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Get PA FCATB 531 - Franklin County 2017

, enter Official Payments Corp. confirmation number(s) here 23 TAXPAYER 11 TOTAL LOCAL INCOME TAXES WITHHELD EXCEPT PHILADELPHIA INCOME TAX (FROM ATTACHED W-2 s) 22 IF YES, 10 If you moved from one tax rate area to another during the year, complete a Schedule X to determine rate to enter. 12 21 NO COMPLETE SECTIONS A & C ON THE BACK OF THIS FORM. 23 Savings or Checking Account ROUTING NUMBER ACCOUNT NUMBER 24 AMOUNT OF LINE 22 TO BE CREDITED TO NEXT YEAR S TAX.

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