PAYROLL TAX STATEMENT
2008
DELINQUENT
SAN FRANCISCO TAX COLLECTOR
AFTER MARCH 2, 2009
LONG
BUSINESS TAX SECTION
P.O. BOX 7425
FORM
SAN FRANCISCO, CA 94120-7425
TAXPAYER ASSISTANCE: (415) 554-4400,
CERTIFICATE NUMBER
TAX YEAR
2008
DO NOT WRITE IN PRE-PRINTED AREAS. USE BLACK INK AND STAY INSIDE BOXES.
Final Statement:
Date closed/sold (mm/dd/yyyy)
/
/
If sold, name, address, and phone number of new owner:
____________________________________
____________________________________
____________________________________
(_______)____________________________
Contact Number
-
-
Complete this form if your 2008 taxable SF payroll was $66,666.34 or more, or you are claiming the EZ tax credit.
Total PAYROLL EXPENSE
,
,
,
.
$
1.
From Schedule C,
line 8, column A
for the entire business entity
,
,
,
.
$
Total EXEMPT PAYROLL
From Schedule C,
line 8, column B
2.
3.
From Schedule C,
Total Taxable S.F. Payroll
line 8, column C
$
(Subtract line 2 from line 1)
,
,
,
.
4.
Payroll Tax Calculated (Multiply line 3 by Payroll Tax rate of 1.5% or .015)
$
5.
NOTE: If line 4 is less than $1,000.00, complete and return the Registration Renewal only, unless claiming a refund or filing a final statement.
If line 4 is over $2,500.00 enter the amount from line 4, otherwise, enter zero, and complete lines 7 to 16.
6.
$
7.
Enter calculated Enterprise Zone Tax Credit AMOUNT and ATTACH WORKSHEET.
,
,
,
.
$
If none, put zero on line 7.
$
8.
Tax Liability after EZ Tax Credit (Subtract TOTAL of line 7 from line 6. If line 7 is greater than line 6, enter zero.)
$
9.
Enter 2008 PREPAYMENT PAID (Do not include Registration Fees). If none, enter zero.
$
Amount due.
10.
(Subtract line 9 from line 8. If line 9 is larger than line 8, enter zero.)
,
,
.
$
11.
Amount to be refunded to you. (If line 9 is larger than line 8, enter difference.)
$
If filed or postmarked after March 2, 2009, enter LATE FILING PENALTY.
12.
If paid after March 2, 2009, enter LATE PAYMENT PENALTY. If Line 4 is greater than $2,500.00, add an
13.
$
additional 20% penalty after 5/31/09. See reverse.
$
14.
If paid after March 2, 2009, enter INTEREST. See reverse.
If filed or postmarked after March 2, 2009, enter ADMINISTRATIVE FEE of $35.00.
$
15.
16.
$
TOTAL DUE. (Add Lines 10,12,13,14,15.) Make check payable to SF Tax Collector.
THIS STATEMENT MUST BE FILED OR POSTMARKED BY MARCH 2, 2009 OR YOU WILL BE SUBJECT TO FEES, PENALTIES, AND/OR INTEREST.
Under the laws of the State of California, I declare under penalty of perjury that I have read this document and that it is true, correct, and complete to the
best of my knowledge and belief.
PRINT NAME
TITLE
FAX NUMBER
X
SIGN HERE
DATE
B106-08
Prepare only one STATEMENT (Long Form) even if you attach multiple Schedule Cs
PLEASE ATTACH SCHEDULE C TO STATEMENT WHEN FILING
27992