Form Np-5 - Declaration Of Estimated Tax On Net Profits - 2011

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NP-5 2011
DECLARATION OF ESTIMATED
TAX ON NET PROFITS
CFD
City of Pittsburgh
School District of Pittsburgh
and
FOR PROPER CREDIT
Rev 09/10
SOCIAL SECURITY NUMBER MUST BE ENTERED IN BOX BELOW
Amended Return ( )
Tax Return No Longer Needed ( )
CITY ID
SOCIAL SECURITY
SIGNATURE _____________________________________________
TAX PERIOD
QUARTER
TITLE _____________________ DATE _______________________
Due on or before
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
IF YOU HAVE NO NET PROFIT THIS QUARTER – YOU DO NOT HAVE TO FILE THIS RETURN!
CODE 1 = 3%
CODE 2 = 2%
CODE 3 = 1%
TAXPAYER IS A CODE
Resident of
Resident of
Non-Resident of
City of Pittsburgh
Mt. Oliver
PA or U.S.
1. ESTIMATED TAX DUE ON NET PROFITS FOR THE CURRENT QUARTER
2. TAX PAID THIS QUARTER
Net Profit earnings multiplied by appropriate rate
3. PENALTY and INTEREST = 1.0% PER MONTH
Penalty – City 0.5% (.005) and School 0.5% (.005)
Interest - City 0.5% (.005) and School 0.5% (.005)
4. TOTAL REMITTANCE WITH THIS RETURN Add line 2 and line 3
Make check payable to: TREASURER – CITY OF PITTSBURGH – DO NOT SEND CASH
Mail to: CITY OF PITTSBURGH NET PROFIT – PO BOX 642589 – PITTSBURGH PA 15264-2589
A $30.00 fee will be assessed for any check returned from the bank for any reason.
Has business been sold or discontinued?
If YES, a BUSINESS DISCONTINUATION FORM must be completed and returned for processing.
Please call 412-255-2510 to request the form. For assistance with this form call 412-255-2508.
Form(s) can be downloaded at
INFORMATION & INSTRUCTIONS
ON REVERSE SIDE

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