Form Ot-1 - Occupation Tax For Employers And Self-Employed Individuals 2004 printable pdf download

OT-1 2004

OCCUPATION TAX

CFD

For Employers and Self-Employed Individuals

City of Pittsburgh

Rev 09/02

FOR OFFICIAL USE ONLY

Amended Return ( )

Tax Return No Longer Needed ( )

CITY ID

FEDERAL ID

See section B, Below

TAX PERIOD

QUARTER

SIGNATURE______________________________________________

Due on or before

TITLE ___________________________DATE___________________

PHONE __(__________)_____________________________________

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.

Make name/address corrections above

MAKE SURE YOUR SIGNATURE AND DATE APPEAR ABOVE

USE BLACK INK ONLY ON THIS FORM

OCCUPATION TAX IS $10.00 PER EMPLOYEE, PER YEAR

1. NUMBER OF OT-2s REPORTED

This includes employees, sole proprietor and partners.

2. GROSS AMOUNT OF TAX - LINE 1 MULTIPLIED BY $10.00

You must include explanation if payment is not a multiple of $10.00.

3. PENALTY AND INTEREST IS 6% PER MONTH, IF APPLICABLE

Penalty per Month 5% (0.05)-(Maximum 50%), Interest per Month 1% (0.01)

TOTAL PAYMENT THIS QUARTER - ADD LINES 2 & 3

Make check payable to: TREASURER, CITY OF PITTSBURGH – DO NOT SEND CASH

Mail to: CITY OF PITTSBURGH OCCUPATION TAX – PO BOX 642606 – PITTSBURGH PA 15264-2606

A $30.00 fee will be assessed for any check returned from the bank for any reason.

SECTION B – STATUS CHANGE

If a business is no longer located in the City of Pittsburgh limits, but performs any type of service, contractual or otherwise within

the City limits, that business may still be liable for City/School District taxes. Contact the City of Pittsburgh Taxpayer Services

Center for further information at 412-255-8821.

If business entity discontinued all operations, give date of discontinuation:___________________________________________

Give addresses of any locations that are still open:______________________________________________________________

If the business entity has been sold, give name of the new owner:__________________________________________________

If the business entity has moved from Pittsburgh, give the date of move and address of new location:

______________________________________________________________________________________________________

Do you employ Pittsburgh residents? ( ) Yes or No ( )

Do you own the building where the business or rental was located? ( ) Yes or No ( )

Form Ot-1 - Occupation Tax For Employers And Self-Employed Individuals 2004

Related Articles

Related forms

Related Categories