Fill - Free fillable Notice-Of-Intent-To-File-Combined-Returns-FPM-20111011.1 - NOTICE OF INTENT TO FILE COMBINED RETURNS 2011.10.11 PDF form

NOTICEOFINTENTTOFILECOMBINEDRETURNS

ANDMAKECOMBINEDPAYMENTS



DATE:__________________

TO:___________________________________________________________

FROM:EMPLOYERNAME__________________________________________

FEDID#___________________



CORPORATEADDRESS__________________________________________

__________________________________________   

__________________________________________

PSDOFBUSINESSLOCATIONWHEREEMPLOYER’SPAYROLLOPERATIONSARELOCATED(IFINSTATE)OR

BUSINESSLOCATIONWHEREEMPLOYERISFILINGMONTHLY(IFPAYROLLOPERATIONSAREOUTOFSTATE).

PSDName:______________________________________

PSDCode:_______________



Pleasebeadvisedthat______________

______________________,isherebyfilingthisNoticeofIntenttoFile

CombinedReturnsandPaymentsoftheLocalEarnedIncomeTaxwithheldfromallemployeeswhoare

employedintheCommonwealthofPennsylvaniawithBERKHEIMERTAXADMINISTRATOR,50NORTH

SEVENTHSTREET,BANGOR,PA18013,TaxOfficerforthe____________________CountyTaxCollection

District,effective_______________________________.



Aspartofthisdecision,EMPLOYERunderstandsandcommitstothefollowingrequirements:

1. EMPLOYERshalldeductthecorrecttaxrateforeachemployeewhoisemployedinanyoftheEMPLOYER’S

Pennsylvaniaworklocationsfromtheirwages.Thetaxratetobewithheldwillbethegreaterofthe

employee’sresidenttaxorthenonͲresidentrateoftheemployee’sworklocation,asreflectedinthe

officialregistermaintainedbythePennsylvaniaDepartmentofCommunityandEconomicDevelopment.

2. Withinthirty(30)daysoftheendofeachmonth,EMPLOYERshallfileareturnandpaytheamountof

incometaxesdeductedduringtheprecedingcalendarmonthfromallemployeesemployedwithinthe

CommonwealthofPennsylvania.

3. ThereturnmustbefiledandpaidelectronicallythroughoureͲfileportalandmustincludetheSocial

Securitynumber,name,address,wagespaid,taxwithheld,andresidentPSDcodeforeachemployee.

AlsoincludedonthereturnshallbeallnecessaryEmployerinformationincludingFederalIDNumber,

Name,AddressandPSDinwhichbusinessislocated.EMPLOYERagreestosubmittheirelectronicfile

usingoneofthefollowingfilingformats:CSVFileFormat,FederalFileFormat,orthePennsylvania

StandardFileFormat.

Email Form

Print Form

4. ThisNoticeofIntenttoFileCombinedReturnsandMakeCombinedPaymentsshallnotbeconstruedto

changethelocationofanemployee’splaceofemploymentforpurposeoftheemployee’snonͲresidenttax

liability.

5. OnorbeforeFebruary28

ofthesucceedingyear,EMPLOYERshallfilethefollowingwithBerkheimerTax

AdministratorfortheperiodofJanuary1

ofthecurrentyearandendingDecember31ofthecurrent

year:

a. AnAnnualW2ReconciliationelectronicallythruoureͲfileportalontheweb,showingthetotal

amountofcompensationpaidtoeachemployee,thetotalamountofincometaxwithheldforeach

employee,andthetotalamountoftaxpaidtoBerkhei

merTaxAdministrator.

b. Anelectronicindividualwithholdingstatement(FormW2),foreachemployeeemployedforallor

anypartoftheperiod,providingtheaddress,socialsecuritynumber,totalcompensationpaid,

totalamountoftaxdeductedandthenumericalTCDcoderepresentingtheTaxCollectionDistrict

inwhichpaymentsofdeductedtaxhavebeenremittedinthelocalitybox.

IfEMPLOYERdiscontinuesbusinesspriortoDecember31

ofthecurrentyear,EMPLOYERshall,within

thirty(30)daysafterthediscontinuanceofbusiness,electronicallyfilethereturnsandwithholding

statementsrequiredaboveandelectronicallypaytheincometaxdueatthetimeoffilingthefinalreturns.

7. EmployermustprovideBerkheimerwithalistofaddressesandPSDcodesforeachofthebusiness

locationsinPennsylvaniatobeincludedintheConsolidatedFile.



SignatureofResponsiblePerson:______________

_____________________________________

NameofResponsiblePerson/Contact:_______________________________________________

ContactPhone#:_______________________Email:___________________________________

Address:_____________________________________________

 ______________________________________________



PLEASE NOTE: YOU ARE REQUIRED TO SEEK APPROVAL FROM BERKHEIMER TO FILE A COMBINED

RETURN WITH BERKHEIMER PRIOR TO NOTIFYING ANY OTHER COUNTY TAX OFFICERS OF YOUR DECISION

TO UTILIZE THIS OPTION.





Email Form

Print Form

click to sign

signature

click to edit

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

Notice-Of-Intent-To-File-Combined-Returns-FPM-20111011.1 - NOTICE OF INTENT TO FILE COMBINED RETURNS 2011.10.11

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank Notice-Of-Intent-To-File-Combined-Returns-FPM-20111011.1 - NOTICE OF INTENT TO FILE COMBINED RETURNS 2011.10.11 Form

Related forms

Fillable Notice-Of-Intent-To-File-Combined-Returns-FPM-20111011.1 - NOTICE OF INTENT TO FILE COMBINED RETURNS 2011.10.11

Fill Online, Printable, Fillable, Blank Notice-Of-Intent-To-File-Combined-Returns-FPM-20111011.1 - NOTICE OF INTENT TO FILE COMBINED RETURNS 2011.10.11 Form

Related forms

First 20 documents completely FREE!