Mercantile License Application And Tax Return - Plymouth Township - 2016
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1
2PLYMOUTH TOWNSHIP
MERCANTILE LICENSE APPLICATION AND TAX RETURN
CALENDAR YEAR 2016
INCLUDE COMPLETE ADDRESS AND ACCOUNT
NUMBER IF ORIGINAL FORM AND MAILING
LABEL NOT SUBMITTED
ANSWER ALL QUESTIONS BELOW
PLEASE FORWARD FORM TO PROPER PERSON FOR COMPLETION
Check applicable block:
Individual
Partnership
Corporation
Other
Owner or Trade Name if different from above ___________________________________________________________________________________________
If individual owner, give home address ________________________________________________________________________________________________
Business location in Plymouth Township _______________________________________________ Phone_________________________________________
Nature of business ________________________________________________________________________________________________________________
Has nature of business changed during year?
Yes
No
Date Business located in Plymouth Township ___________________________________________________________________________________________
When did you last file a Mercantile Tax Return? _________________________________________________________________________________________
Date Business terminated __________________________________________________________________________________________________________
If business sold (or assets liquidated), insert purchaser’s name and address below:
Name _____________________________________________________________________________________________________________________
Address ___________________________________________________________________________________________________________________
Do you have any other branch or business in Plymouth Township?
Yes
No
If yes, submit schedule.
Do you lease (sub-lease) to others?
Yes
No
Submit schedule showing details.
If you have obtained any special rulings from Federal or State taxing authorities, attach copy.
Yes
No
SUMMARY OF AMOUNTS DUE
1.
LICENSE FEE
ATTACH:
Payable by APRIL 15, 2016
A copy of your complete
(See Fee Schedule on Reverse Side)
Federal Return including current
2.
FINAL MERCANTILE TAX FOR CALENDAR YEAR ENDED
Federal Form #1120 or 1120S,
Federal Schedule C-1040,
DEC. 31, 2015, Due APRIL 15, 2016
1065 or Schedule E,
(Line 7, Schedule “A’’)
Corporations with out of state
3.
ESTIMATED MERCANTILE TAX FOR CALENDAR YEAR
sales should also provide a
ENDING DEC. 31, 2016, Due APRIL 15, 2016
copy of the PA Corporate
(Line 5, Schedule “B’’)
Return, RCT 101.
If receipts reported on federal/
4.
NEW BUSINESS ESTIMATED MERCANTILE TAX FOR
state returns differ from receipts
on the Plymouth return, please
CALENDAR YEAR ENDING DEC. 31, 2016
provide a reconciliation, local
(Line 4, Schedule “C”)
office sales report and/or an
5.
a. Lines 1 & 2 & 3
explanation.
TOTAL DUE:
b. For New Businesses - Lines 1 & 4
(Minimum due $35.00)
Make Check or Money Order Payable to PLYMOUTH TOWNSHIP – IN THIS AMOUNT
I DECLARE UNDER PENALTY OF LAW THAT ALL STATEMENTS MADE HEREIN AND/OR IN SUPPORTING SCHEDULES ARE TRUE, CORRECT
AND COMPLETE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
Signature ________________________________________________
_________________________________________________________
Official Title _________________________ Date ________________
Signature of Person Preparing Return - If other than Taxpayer
(Owner, Partner, President, etc.)
THIS RETURN MUST BE FILED ON A CALENDAR YEAR BASIS AND THE TAX PAID IN FULL.
MAIL TO: PLYMOUTH TOWNSHIP, 700 BELVOIR ROAD, PLYMOUTH MEETING, PA 19462.
IF YOU STARTED YOUR BUSINESS DURING TAX YEAR, SEE INSTRUCTIONS.
TELEPHONE: TAX OFFICE (610) 233-0591, MAIN NUMBER (610) 277-4100
NO EXTENSIONS – MUST BE FILED BY 4/15/16
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