Form Fynpt - Fiscal Year Net Profits Tax
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1DO NOT STAP LE THIS RETURN
FYNPT
CITY OF PHILADELPHIA
FISCAL YEAR NET PROFITS TAX
For Fiscal Year Ending:
DUE WITHIN 105 DAYS OF THE
CLOSE OF THE FISCAL YEAR
DUE DATE:________________
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TA XPA Y ER NA ME & A DDRESS
PLA CE LA BEL HERE
CITY ACCOUNT NUMBER
Always enter your account number
FEDERA L IDENTIFICA TION NUMB ER
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CORPORATIONS ARE NOT SUBJE CT TO THIS TAX.
SOCIA L SECURITY NUMB ER
Use the Change Form to indicate a termination of business or a
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change in business entity.
Darken circle to indicate a net loss.
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1. Resident Taxable Income (Loss) - (from Page 2,
Worksheet A , Line 6C)................ ............... .............................. ............... .1.
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. 0 0
2. Resident Tax Due (from Page 2, Worksheet A , Line 8, Column C)...........2.
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. 0 0
3. Non-Resident Taxable Income (Loss) - (from P age 2,
Worksheet B, Line 8, Column C)............. ............... ............... ............... ....3.
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. 0 0
4. Non-Resident Tax Due (from Page 2, Worksheet B, Line 10C).................. .............4.
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. 0 0
5. Total Tax Due (Line 2 plus Line 4)................... ............... ............... ............... .........5.
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. 0 0
6a. 60% Business Privilege Tax credit (from P age 4, Worksheet K, Line 4)...............6a.
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. 0 0
6b. Estimated payments and other credits from P age 3, Worksheet E, Line 4........ ...6b.
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6c. Total payments and credits (Line 6a plus Line 6b)...............................................6c.
7. A mount of Tax Due (Line 5 less Line 6c); if Line 6c is greater than Line 5
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enter dif ference on Line 10............. ............... ............... ............... ............... ...........7.
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8. Interest and Penalty.................. .............................................................................8.
9. TOTAL DUE including Interest and Penalty (Line 7 plus Line 8).
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M ake check payable to: "City of Philadelphia".................... ............... .............9.
10. Tax Overpaid. If Line 6c is greater than Line 5, enter difference here and on
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Estimated Tax Coupon (ENP-1) Line 2..................... ............... ............... .............10.
11. Fiscal Y ear Net Profits Estimates Due - enter 50% of Page 3,
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W orksheet C, Line 3...................................................................... ............... .......11.
12. If Line 10 is greater than Line 11, enter:
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A . A mount to be paid to the taxpayer........................... ............... ............... ......12A .
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B. A mount of overpayment to be applied up to the tax due to the
________ Business Privilege Tax. (Enter year)............... ............... ..............12B .
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C. Amount of overpayment to be applied to the Fiscal Net Profits
Tax Ending_______________________ (Enter date)...................... .............12C.
Under penalties of perjury, as set forth in 18 Pa. C.S . §§ 4902-4903 as amended, I swear that I have reviewed this return and
accompanying statements and schedules, and to the best of my knowledge and belief , they are true and complete.
Taxpayer Signature_______________________________________
Date________________ Phone #____________________
Preparer Signature________________________________________ Date________________ Phone #____________________
DO NOT STAP LE THIS RETURN
THIS FORM MUST BE FILED AND THE
AMOUNT DUE PAID IN FULL WITHIN 105 DAYS AFTER THE CLOSE OF YOUR FISCAL YEAR
MAIL TO: Department of Reven ue * P.O. Box 1529 * Philadelphia, PA 19105
Page 1
FYNPT 11 -15-2004
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