemaker Address From MM/DD/YYYY To MM/DD/YYYY Municipal Code (Table 1) Unemployed Student Military Retired C SELECT MUNICIPAL CODE FOR YOUR RESIDENCE ON TAXPAYER A TAXPAYER B 5005 12/31 FROM TABLE 1 (See Instructions): D SOCIAL SECURITY NUMBER (Enter complete SS#) D 1 W-2 EARNINGS 0 0 1 0 0 Enclose Supporting W-2’s 2 EMPLOYEE BUSINESS EXPENSE 0 0 2 0 0 Enclose Pennsylvania form PA - UE 3 OTHER TAXABLE EARNED INCOME 0 0 3 0 0 DO NOT include interest, dividends or capital gains 4 TOTAL TAXABLE EARNED INCOME 0 0 4 0 0 Line 1 minus Line 2 plus Line 3. If less than zero, enter zero 5 NET PROFIT(S) 0 0 5 0 0 Enclose Schedules/Report S Corp. income on reverse side only 6 NET LOSS(ES) 0 0 6 0 0 Enclose Schedules/Report S Corp. loss(es) on reverse side only 7 TOTAL TAXABLE NET PROFIT(S) 0 0 7 0 0 Line 5 minus Line 6. If less than zero, enter zero 8 TOTAL TAXABLE EARNED INCOME AND NET PROFIT 0 0 8 0 0 Line 4 plus Line 7 9 TAX LIABILITY Line 8 multiplied by decimal tax rate __________. 0 0 0 0 See instructions 9 10 TOTAL LOCAL INCOME TAX WITHHELD 0 0 10 0 0 As indicated on enclosed W-2’s 11 ESTIMATED PAYMENTS and/or PRIOR YEAR CREDIT 0 0 11 0 0 APPLIED TO THIS TAX YEAR 12 CREDIT FOR TAXES Worksheet on Reverse Side 0 0 0 0 12 PAID TO PHILADELPHIA and/or OTHER STATES 13 TOTAL CREDITS 0 0 13 0 0 Add Lines 10, 11, and 12 14 OVERPAYMENT/REFUND 0 0 14 0 0 Line 13 minus Line 9. If less than $2.00, enter zero 15 AMOUNT OF OVERPAYMENT TO Next Year Spouse 0 0 0 0 15 CREDIT TO NEXT YEAR/TRANSFER to/from SPOUSE 16 TAX BALANCE DUE 0 0 16 0 0 Line 9 minus Line 13, minus any credit from spouse. If less than $2.00, enter zero 17 PENALTY & FEES 0 0 17 0 0 Add 1% per month after April 15 18 INTEREST 0 0 18 0 0 See instructions 19 TOTAL AMOUNT DUE 0 0 19 0 0 Add Lines 16, 17 and 18 20 I/we declare under penalties provided by law that this return and all accompanying schedules and statements have been examined by me/us. To the best of my/our knowledge and belief they are true, correct and complete. Signature A Day Phone Date Occupation PAID PREPARER’S NAME (PLEASE PRINT) & TELEPHONE: LCTEITGEN514 Signature B Day Phone Date Occupation Signature Day Phone |
Enlarge image | SCHEDULE P COMPLETE ONLY IF YOU MOVED INTO OR OUT OF THE LCTCB JURISDICTION(S). SECTION A Taxpayer A EMPLOYMENT WORKSHEET EMPLOYER/SOURCE OF INCOME DATES EMPLOYED LCTCB Portion Other Collector Portion Enclose a W-2 for each employer listed below. FROM TO Report W-2 income only in this section. MM/DD/YYYY MM/DD/YYYY WAGES TAX WAGES TAX 1 2 3 TOTAL Enter on Line 1 Enter on Line 10 Taxpayer B EMPLOYER/SOURCE OF INCOME DATES EMPLOYED LCTCB Portion Other Collector Portion Enclose a W-2 for each employer listed below. FROM TO Report W-2 income only in this section. MM/DD/YYYY MM/DD/YYYY WAGES TAX WAGES TAX 1 2 3 TOTAL Enter on Line 1 Enter on Line 10 SECTION B NET PROFIT(S) AND LOSS(ES) WORKSHEET Report only the LCTCB portion of the income and/or loss on Line(s) 5 and Line(s) 6 of the tax return. LCTCB Enclose Net Profit(s)/Loss(es) – Portion Of Profit(s) (Line 5) Other Collector Portion Of Profit(s) Supporting Schedules Profit Loss And Loss(es) (Line 6) And Loss(es) SECTION C OTHER TAXABLE EARNED INCOME WORKSHEET Report only the LCTCB portion of the income on Line 3 of the tax return. Other Taxable Income Enclose 1099 or written explanation of income for each entry. Do not include income from interest, dividends or PA Unemployment Other Collector Portion Of Compensation Benefits LCTCB Portion Of The Income (Line 3) The Income S-Corp REPORTING SCHEDULE For audit purposes only. Do not include in calculating total taxable income. S-Corp Enclose – Supporting Schedules Profit Loss NON RECIPROCAL STATE/PHILADELPHIA CREDIT WORKSHEET COMPLETE ONLY IF EARNED INCOME WAS RECEIVED FROM A NON-RECIPROCAL STATE OR THE CITY OF PHILADELPHIA 1. GROSS INCOME taxed by other state as shown on other state’s return or for Philadelphia credit as shown on W-2 or as reported to the City of Philadelphia (Required: attach copy of out-of-state filing) ................................................................. 2. Maximum Tax Rate allowed as Credit is 1.00% .........................................................................................................................................X .01 3. Tax Credit (Line 1 x Line 2) ........................................................................................................................................................................... 4. Tax liability paid to other state or Philadelphia .............................................................................................................................................. 5. PHILADELPHIA CREDIT Lesser of Lines 3 or 4 ...................................................................................................................................... 6. OUT-OF-STATE CREDIT Line 1 x PA Income Tax Rate - Enclose copy of Out of State Return ........................................................... 7. Line 4 Minus Line 6. If Line 6 is more than line 4, Enter Zero - No Credit Allowed Enter lesser amount from Line 3 or 7 on Line 12 ........................................................................................................................................... If more space is needed for Sections A, B, C or S-Corp, you may attach an additional sheet of paper. LCTCB 2014 |