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POST OFFICE   | STATE   | ZIP   |\n| TO   |  |  |  |  |\n| TO   |  |  |  |  |\n\n012414 deewb  \n\"ifyou need additional space-please see back of fom.  \nTo file online,visit www.berk-e.com  \na  \n\n| FMem  \u003Cbr>EXTENSION□ AMENDED RETURN□   |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n| DAYTIME PHONE NUMBER  \u003Cbr>RESIDENT PSD CODE  \u003Cbr>The calculations reported in the first column MUST pertain to the name printed in  \u003Cbr>the column,regardless of whether the husband or wife appears first.  \u003Cbr>Combining income is NOT permitted.  \u003Cbr>ONLY USE BLACK OR BLUE INK TO COMPLETE THIS FORM  \u003Cbr>There will be an additional cost assessed for returned payments.  \u003Cbr>There will be an additional cost assessed ifno payment is enclosed for tax due at time of fling.  \u003Cbr>□ Single□ Marnied,Filing Jointly □Married,Fling Separately □Final Return*   | Enter Social 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 \u003Cbr>6.Net Loss (Enclose PA Schedules”)………………………………………………  \u003Cbr>7.Total Taxable Net Profit(Subtract Line 6 from Line 5.If less than zero,enter zero)…….  \u003Cbr>8.Total Taxable Earned Income and Net Profit(Add Lines 4 and 7)…   …….  \u003Cbr>%)…  …  ……  \u003Cbr>9.Total Tax Liability(Line 8 multiplied by  \u003Cbr>10.Total Local Eamed Income Tax Witheld,calculated on the back of this fom*……  \u003Cbr>11.Quarterly Estimated Payments/Credit From Previous Tax Year.…     ……  \u003Cbr>12.Miscellaneous Tax Credits …………………    ……      ………  \u003Cbr>13.TOTAL PAYMENTS and CREDITS(Add lines 10 through 12)…    …  \u003Cbr>14.Refund IF MORE THAN $1.00,enter amount (or select option in 15)…  ………  \u003Cbr>lf you calculate a reund due,you may be denied.Please see Line 10instructions  \u003Cbr>15.Credit Taxpayer/Spouse(Amount ofLine 14 youwant as a credit to your acoout)………  \u003Cbr>Credit to next year □ Credit to spouse  \u003Cbr>16.EARNED INCOME TAX BALANCE DUE(Line 9 minus Line 13)………….  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