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Get PA DCED CLGS-32-5 2012

CLGS-32-5 1-12 EMPLOYER QUARTERLY RETURN Local Earned Income Tax Withholding You are entitled to receive a written explanation of your rights with regard to the audit appeal enforcement refund and collection of local taxes by contacting your Tax Officer. EMPLOYER BUSINESS NAME Use Federal ID Name SECOND LINE OF ADDRESS CITY OR POST OFFICE STATE ZIP MUNICIPAL TAXING AUTHORITY City Borough Township IN WHICH FACILITY OR BUSINESS IS LOCATED Attach listing of multiple locations within PA if applicabl.

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