Get Local Adress Form

Filling out the Local Address Form correctly is essential for employers and taxpayers to ensure accurate collection and distribution of Local Earned Income Taxes. This guide provides step-by-step instructions to assist you in completing the form online with ease.

Follow the steps to complete the Local Address Form accurately.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin with the employee information section. Here you will provide the employee's name, including their last name, first name, and middle initial.
3. Enter the employee's social security number to ensure proper identification.
4. For the address, fill in the first line. If the employee uses a P.O. Box, make sure to include their actual street address as well.
5. Complete the second line of the address if necessary, followed by the city, state, and ZIP code.
6. Provide the daytime phone number of the employee to facilitate communication.
7. Indicate the municipality, specifying whether it is a city, borough, or township.
8. Select the county in which the employee resides.
9. Fill in the required PSD code and the total resident earned income tax rate applicable to the employee.
10. Move to the employer information section and enter the employer's name, using the Federal ID name.
11. Provide the employer's FEIN (Federal Employer Identification Number) for verification.
12. Repeat the address process for the employer, filling in the first and second lines, city, state, ZIP code, and phone number.
13. Indicate the municipality and county information for the employer.
14. Enter the municipal non-resident earned income tax rate as required.
15. In the certification section, the employee must sign, provide their phone number, date, and email address.
16. Once all sections are completed, save changes, download, print, or share the form as needed.

Start completing your Local Address Form online today!