E-1 EMPLOYER'S QUARTERLY EARNED INCOME TAX RETURN by wvz16198

VIEWS: 0 PAGES: 2

									          *EM11*
                                              BERKHEIMER -- EARNED INCOME TAX ADMINISTRATOR                                                                  PAGE              OF

                                              FORM    E-1           EMPLOYER'S QUARTERLY EARNED INCOME TAX RETURN
            1.   TOTAL EARNED INCOME TAX WITHHELD FROM WAGES DURING QUARTER          1                                   I DECLARE UNDER PENALTY OF LAW THAT THIS
            2.   CREDIT OR TOTAL OF ALL MONTHLY PAYMENTS (ATTACH EXPLANATION)        2                                   RETURN IS TO THE BEST OF MY KNOWLEDGE A
            3.   TOTAL TAX WITHHELD AS ADJUSTED (ITEM 1 MINUS ITEM 2)                3                                   TRUE AND COMPLETE RETURN.
            4.   PENALTY AND INTEREST (1% PER MONTH AFTER THE DUE DATE)              4                                   SIGNED
            5.   TOTAL AMOUNT OF TAXES DUE WITH THIS RETURN (ITEM 3 PLUS ITEM 4)
                                                                                     5                                   TITLE                       DATE
            6.   TOTAL PAGES THIS RETURN
                                                                                                              ^
            7.   DATE PERIOD ENDED                  TOTAL NO. EMPLOYEES LISTED
                                                                                         OFFICE USE
                                                                                                                         FEDERAL ID
                                   ** SEE REVERSE SIDE FOR FURTHER INSTRUCTIONS**
                                                                                                              ^
                 Make any corrections to EMPLOYER'S NAME & ADDRESS and check here.

                                                                                                EM11
           ▲
                                                                                                                   ACCOUNT #
                                                                                                                   LOCATION                                                          ▲

CHECK here if making any corrections or additions to EMPLOYEE'S
NAME/ADDRESS, SSN or RESIDENT MUNICIPALITY.
                                                                                (9) EMPLOYEE'S            (10) WAGES PAID             (11) AMOUNT OF TAX WITHHELD (12) RESIDENT MUNICIPALITY
                            (8) NAME/ADDRESS                                  SOCIAL SECURITY NO.          THIS QUARTER                       THIS QUARTER        (CITY, BOROUGH, TOWNSHIP)



                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                               ,              .              ,           .
                                                                                                               ,              .              ,           .
                                                                                                              ,               .              ,           .
                                                                                                               ,              .              ,           .
                                                                                                               ,              .              ,           .
                                                                                                              ,               .              ,           .
                                                                           FIRST     ç
                 e102-web 061209                                    (13) PAGE TOTAL                   ,       ,               .              ,           .
                                                                                                                             BAE-140web 040209
                                                                  INSTRUCTIONS
WHO MUST FILE:
    If you have employed one or more individuals, other than domestic servants, for a salary, wage, commission,
    or other compensation, you must file a return for the first quarter in which you are required to withhold the
    Earned Income Tax from earnings, and each quarter thereafter.
    If you have no employees for a tax period, a return must be filed indicating "no employees" for that quarter.

QUARTERLY RETURNS AND DUE DATES: A return must be filed for each quarter of the calendar year as follows:
                                                                                             Due on or Before
    1st quarter: January, February, March ...........................................................April 30
    2nd quarter: April, May, June ..........................................................................July 31
    3rd quarter: July, August, September ...................................................... October 31
    4th quarter: October, November, December ............................................ 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 E-1 Form electronically, visit our website at http://www.hab-inc.com. On our website you will
    be able to file your return by data entry or by a file upload. In order to file online, you will need your assigned
    Berkheimer account number, your federal identification number (EIN), and you must be able to make an online
    payment of any tax due. 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.
                                                                        FORM E-1
ITEM 1:      Total Earned Income Tax withheld from all employees' wages during the quarter.

ITEM 2:      Use this line for the correction of tax withheld for the preceding quarter(s) of the same calendar year. To
             make an adjustment a statement detailing the year/quarter, social security number(s) and the revised
             amount for each individual must be enclosed with this E-1 form. Total of all deposit payments – This is the
             total of payments made previously by you for this present quarter. Do not attach receipts.
ITEM 3:      Total of Items 1 and 2.

ITEM 4:      Penalty and interest must be calculated at a rate of 1% per month if paid after the quarterly due date.
ITEM 5:      Total amount of taxes due. If an employer has made no entries in Items (2), (3) or (4) then Item (5) is
             identical with Item (1)
ITEM 6 THRU 9:           These items are self-explanatory.
ITEM 10: Wages 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 215-686-6600.
ITEM 11: Total Earned Income Tax Withheld - 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.

ITEM 12: Resident Taxing Jurisdiction - Please list for each employee the name of the CITY, BOROUGH, or
         TOWNSHIP in which the employee resides in order that the Earned Income Tax Administrator may
         distribute the tax to the proper taxing jurisdiction.
ITEM 13: Include Total Taxable Gross Wages and Earned Income Tax Withheld.
                                               ADDITIONAL FILING INSTRUCTIONS
Form E-1 has been prepared by the Earned Income Tax Office. It is based on the list of employees already submitted by the
employers. In order to ensure proper credit to your account, employers are required to perform the following operations:
             §   Add the name, address, social security number and correct taxing jurisdiction of any new employee.
             §   Your cancelled check is sufficient proof of payment.
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 610-599-3139, during the hours of 9:00 a.m. through 4:30 p.m., Monday through Friday. Or, you can visit our website at www.hab-
inc.com. If Berkheimer is not the appointed tax hearing officer for your taxing district, you must contact your taxing district about the proper procedures
and forms necessary to file an appeal.
                                                              BERKHEIMER
                                                    EARNED INCOME TAX ADMINISTRATOR
                                                              P. O. BOX 900
                                                         BANGOR, PA 18013-0900

								
To top