Form LST-3 "Local Services Tax Individual Return" - Pennsylvania

What Is Form LST-3?

This is a legal form that was released by the Berkheimer Tax Administrator - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on October 11, 2018;
  • The latest edition provided by the Berkheimer Tax Administrator;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LST-3 by clicking the link below or browse more documents and templates provided by the Berkheimer Tax Administrator.

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Download Form LST-3 "Local Services Tax Individual Return" - Pennsylvania

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LST-3 Local Services Tax Individual Return
LSTQ3
PO BOX 25156
LEHIGH VALLEY, PA 18002-5156
Name
Address
City
State
ZIP
You are entitled to receive a written explanation of your rights with regard to the audit,
Enter Your Social Security Number:
appeal, enforcement, refund and collection of local taxes by calling Berkheimer at
610-599-3182. Or, you can visit our website at www.hab-inc.com. If Berkheimer is not
the appointed tax hearing officer for your taxing district, you must contact your taxing
district about the proper procedures and forms necessary to file an appeal.
WEB
The Local Services Tax is a local tax due from all individuals who are employed within a jurisdiction in which the tax has
been enacted. All Federal Employees and all Self-Reporting Individuals who perform services of any kind or engage in any
Payable to: HAB-LST
occupation or professions within the stated Borough, Township, or School District are required to pay a Local Services Tax.
BERKHEIMER, PO BOX 25156, LEHIGH VALLEY, PA 18002-5156
Please complete and return the LST-3 form below with your payment due. If for some reason you already paid the tax in
another political subdivision, or at another place of employment, provide this office with proof of payment and we will adjust
our records accordingly. If your primary employment jurisdiction has the Local Services Tax, the tax is not to be deducted
JURIS NO.
JURIS NO.
from the secondary place of employment.
QUARTER _____ YEAR ________
WORK LOCATION:
Exemption Enclosed-no tax due (check here)
.
,
,
÷ 4
1. Tax Due
.
,
,
2. Penalty (line 1 x  0.05 )if paid after due date
.
,
,
3. Interest (line 1 x   0.5  ) per month after due date
.
,
,
4. Total Penalty & Interest (line 2 + line 3)
.
,
,
. Your cancelled check is sufficient proof of payment.
.
,
,
. There will be a $29.00 fee for returned payments.
5. Total of Check Enclosed (line 1 + line 4)
. Make Checks payable to: HAB-LST
Make Checks payable to: HAB-LST
LST-3 Local Services Tax Individual Return
LSTQ3
PO BOX 25156
LEHIGH VALLEY, PA 18002-5156
Name
Address
City
State
ZIP
You are entitled to receive a written explanation of your rights with regard to the audit,
Enter Your Social Security Number:
appeal, enforcement, refund and collection of local taxes by calling Berkheimer at
610-599-3182. Or, you can visit our website at www.hab-inc.com. If Berkheimer is not
the appointed tax hearing officer for your taxing district, you must contact your taxing
district about the proper procedures and forms necessary to file an appeal.
WEB
The Local Services Tax is a local tax due from all individuals who are employed within a jurisdiction in which the tax has
been enacted. All Federal Employees and all Self-Reporting Individuals who perform services of any kind or engage in any
Payable to: HAB-LST
occupation or professions within the stated Borough, Township, or School District are required to pay a Local Services Tax.
BERKHEIMER, PO BOX 25156, LEHIGH VALLEY, PA 18002-5156
Please complete and return the LST-3 form below with your payment due. If for some reason you already paid the tax in
another political subdivision, or at another place of employment, provide this office with proof of payment and we will adjust
our records accordingly. If your primary employment jurisdiction has the Local Services Tax, the tax is not to be deducted
JURIS NO.
JURIS NO.
from the secondary place of employment.
QUARTER _____ YEAR ________
WORK LOCATION:
Exemption Enclosed-no tax due (check here)
.
,
,
÷ 4
1. Tax Due
.
,
,
2. Penalty (line 1 x  0.05 )if paid after due date
.
,
,
3. Interest (line 1 x   0.5  ) per month after due date
.
,
,
4. Total Penalty & Interest (line 2 + line 3)
.
,
,
. Your cancelled check is sufficient proof of payment.
.
,
,
. There will be a $29.00 fee for returned payments.
5. Total of Check Enclosed (line 1 + line 4)
. Make Checks payable to: HAB-LST
Make Checks payable to: HAB-LST