Form Wt-1 - Employer Quarterly Withholding & Reconciliation

WT-1 2011

EMPLOYER QUARTERLY

WITHHOLDING & RECONCILIATION

CFD

City of Pittsburgh

School District of Pittsburgh

and

Rev 09/10

Amended Return ( )

Tax Return No Longer Needed ( )

CITY ID

FEDERAL ID

Complete Discontinuation Form

SIGNATURE _____________________________________________

TAX PERIOD

QUARTER

Due on or before

TITLE _____________________ DATE _______________________

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

Make name/address corrections above

CONSTITUTES AN INCOMPLETE RETURN

USE BLACK INK ONLY ON THIS FORM

COLUMN A

COLUMN B

COLUMN C

CITY TAX 1%

SCHOOL TAX 2%

NON-RESIDENT OF PA OR U.S. 1%

QUARTERLY TAXABLE WAGES

. ADJUSTMENT OF WAGES

Include a detailed explanation

3. TAXABLE WAGES THIS QUARTER

Subtract line 2 from line 1

4. TAX DUE ON WAGES

Multiply line 3 by rate for column

LINES 5, 6 AND 7 ARE FOR MONTHLY FILERS ONLY. Employers who do not file monthly (form WTD) go to line 8.

5. TAX WITHHELD and DEPOSITED

for 1

MONTH of this QUARTER

6. TAX WITHHELD and DEPOSITED

for 2

MONTH of this QUARTER

7. TOTAL - FIRST TWO MONTHLY

DEPOSITS Add line 5 and line 6

8. BALANCE DUE WITH THIS

RETURN Subtract line 7 from line 4

TOTAL 6% - If Applicable

TOTAL 5.5% - If Applicable

TOTAL 6% - If Applicable

9. PENALTY and INTEREST

City Penalty 5% (0.05) – City Interest 1% (0.01)

School Penalty 5% (0.05)

Penalty and Interest per month

School Interest 0.5% (0.005)

If Applicable

10. TOTAL

Add line 8 and line 9

11. TOTAL REMITTANCE WITH THIS RETURN Add the amounts on line 10, columns A, B & C

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

Mail to: WAGE TAX DUE – PO BOX 642595 – PITTSBURGH PA 15264-2595

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.

Form(s) can be downloaded at or call 412-255-2510 to request the form.

WT- 1 PAYMENT ENCLOSED

PO BOX 642595

PITTSBURGH PA 15264-2595

WT- 1 NO TAX DUE

414 GRANT ST

PITTSBURGH PA 15219-2476

WT- 1 REFUND

PO BOX 642650

PITTSBURGH PA 15264-2650

WT- 1 TAX DUE - NO PAYMENT

414 GRANT ST

PITTSBURGH PA 15219-2476

Form Wt-1 - Employer Quarterly Withholding & Reconciliation - 2011

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