HAB Individual Earned Income Tax Proration Worksheet
Select Political Subdivision
Enter Tax Payer's SS#, full name and current address
Worksheet Instructions
This worksheet cannot be used if worked in Philadelphia
Use this form to help calculate prorated returns for individuals who moved during the tax year.
All dates for a tax year must be covered within the residence entries. EX: 2 residence entries of 2/1/2018 – 4/30/2018 and 6/1/2018-12/31/2018 will fail because January and May are not accounted for.
Rates will automatically be calculated based on the PSD entered.
Worksheet prorates the wages to each residency based on the tax liability for that month, for that employment location, for that residency.
Worksheet prorates the tax withheld based on residency for each month of employment.
For wages - please use box 16 for PA W2 and box 5 for all other states. If you have multiple wages and withholding reported on your W2, input each as separate employment history.
Tax payer's SS#, name and current address will be required for PDF download.