What does the Local Services Tax Reconciliation Form report?

It reports local services tax withheld during the year, quarterly withholding totals, the number of W-2 statements sent, and employee-level deduction information.

Employers use the form to reconcile local services tax withholding and report employee deductions to Roaring Spring Borough.

Do I need a notary for the Local Services Tax Reconciliation Form?

No. The form has a signature and date-sent field, but no notary block; the employer representative signs it, and no notarized attachment or sworn step is shown.

Roaring Spring, PA · Blair County

No notary required

Reconciliation of Local Services Tax Form

Employers use this form to reconcile local services tax withheld during the year and report employee-level deductions to Roaring Spring Borough.

What this form is

This form records local services tax withheld from January 1 through December 31 and reports employee-level deductions to Roaring Spring Borough. It asks for company contact information, the number of W-2 withholding statements, quarterly totals, employee details, and a preparer’s certification. The form directs employers to return it with a check payable to the borough’s LST collector.

Who needs it

Employers reporting local services tax withholding and employee deductions to Roaring Spring Borough use this reconciliation form.

How to submit it

Return the form and make the check payable to Roaring Spring Borough LST Collector at 616 Spang Street, PO Box 33, Roaring Spring, PA 16673.

About notarization

No notary is required; the employer representative signs the form and completes the date-sent field, with no notarized attachment or sworn step shown.

How to submit this form

1
Download The Form
Download the Local Services Tax Reconciliation Form.
2
Complete The Form
Enter company information, withholding totals, employee details, the date sent, and the preparer’s certification.
3
Gather The Supporting Items
Include the W-2 withholding statements and adding tape for the total tax withheld.
4
Return The Form
Return the form with a check payable to Roaring Spring Borough LST Collector at the address shown.

Frequently asked questions

What does the Local Services Tax Reconciliation Form report?: It reports local services tax withheld during the year, quarterly withholding totals, the number of W-2 statements sent, and employee-level deduction information.
Who uses this form?: Employers use the form to reconcile local services tax withholding and report employee deductions to Roaring Spring Borough.
Do I need a notary for the Local Services Tax Reconciliation Form?: No. The form has a signature and date-sent field, but no notary block; the employer representative signs it, and no notarized attachment or sworn step is shown.
How do I submit the Local Services Tax Reconciliation Form?: Return the completed form with a check payable to Roaring Spring Borough LST Collector at 616 Spang Street, PO Box 33, Roaring Spring, PA 16673.

Need something notarized?

This Reconciliation of Local Services Tax Form doesn’t need a notary — but if you have another Roaring Spring form that does, a commissioned online notary can help.