Rush Notary

Alburtis, PA · Lehigh County

No notary required

Local Services Tax Employee Evidence of Deduction Certificate

Employers complete this Local Services Tax certificate to document an employee’s deduction and provide the required copies to the borough and employee.

What this form is

This Local Services Tax (LST) Employee Evidence of Deduction Certificate records an employee’s deduction. The employer completes it with the employee’s name, home address and Social Security number, plus the employer’s name, address and employer number. The form directs the employer to send the Borough’s copy to the tax collector, retain the employer’s copy, and give the employee’s copy to the employee.

Who needs it

An employer completes this certificate to show an employee’s Local Services Tax deduction and distribute the borough, employee and employer copies.

How to submit it

Send the Tax Collector’s Copy to Borough of Alburtis, 260 Franklin St, PO Box 435, Alburtis, PA 18011-0435. Retain the employer’s copy and give the employee’s copy to the employee.

About notarization

This document is completed without a notary; it includes no notarized or sworn attachment, and the employer completes and distributes the listed copies.

How to submit this form

  1. 1

    Download The Certificate

    Download the Local Services Tax Employee Evidence of Deduction Certificate.

  2. 2

    Complete The Form

    Enter the employee’s name, home address and Social Security number, and the employer’s name, address and employer number.

  3. 3

    Distribute The Copies

    Send the Tax Collector’s Copy to the borough, retain the Employer’s Copy, and give the Employee’s Copy to the employee.

  4. 4

    Send The Borough Copy

    Mail the Tax Collector’s Copy to Borough of Alburtis, 260 Franklin St, PO Box 435, Alburtis, PA 18011-0435.

Frequently asked questions

Do I need a notary for the Local Services Tax deduction certificate?
No. This document is completed without a notary and includes no notarized or sworn attachment.
How do I submit the Local Services Tax deduction certificate?
Send the Borough’s copy to the tax collector at Borough of Alburtis, 260 Franklin St, PO Box 435, Alburtis, PA 18011-0435. Keep the employer’s copy and give the employee’s copy to the employee.
What information does the certificate ask for?
It asks for the employee’s name, home address and Social Security number, along with the employer’s name, address and employer number.

Need something notarized?

This Local Services Tax Employee Evidence of Deduction Certificate doesn’t need a notary — but if you have another Alburtis form that does, a commissioned online notary can help.