Form Pk-3 - Employer'S Registration Report For Newark Payroll Tax - 2007 Page 3

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ALL OF THE ABOVE ITEMS MUST BE ANSWERED
CITY OF NEWARK PAYROLL TAX RETURN
1 . Gross Payroll this Quarter
2/2007
2. Gross Payroll Excluded
For Second Quarter ended June 30, 2007 (payment due July 31, 2007)
(from Schedule A. reverse)
3. Taxable Payroll
(line 1 less line 2)
Employer's Federal ID No.
4. Payroll Tax - 1 % (If Line 3 is
Employer's Name, Mailing Address and Telephone Number
$2.500.00 or less, enter 0)
Employer
5. Interest (if any)
___________________________________________________
Street or P.O. Box
___________________________________________________
6. Penalty (if any)
City, State and Zip Code
Make checks payable to:
7. Credit (Overpayments in prior
_______________________
years.)
"City of Newark-Payroll Tax"
Area Code– Telephone Number
Mail to: P.O. Box 15118
_______________________
8. Amount of this Payment (sum
Newark, New Jersey 07192
Block No.
Lot No.
of lines 4, 5 and 6) less line 7.
2007
I certify that
this is a
Date
correct return:
Form PK-3
Signature
Preparer’s Signature (Other than Taxpayer)
ALL OF THE ABOVE ITEMS MUST BE ANSWERED
CITY OF NEWARK PAYROLL TAX RETURN
1 . Gross Payroll this Quarter
3/2007
2. Gross Payroll Excluded
For Third Quarter ended Sept. 30, 2007 (payment due Oct. 31, 2007)
(from Schedule A. reverse)
3. Taxable Payroll
(line 1 less line 2)
Employer's Federal ID No.
4. Payroll Tax - 1 % (If Line 3 is
$2.500.00 or less, enter 0)
Employer's Name, Mailing Address and Telephone Number
Employer
5. Interest (if any)
___________________________________________________
Street or P.O. Box
___________________________________________________
6. Penalty (if any)
City, State and Zip Code
Make checks payable to:
7. Credit (Overpayments in prior
_______________________
years.)
"City of Newark-Payroll Tax"
Area Code– Telephone Number
Mail to: P.O. Box 15118
_______________________
8. Amount of this Payment (sum
Newark, New Jersey 07192
Block No.
Lot No.
of lines 4, 5 and 6) less line 7.
2007
I certify that
this is a
Date
correct return:
Form PK-3
Signature
Preparer’s Signature (Other than Taxpayer)
ALL OF THE ABOVE ITEMS MUST BE ANSWERED
CITY OF NEWARK PAYROLL TAX RETURN
1 . Gross Payroll this Quarter
4/2007
2. Gross Payroll Excluded
For Fourth Quarter ended Dec. 31, 2007 (payment due Jan 31, 2008)
(from Schedule A. reverse)
3. Taxable Payroll
(line 1 less line 2)
Employer's Federal ID No.
4. Payroll Tax - 1 % (If Line 3 is
$2.500.00 or less, enter 0)
Employer's Name, Mailing Address and Telephone Number
Employer
5. Interest (if any)
___________________________________________________
Street or P.O. Box
___________________________________________________
6. Penalty (if any)
City, State and Zip Code
Make checks payable to:
7. Credit (Overpayments in prior
_______________________
years.)
"City of Newark-Payroll Tax"
Area Code– Telephone Number
Mail to: P.O. Box 15118
_______________________
8. Amount of this Payment (sum
Newark, New Jersey 07192
Block No.
Lot No.
of lines 4, 5 and 6) less line 7.
2007
I certify that
this is a
Date
correct return:
Form PK-3
Signature
Preparer’s Signature (Other than Taxpayer)

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