85813. 3 Short Form 11/18/14 LANCASTER COUNTY TAX COLLECTION BUREAU 1845 William Penn Way Lancaster PA 17601 717/569-4521 LOCAL SERVICES TAX EMPLOYEE WITHHOLDING EXEMPTION CERTIFICATE for use where the Bureau collects LST Tax Year This application for exemption from withholding of local services tax and supporting documents must be completed signed and presented to employer AND the Bureau.
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How to fill out the 85813 3 Short Form online
The 85813 3 Short Form is designed for individuals seeking an exemption from local services tax withholding. This guide will provide you with clear, step-by-step instructions on how to accurately complete the form online.
Follow the steps to complete your exemption form accurately.
- Press the ‘Get Form’ button to obtain the form and open it in the online editor.
- Fill in your personal information in the designated fields, including your name, address, city, state, social security number, phone number, and zip code.
- Indicate the tax year for which you are requesting an exemption.
- Select the reason for your exemption by marking the appropriate box. Be prepared to attach any required documentation as specified for each exemption reason.
- If applicable, list your primary, second, and third employers along with their names, municipalities, and your employment status (full-time or part-time) in the provided sections.
- Review all entered information for accuracy before proceeding.
- Sign and date the form to certify that the information provided is true and correct.
- Once completed, you can save changes, download, print, or share the form as needed.
Complete your 85813 3 Short Form online today and ensure your exemption is properly documented.
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