New Business Registration Form - City Of Pittsburgh

ADVERTISEMENT

ACCOUNT NUMBER
WALK-IN
BATCH
MAIL
FAX
NEW BUSINESS REGISTRATION
NBR
CITY OF PITTSBURGH AND SCHOOL DISTRICT OF PITTSBURGH
Rev 12/2004
Review Instructions On Reverse Side Before Completing This Form
FOR OFFICIAL USE
SIC CODE
__________
1. FEDERAL IDENTIFICATION NUMBER
2. SOCIAL SECURITY NUMBER
3. LEGAL NAME
4. TRADE NAME
5. BUSINESS
6. HOME
PHONE NUMBER
PHONE NUMBER
7. BUSINESS
Street Number
Street Name
MAIL ADDRESS
City
State
Zip Code + 4
Fax
E – Mail Address
Street Number
Street Name
8. PITTSBURGH
AREA ADDRESS
City
State
Zip Code + 4
If more than one attach list
9. BUSINESS OPERATED AS:
(include verification with Non-Profit status)
_____
INDIVIDUAL or a SINGLE MEMBER
_____ NON-PROFIT CORP
_____ PARTNERSHIP or Limited Liability Company
_____ OTHER
_____ ASSOCIATION
_____ S-CORPORATION
_____ CORPORATION or Limited Liability Company
10.
DETAIL BUSINESS DESCRIPTION
11. BUSINESS
12. DATE STARTED IN
START DATE
PITTSBURGH
Month
Day
Year
Month
Day
Year
13.
DOES YOUR BUSINESS EMPLOY CITY RESIDENTS?
YES
NO
14
. DATE BUSINESS BEGAN WITHHOLDING TAXES for employees residing in the City of Pittsburgh
and/or Mt. Oliver, or that are Non-Residents of Pennsylvania liable for Pittsburgh Tax
Month
Day
Year
15
. INDICATE TAX LIABILITY - If payment is due or late, payment can be enclosed with this registration form. Attach separate sheet with detailed
breakdown for back years, back taxes or more than two (2) payments. Check can be made payable to: TREASURER, CITY OF PITTSBURGH.
A $30.00 fee will be assessed for any check returned from the bank for any reason.
_____ Wage Tax (WT-1)
$____________
_____ Emergency & Municipal Services Tax (EM-1) $____________
_____ Business Privilege Tax (BP)
$____________
_____ Institution Service Privilege Tax (ISP)
$____________
_____ Amusement Tax (AT)
$____________
_____ Parking Tax (PT)
$____________
_____ Net Profit (NP-5)
$____________
_____ Payroll Expense Tax (ET-1)
$____________
16. OWNERS, PARTNERS, MEMBERS OR OFFICERS -
IF MORE THAN TWO (2), SUPPLY REQUIRED INFORMATION ON SEPARATE SHEET
LAST NAME – FIRST – MIDDLE
Social Security Number
Street Number
Street Name
City
State
Zip Code + 4
LAST NAME – FIRST – MIDDLE
Social Security Number
Street Number
Street Name
City
State
Zip Code + 4
17.
SIGNATURE
TITLE
DATE

ADVERTISEMENT

00 votes

Related Articles

Top 20 Happy Easter Cards And Gift Tags To Download For Free
Top Ten Easter Arts And Crafts Activities For Your Kids
Free Easter Coloring Pages And Easter Printables For Your Kids

Related forms

Business Registration Form - City Of Cleveland Heights Department Of Finance/income Tax Division Business Registration Form - City Of Cleveland Heights Department Of Finance/income Tax Division Life
New Taxpayer Registration Form - City Of Northport, Alabama New Taxpayer Registration Form - City Of Northport, Alabama Financial
Business Registration Form - City Of Bethlehem Tax Bureau Business Registration Form - City Of Bethlehem Tax Bureau Life
Business Registration Form - City Of Auburn, Al Business Registration Form - City Of Auburn, Al Life
Business Registration Form - City Of Henderson Business Registration Form - City Of Henderson Life
Business Registration Form - City Of Bowling Green, Kentucky Business Registration Form - City Of Bowling Green, Kentucky Life
Business Registration Form - City Of Auburn, Al Business Registration Form - City Of Auburn, Al Financial
Business Registration Form - City Of Versailles Business Registration Form - City Of Versailles Financial
Business Registration Form - City Of Versailles Business Registration Form - City Of Versailles Life
Business Registration Form - City Of Cleveland Heights Business Registration Form - City Of Cleveland Heights Life

Related Categories

Parent category: Life
Download
Go