Muncy, PA · Lycoming County
Local Services Tax Exemption Certificate
This certificate lets employees request an exemption from Muncy Borough’s Local Services Tax by documenting an eligible reason and providing supporting records.
What this form is
Employees use this certificate to request an exemption from the Local Services Tax. It lists reasons including multiple employers, expected local earned income and net profits below $12,000, active-duty military service, and military disability. The form asks for identifying and contact details, the reason for exemption, a signature, and a date. It also specifies supporting documents for each exemption reason.
Who needs it
Employees seeking a Local Services Tax exemption must complete the certificate and provide it to each employer and the taxing municipality or school district.
How to submit it
Sign and date the certificate, give a copy to each employer, and present it with supporting documents to the political subdivision levying the tax. The tax office is Muncy Borough, 14 N. Washington St., PO Box 384, Muncy, PA 17756.
About notarization
This certificate is signed and dated without a notary; the document asks for supporting records, but does not require any attachment to be notarized or sworn.
How to submit this form
- 1
Download The Certificate
Download the Local Services Tax Exemption Certificate PDF.
- 2
Complete And Sign
Enter your identifying and contact details, indicate your exemption reason, then sign and date the certificate.
- 3
Gather Supporting Documents
Attach the records listed for your exemption reason, such as pay statements, tax forms, or military documents.
- 4
Submit To Your Employer And Tax Office
Give the certificate to each employer and present it with supporting documents to the political subdivision levying the tax.
Frequently asked questions
- What is the Local Services Tax Exemption Certificate?
- It is a certificate for employees to request an exemption from the Local Services Tax. It asks for personal details, an exemption reason, a signature, and supporting documents.
- Who should complete this certificate?
- Employees seeking an exemption should complete it, sign and date it, and give it to each employer. A copy and supporting documents must also be presented to the political subdivision levying the tax.
- Do I need a notary for the Local Services Tax Exemption Certificate?
- No. The certificate requires a signature and date, not notarization. It requests supporting records for the exemption reason, but does not say any attachment must be notarized or sworn.
- How do I submit the Local Services Tax Exemption Certificate?
- Give the signed and dated certificate to each employer and present it with supporting documents to the political subdivision levying the tax. The form lists Muncy Borough’s tax office address.