Form Op-3 - Occupation Privilege Tax

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FORM OP-3 OCCUPATION PRIVILEGE TAX
PERSONAL RETURN (SELF-EMPLOYED INDIVIDUALS AND EMPLOYEES PAYING THEIR OWN TAX)
OP-3 OCCUPATION PRIVILEGE TAX
1. Occupation
1. Occupation
Name of Business or Employer
Place of Employment: (City, Boro, or Twp.)
Privilege Tax
Privilege Tax
2. Penalty
2. Penalty
of Gross
of Gross
3. Interest
3. Interest
Year
Due Date
Social Security Number
Per Month
Per Month
4. Total Tax Paid
4. Total Tax Paid
NAME AND ADDRESS
I declare under penalty of law that the
Information herein contained is true and
DATE PAID:_______________________
correct
CHECK # ___________________
X
CASH
Signature
MONEY ORDER
Date:
BE SURE TO SIGN THIS RETURN
RETAIN STUB FOR YOUR RECORDS
RETURN THIS SECTION TO TAX OFFICE
Instructions
Reminder: forms MUST be signed
Important – The reporting and payment of this tax is applicable to the individual taxpayer identified in items 1 and 2 below.
Please check with your CENTAX office to determine if the tax is levied in your political subdivision.
1. Each self-employed individual or employer paying their own tax is required to register with the CENTAX office.
2. Each self-employed individual or employee paying their own taxes engaged in an occupation, full or part time, within the
taxing district must pay this tax.
3. Forms must be filed along with remittance on or before the due date for each period, unless otherwise designated.

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