Jordan Tax Service, Inc.

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Individual Taxpayer Annual
Local Earned Income Tax Return
Instructions
Part-Year Resident Filers -- See Below

A. General Instructions

WHEN TO FILE: This return must be completed and filed by all persons subject to the tax on or before April 18, regardless of whether or not tax is due. If you file a Federal or State Application for Extension, check the extension box on the front of the form and send this form along with your estimated payment by April 18. If you use a professional tax preparer, confirm that they will submit your final return for you.
WHERE TO FILE: Remit to the local earned income tax collector for every tax collection district in which you lived during the year. You must complete a separate copy of this form for EACH Political Sub Division (PSD) in which you lived during the year.
EFFECTIVE DATES: January 1 through December 31, unless otherwise noted on your local earned income tax return. (Please note that part-year residents cannot file online - See Below)
AMENDED RETURN: If a taxpayer amends his/her federal/state income tax return, an amended local earned income tax return must also be filed with the local earned income tax collector.
RECEIPT / COPY: Your cancelled check is sufficient proof of payment. You will be presented with a receipt containing confirmation information at the end of this process. You should print and retain this receipt as proof of filing.
PENALTY AND INTEREST: If for any reason the tax is not paid when due, penalty and interest will be charged. Any late payment or filing and/or incorrect filing, may result in additional costs of collection.
ROUND OFF CENTS to the nearest whole dollar. Do not include amounts under 50 cents. Increase amounts from 50 to 99 cents to the next dollar amount.

Complete instructions

You are entitled to receive a written explanation of your rights with regard to the audit, appeal, enforcement, refund and collection of local taxes. Contact your Tax Officer.

Part-year filers cannot file online. Complete a Final Return(s) and mail in with part-year resident schedule (found in instructions) along with the proper supporting documentation.

If you do not wish to complete the Internet version of this form, you can Logoff to securely terminate your session.

TaxPayer Signature
I certify that the information on this form is complete and correct. Taxpayer Signature (Please type your full legal name) Taxpayer PIN

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Acct No:	Provide the individual account number, as it appears on the form you received.
SSN:	Provide the taxpayer's Social Security Number, as it appeared on the form you received.
PIN:	Provide the taxpayer's PIN as it appeared on the form you received.
Tax Year:	2022 Provide the tax year for which you are reporting. Individuals may only use this on-line filing system for the current tax year.
	[Authenticate Me]

Paperwork:	Based on your choices, you MUST SUBMIT PAPERWORK to Jordan Tax Service to support your entries. Your return is NOT COMPLETE until JTS has received and processed your supporting documentation. * As a Non-Resident Filer, You will need to submit your Home State Return or both your Visa & PA Non-Resident Return in addition to any other paperwork that is required. You must print a copy of your receipt and include it along with any paperwork submitted. Mail your paperwork including "Proof of Filing" to: ALLEGHENY COUNTY CENTRAL TCD FRICK BLDG 437 GRANT ST STE 900 PITTSBURGH PA 15219-6101 ALLEGHENY COUNTY SOUTHWEST TCD 7100 BAPTIST RD BETHEL PARK PA 15102-3908** Failure to include your receipt may significantly delay the processing of your payment.
Payment:	Your tax document is not complete until your 'Total Payment Due' has been received by Jordan Tax Service. Payments are due by April 18th (or the end of the current month if filing late). You can pay electronically with your [Credit Card] (2.95% convenience fee, minimum $1) or [eCheck] ($3.50 convenience fee). This fee is imposed by Official Payments, our third party payment processor. JTS receives no portion of this fee. You can mail your payment to JTS. You must print a copy of your receipt and include it along with your payment. Make your check payable to: ACCTCDACSWTCD Mail your payment including "Proof of Filing" to: ALLEGHENY COUNTY CENTRAL TCD FRICK BLDG 437 GRANT ST STE 900 PITTSBURGH PA 15219-6101 ALLEGHENY COUNTY SOUTHWEST TCD 7100 BAPTIST RD BETHEL PARK PA 15102-3908 Failure to include your receipt may significantly delay the processing of your payment.
Receipt:	Please print a copy of your receipt for your records. It contains your confirmation at the bottom of the page. If you have completed the step(s) above, you should Logoff.

Account:
Confirmation #:
Signature Timestamp:
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	W2?	Employer Name	Federal Employer ID Number Box b (Do not enter hyphens)	W2-Wages Box 16	Local Tax Withheld Box 19
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Total of Lines 1-7

1. Gross Compensation as Reported on W-2(s):	.00
2. Unreimbursed Employee Business Expenses (Submit PA Schedule UE***):	.00
3. Other Taxable Earned Income* (Submit 1099 Form(s)***):	.00
4. Total Taxable Earned Income (Cannot be less than zero)*:	.00
5. Net Profit (Requires PA Schedules): NON-TAXABLE S-Corp Earnings check this box: (Submit Schedule C, E, F and/or K1**)	.00
6. Net Loss* (Submit Schedule C, E, F and/or K1***):	.00
7. Total Taxable Net Profit (Cannot be less than zero):	.00
8. Total Taxable Earned Income and Net Profit:	.00
9. Total Tax Liability (Line 8 multiplied by tax rate of %):	.00
10. Total Local Earned Income Tax Withheld as Reported on W-2(s):	.00
11. Quarterly Estimated Payments/Credit from Previous Tax Year:	.00
12. Miscellaneous Tax Credits (Submit Schedule G***):	.00
13. Total Payments and Credits (Add lines 10 through 12):	.00
14. Refund (IF MORE THAN $1.00): Check this box for direct deposit of your refund	.00
15. Credit Taxpayer/Spouse (Amount of Line 14 you want to credit to your account): Credit to next year Credit to spouse	.00
16. Earned Income Tax Balance Due (Line 9 minus line 13):	.00
17. Penalty after April 18** (Multiply line 16 by /mo):	.00
18. Interest after April 18** (Multiply line 16 by /mo):	.00
19. Total Payment Due (IF MORE THAN $1.00) (Add lines 16, 17, and 18):	.00

Routing Number:
Account Number:
Account Type:
Account Name:	Name on the account, as it appears on your bank statement Name on the account, as it appears on your bank statement (*The name of the "Person(s)"* that own the account, NOT the name of the bank or institution**)
Email:	You will receive an email when your return has been approved and your refund has been submitted to your bank for deposit Email address to receive notification of refund
Authorization:	I authorize Jordan Tax Service, Inc. to deposit my refund into the account I provided. I certify that I am authorized to execute transactions for the account listed above. If you provided an email address in the Taxpayer Information section above, you will receive an email notification when your return has been approved and your refund has been submitted to your bank for deposit.

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