Form Wt-4 - Employee'S Quarterly Non-Withholding - 2011

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WT-4 2011
EMPLOYEE’S QUARTERLY
NON-WITHHOLDING
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 _______________________
PHONE _________________________________________________
Due on or before
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.
Make name/address corrections above
OMISSION OF THE ABOVE APPLICABLE INFORMATION
USE BLACK INK ONLY ON THIS FORM
CONSTITUTES AN INCOMPLETE RETURN
IF YOU HAVE NO TAXABLE EARNINGS – YOU DO NOT HAVE TO FILE THIS FORM
CODE 1 = 3%
CODE 2 = 2%
CODE 3 = 1%
CODE 4 = 1%
TAXPAYER IS A CODE
City/School
School Only
Non-Resident of PA
City Only
1. TAXABLE EARNINGS THIS QUARTER
2. TAX DUE THIS QUARTER
Quarterly earnings multiplied by appropriate tax 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 WAGE TAX – PO BOX 642574 – PITTSBURGH PA 15264-2574
A $30.00 fee will be assessed for any check returned from the bank for any reason.
For assistance with this form call 412-255-8821. Form(s) can be downloaded at
FIRST TIME FILERS – PLEASE COMPLETE
____________________________________________________________________________________________
EMPLOYER NAME
PHONE
____________________________________________________________________________________________
CITY
STATE
ZIP+FOUR
INFORMATION & INSTRUCTIONS
City of Pittsburgh and School District of Pittsburgh tax laws, ordinances and resolutions stipulate that all employees must file and pay the wage tax quarterly if their
employer is NOT withholding the tax. Failure to file quarterly will result in the imposition of a penalty and interest charge.
FIRST QUARTER:
January 1 thru March 31 (due April 30)
THIRD QUARTER:
July 1 thru September 30 (due October 31)
SECOND QUARTER:
April 1 thru June 30 (due July 31)
FOURTH QUARTER:
October 1 thru December 31 (due January 31)
IF YOU HAVE NO TAXABLE EARNINGS – YOU DO NOT HAVE TO FILE THIS FORM!
LINE 1 Enter your taxable wages for the current quarter.
LINE 2 Multiply your quarterly wages by the appropriate tax rate. If your employer is deducting a portion of your local wage tax you need this form to pay the
portion not being withheld. A City resident is subject to City and School Earned Income Taxes. A Mt. Oliver Borough resident is subject to the School Earned
Income Tax only. A Non-Resident of the State of PA or the U. S. working in the City is subject to the City Earned Income Tax. SEE RATES ABOVE
LINE 3 Payment must be filed with the Treasurer on or before the due date. Payments made after the due date must include penalty and interest for each
month(s) that the payment is late. Understatement of tax due may result in the imposition of penalty and interest charges.
The U. S. Postal Service Postmark is the only proof of timely filing accepted.
LINE 4 Add Line 2 and Line 3 and enter the total amount due.
STATE ACT 187 OF 2004, which amended the Act of August 24, 1901, P.L. 1135, No. 508 requires that the School District of Pittsburgh to share the Earned
Income tax with the City of Pittsburgh as follows: in tax year 2007, one tenth of one per centum (0.1%) to the City, in tax year 2008, two-tenths of one per centum
(0.2%) to the City, in tax year 2009, and thereafter, one quarter of one per centum (0.25%) to the City.

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