Form 83-T-5 - City Of Philadelphia New Business Tax Status printable pdf download

INSTRUCTIONS

A Commercial Activity License is required for business conducted in Philadelphia. The license is free. If box 1A,

1B, 16G, 16H or 16I is checked, a Commercial Activity License is not required. You may apply for an account

number online at

» Your Federal Employer Identification Number must be entered on this application.

» A Social Security Number must be entered for a Sole Proprietorship.

» Enter the Pennsylvania Sales and Use Tax license number.

Block number:

1A and 1B. If this account is for Wage Tax or Net Profits Tax only, check the appropriate box.

2A and 2B. Indicate the exact date taxable Philadelphia business activity began in the spaces provided.

If you are claiming "New Business" tax status under Philadelphia Code 19-3800 you must complete

Page 2 of this application.

3. If you indicate "YES" on the front of the application, the appropriate tax returns will be mailed to you.

4. Indicate the exact date for which wage tax was first withheld in the spaces provided.

5. Your taxable monthly payroll will determine if you remit wage tax quarterly, monthly, semi-monthly or weekly.

6A. Check one box only to indicate your primary type of business.

6B. Indicate the exact type of business, e.g., manufacturing children's clothing, retail plumbing supplies, wholesale

grocery items, etc.

7. Indicate your entity name.

8. If you operate your business under a different name than in Block 7, enter here.

9. Enter your business address. Do not use a Post Office Box number as your business address. Indicate if you

own the property. If you own the property used for business purposes and it is located within Philadelphia,

you will also be liable for Business Use and Occupancy tax.

10. Enter your primary mailing address if different from the business address. Do not use a Post Office Box number as

your business address.

11. Branch locations would include any business location from which you are paying taxes, such as non-Philadelphia

retail establishments that withhold wage tax from Philadelphia residents. Do not use a Post Office Box number as

your branch office address.

12 through 15. Indicate daytime information.

16. Check the appropriate organization.

17 through 19. If additional space is needed, attach a separate sheet. Corporate officers and partners must include their

Social Security number in Block 19; corporate partners must include the EIN of the corporation.

20A and 20B. The information requested is on a voluntary basis only. You are not required to furnish this information, but

are encouraged to do so. If your entity is a partnership or a corporation, please check the boxes that apply

to the majority owner or owners.

Department of Revenue Information:

Department of Licenses and Inspections Information:

PHONE: 215-686-6600

PHONE: 215-686-2463

E-MAIL: revenue@phila.gov

E-MAIL: license.issuance@phila.gov

INTERNET:

83-T-5 (Reverse) Rev.12-31-2013

Form 83-T-5 - City Of Philadelphia New Business Tax Status