Form 83-T-2106 - Allowable Employee Expense Document

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CITY
OF
PHILADELPHIA
ALLOWABLE
EMPLOYEE
EXPENSE
DOCUMENT
D E P A R T M E N T
O F
R E V E N U E
TAX
YEAR
___________
FILE WITH EMPLOYEE 4TH QUARTER ANNUAL RECONCILIATION FORM DUE
FEBRUARY 15TH OR WITH “FINAL RETURN” FILED UPON TERMINATION OF EMPLOYMENT
N A M E
DAYTIME TELEPHONE NUMBER
A D D R E S S
SOCIAL SECURITY NUMBER
CITY
STATE
ZIP CODE
ACCOUNT NUMBER
NAME
OF
EMPLOYER
OCCUPATION
A D D R E S S
TOTAL WAGES
CITY
STATE
ZIP CODE
FEDERAL IDENTIFICATION NUMBER
N
EXPENSES FOR COMMUTING, EDUCATION, CLOTHING, TOOLS, UNION AND ASSOCIATION DUES,
OTE:
PENSION PAYMENTS AND SUBSCRIPTIONS ARE NOT DEDUCTIBLE.
1.
Vehicle Expense (From Attached Federal No. 2106)
..............................................................................................................
___________________
2.
Parking Fees, Tolls (From Attached Federal No. 2106)
...........................................................................................................
___________________
3.
Travel Expenses While Away From Home (From attached Federal No. 2106)
...................................................
___________________
4.
Meals And Entertainment (100%)
............................................................................................................................................................
___________________
5a. Other Business Expenses (Please Specify)
___________________
___________________________
____________________________
______________________________
______________________________
___________________
5b. Total Of Other Expenses
..................................................................................................................................................................................
___________________
6.
Total Allowable Expenses (Lines 1, 2, 3, 4, 5a, 5b)
.....................................................................................................................
___________________
7.
Less Reimbursements From Employer
..................................................................................................................................................
___________________
8.
Net Allowable Employee Expenses (Lines 6 minus 7)
(Enter on Line 2 of Annual Reconciliation Form 83-T-86Y)
...................................................................................................
___________________
PER ORDINANCE ARTICLE III SECTION 304 “THE REVENUE COMMISSIONER IS CHARGED WITH THE RE-
SPONSIBILITY OF MAKING PERIODIC EXAMINATIONS OF BOOKS, PAPERS, AND RECORDS...OR ANY TAX-
PAYER SUBJECT TO THE CITY TAXES IN ORDER TO VERIFY THE ACCURACY OF ANY RETURN FILED.” THUS,
DOCUMENTATION SUPPORTING THE ABOVE EXPENSES MAY BE REQUESTED AT THE DISCRETION OF THE
REVENUE DEPARTMENT.
OFFICAL
USE
ONLY
Approved By _____________________________________________________
Date _____________________________
83-T-2106 (Rev. 1/96)

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