Form LSTR "Employer Local Services Tax Registration" - Pennsylvania

What Is Form LSTR?

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:

  • 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 LSTR by clicking the link below or browse more documents and templates provided by the Berkheimer Tax Administrator.

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Download Form LSTR "Employer Local Services Tax Registration" - Pennsylvania

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* STR*
WEB
EMPLOYER LOCAL SERVICES TAX REGISTRATION
PO Box 21570
Lehigh Valley, PA 18002
LSTR
PSD
Please complete this form and return to our office at:
Berkheimer Tax Innovations
PO Box 21570
Lehigh Valley, PA 18002
Name
Address
City
You are entitled to receive a written explanation of your rights with regard to the audit,
State
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.
Zip
Berkheimer is not the appointed tax hearing officer for your taxing district and will not
accept any petitions for appeal. Petitions for appeal must be filed with the appropriate
appeals board for your County. Berkheimer can provide you with the proper
procedures and forms necessary to file an appeal with the appeals board for your Tax
Collection District.
To comply with Act 511 of The Pennsylvania State Legislature (and the law in your local taxing district), you are
required to provide the following information. All information will be held in strict confidence.
EMPLOYER INFORMATION
EMPLOYER BUSINESS NAME (Use Federal ID Name)
EMPLOYER BUSINESS LOCATION (Street address within PA - NO PO Box, RD or RR)
SECOND LINE OF ADDRESS
CITY OR POST OFFICE
STATE
ZIP
EMPLOYER MAILING ADDRESS (Address where all forms are to be sent)
SECOND LINE OF ADDRESS
CITY OR POST OFFICE
STATE
ZIP
CORRECT TAXING JURISDICTION (Name of Township or Borough where business is located)
BUSINESS PHONE NUMBER
E-MAIL ADDRESS
FEDERAL EMPLOYER ID NUMBER
DATE BUSINESS STARTED (Month and Year)
NUMBER OF EMPLOYEES (Include Full and Part Time)
PRIMARY NATURE / OPERATION OF BUSINESS
OWNER NAME 1 (First Name, Last Name)
OWNER NAME 2 (First Name, Last Name)
PAYROLL CONTACT NAME (First Name, Last Name)
I HEREBY CERTIFY THAT ALL INFORMATION AND STATEMENTS HEREIN ARE TRUE AND CORRECT.
SIGNATURE
DATE (MM/DD/YYYY)
* STR*
WEB
EMPLOYER LOCAL SERVICES TAX REGISTRATION
PO Box 21570
Lehigh Valley, PA 18002
LSTR
PSD
Please complete this form and return to our office at:
Berkheimer Tax Innovations
PO Box 21570
Lehigh Valley, PA 18002
Name
Address
City
You are entitled to receive a written explanation of your rights with regard to the audit,
State
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.
Zip
Berkheimer is not the appointed tax hearing officer for your taxing district and will not
accept any petitions for appeal. Petitions for appeal must be filed with the appropriate
appeals board for your County. Berkheimer can provide you with the proper
procedures and forms necessary to file an appeal with the appeals board for your Tax
Collection District.
To comply with Act 511 of The Pennsylvania State Legislature (and the law in your local taxing district), you are
required to provide the following information. All information will be held in strict confidence.
EMPLOYER INFORMATION
EMPLOYER BUSINESS NAME (Use Federal ID Name)
EMPLOYER BUSINESS LOCATION (Street address within PA - NO PO Box, RD or RR)
SECOND LINE OF ADDRESS
CITY OR POST OFFICE
STATE
ZIP
EMPLOYER MAILING ADDRESS (Address where all forms are to be sent)
SECOND LINE OF ADDRESS
CITY OR POST OFFICE
STATE
ZIP
CORRECT TAXING JURISDICTION (Name of Township or Borough where business is located)
BUSINESS PHONE NUMBER
E-MAIL ADDRESS
FEDERAL EMPLOYER ID NUMBER
DATE BUSINESS STARTED (Month and Year)
NUMBER OF EMPLOYEES (Include Full and Part Time)
PRIMARY NATURE / OPERATION OF BUSINESS
OWNER NAME 1 (First Name, Last Name)
OWNER NAME 2 (First Name, Last Name)
PAYROLL CONTACT NAME (First Name, Last Name)
I HEREBY CERTIFY THAT ALL INFORMATION AND STATEMENTS HEREIN ARE TRUE AND CORRECT.
SIGNATURE
DATE (MM/DD/YYYY)