Quarterly Estimated Tax Forms

Document Sample
Quarterly Estimated Tax Forms Powered By Docstoc
					TAX YEAR                                               FIRST QUARTER                            ACCOUNT #

Earned Income Tax Quarterly Return for residents of the Gateway School District
  1 Gross Wages and/or Estimated Net Profits:     January, February, March
  2 Tax Rate (Monroeville Residents 0.0150 or Pitcairn Residents 0.010)
  3 Tax Due Multiply Line 1 X Line 2
  4 Interest and Penalty 1% per month after date due
  5 Total Amount Due Add Line 3 + Line 4

         TO AVOID INTEREST AND PENALTY, MAKE PAYMENTS QUARTERLY                                                             DUE BY: APRIL 30TH

By signing below, I verify to the best of my knowledge that this is a true and complete statement of my earnings.

Name                                                                           Social Security No.
Address                                                                        Employer Name

                                                                               Signature:

Make Check Payable & Mail To:                             E. I. T. COLLECTOR, MUNICIPALITY OF MONROEVILLE
                                                          P O BOX 2440 PITTSBURGH, PA 15230-2440

Additional Information:
   1     Insert MONTH, DAY, AND YEAR in the following choices if your liability to Gateway School District ceased:
                     Moved                      Retired                                Other: Please attach explanation
         Forwarding Address if different than above




   2     If your name or address has changed:                                     /         /   Effective Date
         New Name
         New Address
         Are you the owner of the new residence?
         Are you a tenant of the new residence?                                                              (Please check one)
         If a tenant, provide Name of owner


   3     Provide DATE if there has been a change in your tax reporting method:
            /   /   Change in Employer:       Old Name
         New Name and Address

            /     /      Tax now withheld by your employer                        /         /          Tax no longer withheld by your employer

Important Notice:   The Gateway School District, Municipality of Monroeville, and Borough of Pitcairn have signed an
agreement with Berkheimer Associates to collect delinquent taxes. Any accounts that are not verified with income
documentation or prior year accounts with balances due or unpaid will be turned over for collection.

Direct Inquiries to:     Earned Income Tax Office, 2700 Monroeville Blvd, Monroeville, PA 15146-2388
                         Telephone (412) 856-1045 Facsimile (412) 856-1054 Electronic Mail: Montax@Monroeville.PA.US

TAXPAYERS BILL OF RIGHTS DISCLOSURE STATEMENT: 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 contacting the Monroeville Tax Office between 9a.m. & 4 p.m.




                343a3002-3f9e-4e62-86c6-d6c36014f591.xls                              1st                                                 11/21/2010
TAX YEAR                                           SECOND QUARTER                              ACCOUNT #

Earned Income Tax Quarterly Return for residents of the Gateway School District
  1 Gross Wages and/or Estimated Net Profits:     April, May, June
  2 Tax Rate (Monroeville Residents 0.0150 or Pitcairn Residents 0.010)
  3 Tax Due Multiply Line 1 X Line 2
  4 Interest and Penalty 1% per month after date due
  5 Total Amount Due Add Line 3 + Line 4

         TO AVOID INTEREST AND PENALTY, MAKE PAYMENTS QUARTERLY                                                             DUE BY: JULY 31ST

By signing below, I verify to the best of my knowledge that this is a true and complete statement of my earnings.

Name                                                                           Social Security No.
Address                                                                        Employer Name

                                                                               Signature:

Make Check Payable & Mail To:                             E. I. T. COLLECTOR, MUNICIPALITY OF MONROEVILLE
                                                          P O BOX 2440 PITTSBURGH, PA 15230-2440

Additional Information:
   1     Insert MONTH, DAY, AND YEAR in the following choices if your liability to Gateway School District ceased:
                     Moved                      Retired                                Other: Please attach explanation
         Forwarding Address if different than above




   2     If your name or address has changed:                                     /      /     Effective Date
         New Name
         New Address
         Are you the owner of the new residence?
         Are you a tenant of the new residence?                                                              (Please check one)
         If a tenant, provide Name of owner


   3     Provide DATE if there has been a change in your tax reporting method:
            /   /   Change in Employer:       Old Name
         New Name and Address

            /     /      Tax now withheld by your employer                        /      /             Tax no longer withheld by your employer

Important Notice:   The Gateway School District, Municipality of Monroeville, and Borough of Pitcairn have signed an
agreement with Berkheimer Associates to collect delinquent taxes. Any accounts that are not verified with income
documentation or prior year accounts with balances due or unpaid will be turned over for collection.

Direct Inquiries to:     Earned Income Tax Office, 2700 Monroeville Blvd, Monroeville, PA 15146-2388
                         Telephone (412) 856-1045 Facsimile (412) 856-1054 Electronic Mail: Montax@Monroeville.PA.US

TAXPAYERS BILL OF RIGHTS DISCLOSURE STATEMENT: 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 contacting the Monroeville Tax Office between 9a.m. & 4 p.m.




                343a3002-3f9e-4e62-86c6-d6c36014f591.xls                           2nd                                                    11/21/2010
TAX YEAR                                               THIRD QUARTER                            ACCOUNT #

Earned Income Tax Quarterly Return for residents of the Gateway School District
  1 Gross Wages and/or Estimated Net Profits: July, August, September
  2 Tax Rate (Monroeville Residents 0.0150 or Pitcairn Residents 0.010)
  3 Tax Due Multiply Line 1 X Line 2
  4 Interest and Penalty 1% per month after date due
  5 Total Amount Due Add Line 3 + Line 4

         TO AVOID INTEREST AND PENALTY, MAKE PAYMENTS QUARTERLY                                                        DUE BY: OCTOBER 31ST

By signing below, I verify to the best of my knowledge that this is a true and complete statement of my earnings.

Name                                                                           Social Security No.
Address                                                                        Employer Name

                                                                               Signature:

Make Check Payable & Mail To:                             E. I. T. COLLECTOR, MUNICIPALITY OF MONROEVILLE
                                                          P O BOX 2440 PITTSBURGH, PA 15230-2440

Additional Information:
   1     Insert MONTH, DAY, AND YEAR in the following choices if your liability to Gateway School District ceased:
                     Moved                      Retired                                Other: Please attach explanation
         Forwarding Address if different than above




   2     If your name or address has changed:                                     /         /   Effective Date
         New Name
         New Address
         Are you the owner of the new residence?
         Are you a tenant of the new residence?                                                              (Please check one)
         If a tenant, provide Name of owner


   3     Provide DATE if there has been a change in your tax reporting method:
            /   /   Change in Employer:       Old Name
         New Name and Address

            /     /      Tax now withheld by your employer                        /         /          Tax no longer withheld by your employer

Important Notice:   The Gateway School District, Municipality of Monroeville, and Borough of Pitcairn have signed an
agreement with Berkheimer Associates to collect delinquent taxes. Any accounts that are not verified with income
documentation or prior year accounts with balances due or unpaid will be turned over for collection.

Direct Inquiries to:     Earned Income Tax Office, 2700 Monroeville Blvd, Monroeville, PA 15146-2388
                         Telephone (412) 856-1045 Facsimile (412) 856-1054 Electronic Mail: Montax@Monroeville.PA.US

TAXPAYERS BILL OF RIGHTS DISCLOSURE STATEMENT: 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 contacting the Monroeville Tax Office between 9a.m. & 4 p.m.




                343a3002-3f9e-4e62-86c6-d6c36014f591.xls                              3rd                                                 11/21/2010
TAX YEAR                                           FOURTH QUARTER                               ACCOUNT #

Earned Income Tax Quarterly Return for residents of the Gateway School District
  1 Gross Wages and/or Estimated Net Profits: October, November, December
  2 Tax Rate (Monroeville Residents 0.0150 or Pitcairn Residents 0.010)
  3 Tax Due Multiply Line 1 X Line 2
  4 Interest and Penalty 1% per month after date due
  5 Total Amount Due Add Line 3 + Line 4

         TO AVOID INTEREST AND PENALTY, MAKE PAYMENTS QUARTERLY                                                           DUE BY: JANUARY 31ST

By signing below, I verify to the best of my knowledge that this is a true and complete statement of my earnings.

Name                                                                           Social Security No.
Address                                                                        Employer Name

                                                                               Signature:

Make Check Payable & Mail To:                             E. I. T. COLLECTOR, MUNICIPALITY OF MONROEVILLE
                                                          P O BOX 2440 PITTSBURGH, PA 15230-2440

Additional Information:
   1     Insert MONTH, DAY, AND YEAR in the following choices if your liability to Gateway School District ceased:
                     Moved                      Retired                                Other: Please attach explanation
         Forwarding Address if different than above




   2     If your name or address has changed:                                     /         /   Effective Date
         New Name
         New Address
         Are you the owner of the new residence?
         Are you a tenant of the new residence?                                                              (Please check one)
         If a tenant, provide Name of owner


   3     Provide DATE if there has been a change in your tax reporting method:
            /   /   Change in Employer:       Old Name
         New Name and Address

            /     /      Tax now withheld by your employer                        /         /            Tax no longer withheld by your employer

Important Notice:   The Gateway School District, Municipality of Monroeville, and Borough of Pitcairn have signed an
agreement with Berkheimer Associates to collect delinquent taxes. Any accounts that are not verified with income
documentation or prior year accounts with balances due or unpaid will be turned over for collection.

Direct Inquiries to:     Earned Income Tax Office, 2700 Monroeville Blvd, Monroeville, PA 15146-2388
                         Telephone (412) 856-1045 Facsimile (412) 856-1054 Electronic Mail: Montax@Monroeville.PA.US

TAXPAYERS BILL OF RIGHTS DISCLOSURE STATEMENT: 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 contacting the Monroeville Tax Office between 9a.m. & 4 p.m.




                343a3002-3f9e-4e62-86c6-d6c36014f591.xls                              4th                                                 11/21/2010

				
DOCUMENT INFO
Shared By:
Categories:
Stats:
views:70
posted:11/22/2010
language:English
pages:4
Description: Quarterly Estimated Tax Forms document sample