Today, the Berkheimer online form is available to help taxpayers file their Pennsylvania Personal Income Tax return. This new form is available on the department's website and can be accessed through our secure site. The form allows you to file your personal income tax return electronically and includes all of the necessary forms and schedules. You can also use the online form to claim any credits or exemptions that you may be entitled to, as well as make payments. To get started, just visit our website and click on the "Berkheimer Online Form" link. Thanks for choosing PennDOT!
| Question | Answer |
|---|---|
| Form Name | Berkheimer Online Form |
| Form Length | 3 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 45 sec |
| Other names | berkheimer local tax, how to fill out berkheimer local tax form, berkheimer lehigh valley, berkheimer tax forms |
EMPLOYER QUARTERLY RETURN
Local Earned Income Tax Withholding
PO Box 25132
Lehigh valley, PA
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DCEDE11
Mailing Address:
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 calling Berkheimer at
Berkheimer is not the appointed tax hearing officer for your taxing district and will not accept any petitions for appeal. Petitions for appeal must be filed with the appropriate appeals board for your County. Berkheimer can provide you with the proper procedures and forms necessary to file an appeal with the appeals board for your Tax Collection District.
Location of Business
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MUNICIPAL TAXINg AUTHORITY (City, Borough, or Township) IN WHICH fACILITY OR BUSINESS IS LOCATED (Attach listing of multiple locations within PA if applicable)
COUNTY |
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BUSINESS PHONE NUMBER |
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BUSINESS fAX NUMBER |
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EMPLOYER PSD CODE |
fEDERAL EIN OR SOCIAL SECURITY # |
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ACCOUNT NUMBER |
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YEAR |
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QUARTER |
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1. |
TOTAL EARNED INCOME TAX WITHHELD |
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2. CREDIT OR ADJUSTMENT (attach explanation) |
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3. |
TOTAL Of EARNED INCOME TAX DUE |
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(line 1 minus line2) |
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4. |
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TOTAL PAYMENTS MADE THIS QUARTER |
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(Schedule B) |
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5. |
ADJUSTED TOTAL Of EIT DUE |
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(line 3 minus line 4) |
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6. PENALTY AND INTEREST |
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(1.00246% per month after due date x line 5) |
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7. BALANCE DUE WITH RETURN |
.....(add lines 5 and 6) |
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M M D D Y Y Y |
Y |
8.DATE PERIOD ENDED (MM/DD/YYYY).....
9.TOTAL PAgES Of THIS RETURN .............
10.TOTAL NUMBER Of EMPLOYEES LISTED ...
If THERE HAS BEEN A CHANgE Of OWNERSHIP OR OTHER TRANSfER Of BUSINESS DURINg THE QUARTER, ATTACH EXPLANATION AND gIvE NAME Of PRESENT OWNER AND DATE THE CHANgE TOOK PLACE.
CHANgE |
NO CHANgE |
DO YOU EXPECT TO PAY TAXABLE WAgES NEXT QUARTER?
YES |
NO |
Under penalties of perjury, I (we) declare that I (we) have examined this information, including all accompanying schedules and statements and to the best of my (our) belief, they
are true, correct and complete
PRIMARY CONTACT INDIvIDUAL (fIRST NAME, LAST NAME)
TITLE
PRIMARY CONTACT PHONE NUMBERPRIMARY CONTACT EMAIL ADDRESS
SIgNATURE Of PRIMARY CONTACT INDIvIDUAL |
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DATE (MM/DD/YYYY) |
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(11)EMPLOYEE'S SOCIAL SECURITY NUMBER
(12)EMPLOYEE'S NAME/ADDRESS
Check if making any corrections to EMPLOYEE’S
Name/Address, SSN or Resident PSD
(13)GROSS COMPENSATION PAID THIS QUARTER
(14)AMOUNT OF EIT WITHHELD THIS QUARTER
(15) RESIDENT
PSD CODE
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(16) FIRST PAGE TOTAL |
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Make Checks payable to: |
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There will be an additional cost assessed for returned payments. |
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TOTAL Amount Enclosed |
..... $ |
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There will be an additional cost assessed if no payment is enclosed for tax due at time of filing.
EMPLOYER QUARTERLY RETURN for Local Earned Income Tax Withholding
Employer Business Location:
Mailing Address:
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Year / Quarter |
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Account # |
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(12) EMPLOYEE'S NAME/ADDRESS |
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(14) AMOUNT OF EIT |
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(11) EMPLOYEE'S |
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(13) GROSS COMPENSATION |
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Check if making any corrections to EMPLOYEE’S |
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SOCIAL SECURITY NUMBER |
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PAID THIS QUARTER |
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WITHHELD THIS QUARTER |
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Name/Address, SSN or Resident PSD |
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PAGE OF
DCEDE12
(15)RESIDENT PSD CODE
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(16 THIS PAGE TOTAL |
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WHO MUST FILE: |
INSTRUCTIONS |
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If |
you have employed |
one |
or more individuals, other than |
domestic |
servants, |
for |
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salary, wage, |
commission, |
or |
other compensation, |
you |
must file a return for the first |
quarter |
in which |
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are |
required to |
withhold the |
Earned Income Tax from earnings, and each quarter thereafter. |
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If you have no employees for a tax period, a return must be filed indicating "no employees" for that quarter. All Pennsylvania based employers are required to withhold the tax based on the higher rate of either the employee’s resident tax rate or employer’s
QUARTERLY RETURNS AND DUE DATES: A return must be filed for each quarter of the calendar year on the dates listed below unless the date falls on a Saturday or Sunday then the due date becomes the next business day.
1st quarter: January, February, March |
Due on or Before |
April 30 |
2nd quarter: April, May, June |
Due on or Before |
July 31 |
3rd quarter: July, August, September |
Due on or Before |
October 31 |
4th quarter: October, November, December |
Due on or Before |
January 31 |
NOTE: Delinquent cost may be assessed for failure to file a required Employer Quarterly Earned Income Tax return.
WHERE TO FILE:
To file your quarterly
If you choose not to use an online filing option, you can mail your return and payment to the address noted at the bottom of this form.
ITEM 1:
ITEM 2:
ITEM 3:
ITEM 4:
ITEM 5: ITEM 6:
FORM
Total Earned Income Tax withheld from all employees' wages during the quarter.
Credit or Adjustment (attach explanation). Line is for the correction of tax withheld for the preceding quarter(s) of the same calendar year. Explanation should include details showing year/quarter, social security number (s) and the revised amount for each individual.
Total of Earned Income Tax Due (Line 1 minus Line 2)
Total Payments made this quarter.
Adjusted total of EIT Due (line 3 minus line 4).
Penalty and interest must be calculated at 1.00246% per month after due date. Multiply rate by line 5.
ITEM 7:
Balance due with return (add lines 5 and 6).
ITEM 8 THRU 12: These items are
ITEM 13: Gross Compensation Paid This Quarter - List Gross Wages Paid to each employee this quarter.
With the passage of Pennsylvania Act 48 of 1994, it is no longer possible for us to remit to the City of Philadelphia any monies which you have collected for employees. If you need to set up an account with the City of Philadelphia you may call them at
ITEM 14:
ITEM 15:
ITEM 16:
Amount of Tax Withheld This Quarter- List amount of Earned Income Tax Withheld by you for each employee this quarter. Enter “0” if no Tax withheld this quarter for employee listed.
PSD Code - Please list for each employee the 6 digit PSD Code of the CITY, BOROUGH, or TOWNSHIP in which the employee resides so the Earned Income Tax Administrator may distribute the tax to the proper taxing jurisdiction.
Include Total Taxable Gross Wages and Earned Income Tax Withheld.
ADDITIONAL FILING INSTRUCTIONS
Form
§CHECK THE BOX to the left of each employee if any changes or additions are made to that line. Address changes submitted must be actual street address of the employee. PO Boxes are not acceptable addresses for filing purposes.
REMIT TO:
BERKHEIMER TAX ADMINISTRATOR
PO BOX 25132
LEHIGH VALLEY, PA