Ez Form Payroll Tax Statement - San Francisco Tax Collector - 2006
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12006 EZ FORM PAYROLL TAX STATEMENT
DELINQUENT AFTER FEBRUARY 28, 2007
BUSINESS TAX ID NUMBER
CERTIFICATE NUM BER
TAX YEAR
BUSINESS LOCATION
2006
DO NOT WRITE IN PRE-PRINTED AREAS. USE BLACK INK AND STAY INSIDE BOXES.
PLEASE HAND PRINT. DO NOT TYPE. DO NOT SEND PHOTOCOPY.
Complete this form only if your 2006 taxable San Francisco payroll was $66,666.34 or more, or you are claiming a
refund, or this is a final statement. Otherwise, complete and return the Business Registration Renewal only.
Final Statement
___________
Date closed/sold
If sold, name, address, and phone number of new owner:
_____________________________________
_____________________________________
_____________________________________
(_______)_____________________________
,
Number of taxable San Francisco
employees for 2006:
-
-
CONTACT NUMBER
,
,
,
.
$
Total PAYROLL EXPENSE
1.
,
,
,
.
$
2.
Total EXEMPT PAYROLL
$
Total Taxable San Francisco Payroll (Subtract line 2 from line 1)
3.
,
,
,
.
4.
$
Payroll Tax Calculated (Multiply line 3 by Payroll Tax rate of 1.5% or .015)
If line 4 is less than $1,000.00, complete and return the Registration Renewal only unless claiming a refund or filing a final statement.
5.
$
6.
If line 4 is over $2,500.00 enter the amount from line 4, otherwise, enter zero, and complete lines 7 to 14.
$
7.
Enter 2006 PREPAYMENT PAID (Do not include Registration Fees). If none, enter zero.
$
8.
Amount due. (Subtract line 7 from line 6. If line 7 is larger than line 6, enter zero).
,
,
$
.
9.
Amount to be refunded to you.
(If line 7 is larger than line 6, enter difference). See instruction booklet.
$
10.
If filed or postmarked after February 28, 2007, enter LATE FILING PENALTY. See instruction booklet.
$
If paid after February 28, 2007, enter LATE PAYMENT PENALTY. See reverse and/or instruction booklet.
11.
$
If paid after February 28, 2007, enter INTEREST. See instruction booklet.
12.
13.
$
If filed or postmarked after February 28, 2007, enter ADMINISTRATIVE FEE of $35.00.
14.
TOTAL DUE. (Add Lines 8,10,11,12,13). Make check payable to San Francisco Tax Collector.
$
8325
Under the laws of the State of California, I declare under penalty of perjury that I have read the foregoing and that it is true,
correct, and complete to the best of my knowledge and belief.
X
DATE
B143-06
SIGN HERE
THIS STATEMENT MUST BE FILED BY FEBRUARY 28, 2007 OR YOU WILL BE SUBJECT TO FEES, PENALTIES, AND/OR INTEREST.
PLEASE DO NOT TEAR APART HERE
SAN FRANCISCO TAX COLLECTOR
2006 EZ
BUSINESS TAX SECTION
P.O. BOX 7425
SAN FRANCISCO, CA 94120-7425
PAYROLL TAX STATEMENT
TAXPAYER ASSISTANCE: (415) 554-4400 TTY: (415) 554-4455
PERIOD COVERED:
January 1 - December 31, 2006
DELINQUENT IF PAID OR POSTMARKED AFTER FEBRUARY 28, 2007
BUSINESS TAX ID NUMBER
OWNERSHIP NAME
PAYMENT ENCLOSED
NOTE: Payment enclosed must equal the amount due on Line 14.
OVER
(Please write your Business Tax ID or certificate number on your check.)
Neighborhood Beautification Fund Designation
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