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It records mailing address, municipal taxing authority location(s), tax year/quarter, employer account details, total earned income tax withheld, credits/adjustments, amount due, payments, adjusted EIT due, interest, and balance due with the return. 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Total Earned Income Tax withheld. ..........................  \n2. Credit or adjustment (attach explanation) . ..............  \n3. Total of Earned Income Tax due (line 1 minus line2) ...........  \n4. Total payments made this quarter  \n(Schedule B)    \n5. Adjusted total of Earned Income Tax due (line 3 minus line 4)    \n6. Interest ( per month (or a fraction of) if paid after the due date x line 5)    \n7. Balance due with Return (add lines 5 and 6)    \n\n|  |  |  | , |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  | , |  |  | . |  |\n|  |  |  |  |  |  | . |  |\n|  |  |  | , |  |  | .\u003Cbr>. |  |\n|  |  |  | , |  |  |  |  |\n|  |  |  | , |  |  | . |  |\n|  |  |  | , |  |  | . |  |\n|  |  |  | , |  |  |  |  |\n\n.  \n,  \n8. Date period ended (MM/DD/YYYY)    \n9. Total pages of this Return ...........................  \n10. Total number of employees listed ...................  \n\n|  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |\n\nIf there has been a change of ownership or other transfer of business during the quarter, attach explanation and give name of present owner and date the change took place.  \n Change  No Change  \nDo you expect to pay taxable wages next quarter?  \nYes  \n No  \nUnder penalties of perjury, I (we) declare that I (we) have examined this information, including all accompanying schedules and statements and to the best of my (our) belief, they  \nPrimary Contact Individual (First Name, Last Name)  \nare true, correct and complete  \nTitle  \n\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n\nPrimary Contact Phone Number Primary Contact Email Address  \nSignature of Primary Contact Individual Date (MM/DD/YYYY)  \n| (11) Employee’s Social Security Number |  |  |  |  |  |  |  |  |  | (12) Employee’s Name/Address\u003Cbr>Check if making any corrections to Employee’s\u003Cbr>Name/Address, SSN or Resident PSD | (13) Gross Compensation Paid This Quarter |  |  |  |  |  |  |  |  | (14) Amount of EIT Withheld This Quarter |  | (15) Resident\u003Cbr>PSD Code |\n| --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- | --- |\n|  |  |  |  |  |  |  |  |  |  | |  |  |  |  |  |  |  |  | \u003Cbr>.\u003Cbr>,\u003Cbr> |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  | , . |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  | |  |  |  |  |  |  |  |  | \u003Cbr>.\u003Cbr>,\u003Cbr> |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  |  | , . |  |  |  |  |  |  |  |  |  |  |  |\n|  |  |  |  |  |  |  |  |  |  | |  |  |  |  |  |  |  |  |  |  | \u003Cbr>, .\u003Cbr> |  |\n|  |  |  |  |  |  |  |  |  |  |  |  | ","cbCain1YHo7uQqaQ","https://ap.wps.com/l/cbCain1YHo7uQqaQ","pdf",1069509,"English","# Employer and Mailing Information\n## Employer Quarterly Return Totals\n# Primary Contact Declaration\n## Employee Line Items and Payment Details","[{\"question\":\"What information does the Employer Quarterly Return collect?\",\"answer\":\"It collects employer and mailing details, the municipal taxing authority location, the tax year/quarter, and totals for EIT withheld, due, payments, interest, and balance due.\"},{\"question\":\"How are totals and amounts due calculated on the form?\",\"answer\":\"The form lists line items such as total earned income tax withheld, credit/adjustments, total EIT due (line 1 minus line 2), total payments made (Schedule B), adjusted EIT due (line 3 minus line 4), interest, and balance due (lines 5 and 6).\"},{\"question\":\"What employee-level data is required?\",\"answer\":\"Each employee entry requires Social Security number, name/address with correction check, gross compensation paid this quarter, amount of EIT withheld, and the employee’s resident PSD code.\"}]","EMPLOYER QUARTERLY RETURN - Local Earned Income Tax Withholding | PDF",1789813052]