| South
Franklin Township McGuffey School District (724)-225- 4829 3rd Quarter |
DO
NOT STAPLE CHECK TO FORM WHEN PAYING IN PERSON BRING ALL THE COPIES WHEN A RECEIPT IS DESIRED, ENCLOSE A SELF ADDRESSED STAMPED ENVELOPE EARNED INCOME TAX RETURN DUE OCTOBER 15 |
|
| PERIOD COVERED | JULY 1 SEPTEMBER 30 | |
| 1.Gross
Income-3rd Quarter $__________ 2.Tax Due line 1 x ) $______________ 3. Amount Paid $___________________ |
||
| COMPLETE, DETACH & REMIT WITHCHECK MADE PAYABLE TO: SOUTH FRANKLIN TWP, E.I.T.C. 100 MUNICIPAL RD. WASHINGTON, PA 15301 | ||
| I DECLARE UNDER THE PENALTIES OF
PERJURY THAT THIS RETURN IS A TRUE AND CORRECT ESTIMATE OF EARNINGS FOR THIS PERIOD |
| _________________________________ Signature |
_________________________________ Telephone No. |