Fcatb Form – Fill Out and Use This PDF

RETURN BY APRIL 15, 2020 TO:

TO CONSTITUTE PROOF OF FILING, THE TAXPAYER MUST

HAVE A VALIDATED RECEIPT FROM THE TAX OFFICE. TO

FRANKLIN COUNTY AREA TAX BUREAU

OBTAIN A RECEIPT BY MAIL, INCLUDE A SELF ADDRESSED

STAMPED ENVELOPE WHEN FILING.

443 STANLEY AVE

LOCAL EARNED INCOME AND

CHAMBERSBURG, PA 17201-3600

PHONE (717) 263-5141

NET PROFITS TAX RETURN

OFFICE HOURS:

(FORM 531)

8 A.M. TO 4:00 P.M. MON. THRU FRI.

2019

Website: fcatb.org

DO NOT WRITE IN ABOVE AREA – TAX OFFICE USE ONLY

TYPE OR PRINT INFORMATION BELOW. IF PREPRINTED, CHECK FOR ACCURACY AND MAKE CORRECTIONS WHERE NECESSARY.

SPOUSES MAY BOTH FILE ON THIS FORM. HOWEVER, TAX

SPOUSE’S NAME, SIGNATURE, AND OTHER INFORMATION SHOULD BE PROVIDED ONLY IF HE OR SHE IS ALSO FILING ON THIS FORM.

CALCULATIONS MUST BE REPORTED IN SEPARATE COLUMNS.

YOUR RESIDENT MUNICIPALITY (TOWNSHIP OR BOROUGH):

JOINT FILING (COMBINING INCOME, ETC.) IS NOT PERMITTED.

Address

DID YOU MOVE BETWEEN JAN 1, 2019 AND THE PRESENT?

COMPLETE SECTIONS A & C ON THE

BACK OF ORIGINAL

YES

NO

IF YES,

Currentand

TAXPAYER

SPOUSE

Name

ENTER SS#

ENTER SPOUSE’S SS#

1

W-2 EARNINGS – COMPENSATION (From attached W-2’s)

1

2

EMPLOYEE BUSINESS EXPENSES – EBE’s (Attach PA UE And Federal 2106 if used)

2

-

-

3

TAXABLE W-2 EARNINGS – COMPENSATION LESS EBE’s (Subtract Line 2 from Line 1)

3

4

OTHER TAXABLE EARNED INCOME – FROM SECTION B ON BACK (NO INTEREST OR DIVIDENDS)

4

5

TOTAL TAXABLE EARNED INCOME – COMPENSATION (Add Lines 3 and 4)

5

6

NET PROFIT(S) FROM BUSINESS, PROFESSION, OR FARM (ATTACH PA SCHEDULES C, F, RK-1)

6

7

NET LOSS(ES) FROM BUSINESS, PROFESSION, OR FARM (ATTACH PA SCHEDULES C, F, RK-1)

7

-

-

8

TAXABLE PROFITS – Subtract Line 7 from Line 6 (IF LESS THAN ZERO, ENTER ZERO)

8

9

SUBCHAPTER S AND OTHER NON-TAXABLE PASSIVE INCOME: (ATTACH PA RK-1’S, ETC.)

9

ENTER PASSIVE BUSINESS, PROFESSION, OR FARM INCOME AS REPORTED ON YOUR PA-40 RETURN.

10

TOTAL TAXABLE EARNED INCOME AND NET PROFITS (Add Lines 5 and 8)

10

*TAX

Chambersburg Area S D Residents (1.7%) Enter .017

If you moved from one tax rate area to

11

another during the year, complete a

11

RATE

All Other School District Residents (1%) Enter .01

Schedule X to determine rate to enter.

12

TAX LIABILITY: (Multiply Line 10 by Line 11)

12

13

TOTAL LOCAL INCOME TAXES WITHHELD EXCEPT PHILADELPHIA INCOME TAX (FROM ATTACHED W-2’s)

13

14

QUARTERLY PAYMENTS AND/OR LAST YEAR’S OVERPAYMENT CREDITED TO THIS YEAR

14

15

CREDIT FOR TAXES PAID TO PHILADELPHIA AND/OR STATES OTHER THAN PA (ATTACH LOCAL SCHEDULE G)

15

16

TOTAL WITHHOLDINGS, PAYMENTS, AND CREDITS (Add Lines 13, 14 and 15)

16

17

TAX BALANCE DUE IF LINE 12 IS GREATER THAN LINE 16 (Subtract Line 16 from Line 12)

17

18

INTEREST & PENALTY IF PAID AFTER DUE DATE (SEE INSTRUCTIONS)

18

19

LATE FILING FEE – ENTER $10.00 AFTER DUE DATE ($20.00 AFTER DEC 31 of year due)

19

20

QUARTERLY INTEREST & PENALTY (SEE INSTRUCTIONS)

20

21

TOTAL DUE (Add Lines 17, 18, 19 and 20.) Make check payable to “FCATB"

IF $1.00 OR LESS,

21

ENTER ZERO

If Line 21 was paid by credit/debit card, enter Official Payments Corp. confirmation number(s) here

#

#

22

OVERPAYMENT IF LINE 16 IS GREATER THAN LINE 12 (Subtract Line 12 from Line 16)

22

IF $1.00 OR LESS ENTER ZERO

23

AMOUNT OF LINE 22 TO BE REFUNDED

23

DIRECT

Taxpayer ‘A’, ‘B’, OR ‘BOTH’

‘Savings’ or ‘Checking’

ROUTING NUMBER

ACCOUNT NUMBER

Account

DEPOSIT

INFORMATION

FOR REFUND

24

AMOUNT OF LINE 22 TO BE CREDITED TO NEXT YEAR’S TAX

24

25

AMOUNT OF LINE 22 TO BE CREDITED TO SPOUSE’S BALANCE DUE ON LINE 21

25

I DECLARE UNDER PENALTIES PROVIDED BY LAW, THAT THIS RETURN IS TRUE, COMPLETE AND CORRECT.