Radnor Township Business Privilege Tax Return Form

RADNOR TOWNSHIP

BUSINESS PRIVILEGE TAX RETURN

(For Calendar Year January 1 to December 31, 2014)

To be filed with:

Radnor Township, Finance Department

301 Iven Avenue, Wayne PA 19087

ACCOUNT NO.

Make checks payable to Radnor Township

Your cancelled check is your receipt

NAME

ADDRESS

Check if Final Return

CITY, STATE ZIP

Check if Extension Only

Tax Identification Number (EIN/SSN):

Attach copies of federal tax returns and schedules or worksheets to support Gross Volume of Business reported and any

claimed exclusions or exemptions. Tax return not considered complete unless such documents are attached.

BUSINESS PRIVILEGE TAX (Due May 15, 2015*)

1. Total 2014 Gross Receipts subject to tax (includes Other Income)

1a. Less Annual Exclusion

Subtract

(25,000.00)

1b. Receipts Subject to Tax (Line 1 – Line 1a)

2. Tax Due (Line 1b x 0.003)

3. Less Prior Year Estimated Tax Paid (Line 6 of Last Year’s Return)

Subtract

(

)

4. Additional Tax or Credit Due (Line 2 – Line 3)

5. Current Year: Estimated 2015 Gross Receipts less $25,000

6. Estimated Tax Due (Line 5 x 0.003)

7. Total Tax Due (Line 6 + Line 4)

8. EXTENSION – Amount paid with timely extension filing

9. Tax Due less Extension Amount previously paid (Line 7 – Line 8)

PENALTY & LATE CHARGES (if not filed and/or paid by May 15, 2015)

10. Add 10% to Line 9 (applied to late or incomplete returns/payments)

11. Add 1% to Line 9 for each month or part thereof that return is late

12. LICENSE FEE ($10.00 per location in Radnor Township) ___ X $10

13. TOTAL DUE WITH RETURN (Line 9 + Line 10 + Line 11 + Line 12)

□

If less than $0, check box

for Refund (if not checked, credit for 2015)

___________________________________________________________________________________________________________

Please review all of your businesses information in the shaded areas of this return for accuracy. Any changes to this

information must be noted below.

Location(s) of Business: ______________________________________________________________________________________

Name/Trade Name ___________________________________________________________________________________________

Mailing Address _____________________________________________________________________________________________

Phone Number ______________________________________________________________________________________________

___________________________________________________________________________________________________________

I declare under penalty of law that all statements made herein and in supporting schedules are true, correct and complete

to the best of my knowledge and belief.

Preparer’s Signature:

Taxpayer’s Signature:

Print Name: ________________________________

Print Name: ____________________________________

Date: ______________________________________

Date: _________________________________________

Telephone No.: ______________________________

Telephone No.: _________________________________

Email: ______________________________________

Email: ________________________________________

To receive official documents or correspondence from Radnor Township concerning business taxes, please provide a valid email address. By doing so, you authorize

Radnor Township to send such documents or information via email. Thank you.

Radnor Township Business Privilege Tax Return Form - 2014

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