Due Date
0
4/30/20
07/31/20
10/31/20
01/31/21
WEB
QUARTERLY ESTIMATED
Local Earned Income Tax Withholding
F
ORM
DQ-1
PLEASE ENTER SOCIAL SECURITY NUMBER:
DQ-1
QUARTER ESTIMATED EARNED INCOME TAX
RESIDENT MUNICIPALITY:
If you have no earned income, state the reason: retired/homemaker/
student/disabled/temporarily unemployed/minor (state age)/other
(please specify)
1. Earned Income and/or net profits
(Must enter amount)
2. Tax Rate multiplied by line 1 .....................................
*See instructions on how to compute the tax
3. Employer Withheld (This Quarter Only)....
4. TAX DUE: (line 2 minus line 3) ...................................
5. Interest: Line 4 multiplied by 0.500% per month (or a
fraction of) if paid after the due date............
6. TOTAL PAYMENT DUE (add lines 4 & 5)
Payable to:
HAB-EIT
❑ Check here if ALL tax is withheld by employer(s).
Do not complete information requested on Lines 1 thru 6.
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0 0
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If you moved enter the effective date: ____/____/______
Check here if address change also applies to spouse
*DQ1*
Resident PSD Code
Work Location PSD Code
PO Box 25157
Lehigh Valley, PA 18002-5157
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
610-599-3182 Or, you can visit our website at www.hab-inc.com.
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.
File your quarterly DQ-1 return
online at www.berk-e.com
GENERAL INSTRUCTIONS FOR FILING
DQ-1-QUARTERLY ESTIMATED EARNED INCOME TAX FORM
Berkheimer is the administrator of the Earned Income Tax, which is levied by your local Township, Borough, City and/or School District.
WHO MUST FILE: All self-employed taxpayers who have gross earnings for services rendered are required to pay their tax on or before the quarterly due
dates. Also, taxpayers who receive regular wages from an employer, but DO NOT have their Earned Income Tax withheld OR do not have the full amount
withheld, must pay their tax quarterly.
NOTE: Act 32 requires all Pennsylvania employers to withhold the earned income tax from their employees’ pay at a rate equal to either the rate
due the employee’s place of residence or the tax rate due their place of employment, whichever is higher. Individuals who do not have the tax
withheld, are required to pay the higher of the two tax rates, if applicable.
HOW TO COMPUTE TAX: The tax can be computed either by estimating your earnings and paying an estimated tax, or by paying the tax on your actual
earnings each quarter. Round figures to the nearest whole dollar. If your employer withholds part of the tax, the amount withheld for the quarter should
be deducted from your quarterly payment. Calculate tax due using either your resident tax rate or work location tax rate, whichever is higher. Visit
http://munstats.pa.gov/Public/FindLocalTax.aspx to determine your applicable tax rate.
PAYMENT AND RECEIPT: Please file your quarterly DQ-1 return online at www.berk-e.com . Alternatively, you can mail your paper return to: Berkheimer
Tax Innovations, PO Box 25157 Lehigh Valley, PA 18002-5157. Please correct any error in name, address, social security number, or resident/work
municipality (add if not shown). Checks should be made payable to: HAB-EIT. Your canceled check is sufficient proof of payment. NOTE: Failure to file
or pay correctly and in a timely fashion can result in penalty, interest and late filing fees. There will be a $29.00 fee for returned payments.
INTEREST: Interest will be charged at a rate determined by the PA Dept. of Revenue, if paid after the quarterly due date, unless otherwise instructed.
For further information or assistance in completing this form please refer to our website at: www.berk-e.com.
Total $
RECORD OF ESTIMATED TAX PAYMENTS
Please keep a record of your payments on the schedule below. The total tax
payments should be entered on line 11 of your Local Earned Income Tax Return, to
be filed by April 15 of the following year.
Payment Tax
Penalty &
Interest
Late
Filing Fee
1st Quarter
2nd Quarter
3rd Quarter
4
th Quarter
REMIT TO:Berkheimer Tax Administrator
PO Box 25157, Lehigh Valley, PA 18002-5157
Name and Address:
QUARTER: ________ YEAR:____________
Account Number:
