School Income Tax Form - City Of Philadelphia - 2014
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1Print Form
Your Social Security Number
CITY OF PHILADELPHIA
2014 SCHOOL INCOME TAX
2
9
1
4
DUE DATE: APRIL 15, 2015
Spouse's Social Security Number
Taxpayer Name and Address
File online or download forms at
YOU MUST USE THE CHANGE FORM TO REPORT A CHANGE OF ADDRESS.
If this is an amended return place an "X" here:
If you were a partial year resident in 2014,
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m m
d d
y y
m m
d d
y y
refer to page 1 of instructions and enter dates of residency here:
to
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-
m m
d d
y y y y
If you no longer have income subject to School Income Tax enter the termination date AND file a CHANGE FORM.
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.00
1. Net Taxable Dividends (School Income Tax Regulation 203(a)).....................................1.
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.00
2. Taxable Interest (Reg. 203(b)).........................................................................................2.
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.00
3. "Subchapter S" Corporation Income Distribution (Regs. 202 and 203)...........................3.
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.00
4. Limited Partnership Income (Reg. 203(i)). If loss, enter "0" (zero)..................................4.
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.00
5. Taxable Income received by a Beneficiary of an Estate or Trust (Reg. 205)...................5.
6. Net Short Term Capital Gains (held 6 months or less) (Reg. 203(d) and 204(b)).
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.00
If loss, enter "0" (zero)......................................................................................................6.
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.00
7. Net Rental Income (Reg. 203(c)). If loss, enter "0" (zero)...............................................7.
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.00
8. Other Taxable Income (Reg. 203(e, f, g and h))..............................................................8.
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.00
9. Total Taxable Income (Add lines 1 through 8).................................................................9.
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.00
10. Deductible Expenses (Reg. 204(a))...............................................................................10.
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.00
11. Net Taxable Income (Subtract line 10 from line 9).........................................................11.
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.00
12. Gross Tax Due (Multiply line 11 by .03920)...................................................................12.
13. Credit from overpayment of prior year or tax previously paid
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.00
with an extension coupon...............................................................................................13.
14. TAX DUE If Line 12 is greater than Line 13, enter the difference here
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.00
and on the PAYMENT COUPON...................................................................................14.
OVERPAYMENT OPTIONS If Line 12 is less than Line 13, enter the amount to be:
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.00
15A. REFUNDED. Do not file a separate Refund Petition.............................................15A.
OR
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.00
15B. APPLIED to the 2015 School Income Tax..................................................................15B.
Under penalties of perjury, as set forth in 18 PA C.S. §§ 4902-4903 as amended, I swear that I have reviewed this return
and accompanying statements and schedules, and to the best of my knowledge and belief, they are true and complete.
Taxpayer Signature________________________________________ Date_______________________Phone #_________________________
Spouse's Signature________________________________________ Date_______________________Phone #_________________________
Preparer Signature_________________________________________ Date_______________________Phone #_________________________
2914 4-15-2015
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