2010 LST Tax Form

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					                                                2010 LOCAL SERVICES TAX EMPLOYER RETURN                                                                   Quarter 1 Due
                                                                           LST 1                                                                               4 30 10
               PALMER TOWNSHIP LST

               3 WELLER PLACE
               EASTON PA 18045
                                                            ACCOUNT NO
                                                                                                                                      Number   of   Exemptions Enclosed   J
                                                                                                                                                                          c
                                                            1           Number of    Employees Reported enter 0 if none
                                                            2           Total amount of tax withheld this                 quarter
                                                                        see     enclosed instructions

                                                            3           Net amount due

                                                            4           Penalty line 3      x         5

                                                            5           Interest line 3     x    1 2          per month

                                                            6           Total   penalty     interest           line 4     line 5

                                                            7           TOTAL AMOUNT DUE                       line 3     line 6




                                                                                                           DO NOT WRITE BELOW THIS LINE




                                            2010 LOCAL SERVICES TAX EMPLOYER RETURN                                                                        Quarter 2 Due
     LST 1
                                                                                                                                                                8 3 10


     Payable   to    PALMER TOWNSHIP LST


     3 WELLER PLACE
     EASTON PA 18045
                                                                                                                                      Number of     Exemptions Enclosed
                                                                                                                                                                          c
                                                                                                                                                                          J
     610   252 0440                                             1       Number of     Employees Reported enter 0 if none
                                                            2           Total amount of tax withheld this                  quarter
                                                                         see enclosed instructions


                                                            3           Net amount due


     ACCOUNT NO                                             4           Penalty line 3      x          5

                                                                5       Interest line 3     x       1 2       per month

                                                            6           Total    penalty     interest line 4              line 5

                                                                7       TOTAL AMOUNT DUE                       line 3     line 6




                                                                                            DO NOT WRITE BELOW THIS LINE




     LST 1                                  2010 LOCAL SERVICES TAX EMPLOYER RETURN                                                                        Quarter 3 Due
                                                                                                                                                               10 30 10


     Payable   to    PALMER TOWNSHIP LST

     3 WELLER PLACE
     EASTON         PA 18045
                                                                                                                                      Number of     Exemptions Enclosed
                                                                                                                                                                           c
                                                                                                                                                                           J
     610 252 0440                                               1        Number of    Employees Reported enter 0 if none
                                                                2        Total amount of tax withheld this                 quarter
                                                                          see    enclosed instructions

                                                                3        Net amount due

     ACCOUNT NO                                                 4        Penalty line 3      x            5

                                                                5        Interest line 3     x      1 2        per month
                                                                6        Total    penalty       interest line 4            line 5

                                                                7        TOTAL AMOUNT DUE                       line 3     line 6




                                                                                            DO NOT WRITE BELOW THIS LINE




     LST 1                                  2010 LOCAL SERVICES TAX EMPLOYER RETURN                                                                         Quarter 4 Due
                                                                                                                                                                 1 31 11

     Payable to       PALMER TOWNSHIP LST


     3 WELLER PLACE
     EASTON PA 18045
      610 252 0440
                                                                                                                                       Number of     Exemptions Enclosed
                                                                                                                                                                           c
                                                                                                                                                                           J
                                                                    1     Number of    Employees Reported enter 0 if none
                                                                    2    Total amount of tax withheld this                  quarter
                                                                          see enclosed instructions

                                                                    3     Net amount due
     ACCOUNT NO
                                                                    4     Penalty line 3        x         5

                                                                    5     Interest line 3       x    1 2       per month

                                                                    6     Total   penalty       interest        line 4     line 5

                                                                    7     TOTAL AMOUNT DUE                       line 3    line 6


cr


E
Ii
9                                                                                            DO NOT WRITE BELOW THIS LINE