Form Pt 2011 - Parking Tax - City Of Pittsburgh - 2010
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3PT 2011
PARKING TAX
CITY OF PITTSBURGH
CFD
Rev 09/10
CITY ID
FEDERAL ID
Amended Return ( )
Tax Return No Longer Needed ( )
Tax Period
SIGNATURE _____________________________________________
DUE ON OR BEFORE
TITLE _____________________ DATE _______________________
PHONE _________________________________________________
E-MAIL ADDRESS ________________________________________
PREPARER’S NAME ______________________________________
PREPARER’S PHONE ______________________________________
I hereby certify, swear and aver that all statements herein are true and correct to the best of my knowledge and belief,
being duly apprised of my duty under the law to submit honest and complete information or be subject to the penalties
provided by law.
OMISSION OF THE ABOVE APPLICABLE INFORMATION
CONSTITUTES AN INCOMPLETE RETURN
Make name/address corrections above
USE BLACK INK ONLY ON THIS FORM
COMPUTATION OF TAX LIABILITY
RATE = 37.5%
Enter all amounts in decimal point form. Ex: $1,000.00
PAYMENT TYPE
MONTHLY GROSS COLLECTION
LOCATION USED FOR PARKING
_______________________ . _______
1. DAY
_______________________ . _______
2. NIGHT
_______________________ . _______
3. EVENT
_______________________ . _______
4. LEASE
_______________________ . _______
5. OTHER
6. TOTAL GROSS COLLECTION – Total of Line 1 through Line 5
____________________________ . ______
____________________________ . ______
7. TAX DUE – Line 6 multiplied by the tax reciprocal .27273
____________________________ . ______
8. OTHER PAYMENTS OR CREDITS
9. TOTAL TAX DUE – Line 7 minus Line 8
____________________________ . ______
10. PENALTY AND INTEREST PER MONTH 6%
____________________________ . ______
Penalty at 5% (0.05) per month & Interest at 1% (0.01) per month
11. TOTAL DUE – Total of Line 9 and Line 10
____________________________ . ______
Amounts of $2.00 or less are not due. Amounts of $2.00 or less are not refundable.
Make check payable to: TREASURER, CITY OF PITTSBURGH – DO NOT SEND CASH
Mail to: PARKING TAX – 414 GRANT ST – PITTSBURGH PA 15219-2476
A $30.00 fee will be assessed for any check returned from the bank for any reason.
CONTINUE & COMPLETE BACK OF FORM
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