Form Et-1 - Payroll Expense Tax - City Of Pittsburgh - 2015

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ET-1 2015
PAYROLL EXPENSE TAX
City of Pittsburgh
CFD
Rev 09/14
CITY ID
FEDERAL ID
Amended Return ( )
Tax Return No Longer Needed ( )
Complete Discontinuation Form
TAX PERIOD
QUARTER
SIGNATURE _____________________________________________
Due on or before
TITLE _____________________ DATE ________________________
PHONE _________________________________________________
E-MAIL ADDRESS ________________________________________
PREPARER’S NAME ______________________________________
PREPARER’S PHONE ______________________________________
I hereby certify, swear and aver that all statements herein are true and correct to the best of my knowledge and
belief, being duly apprised of my duty under the law to submit honest and complete information or be subject to the
Make name/address corrections above
penalties provided by law.
USE BLACK INK ONLY ON THIS FORM
OMISSION OF THE ABOVE APPLICABLE INFORMATION
CONSTITUTES AN INCOMPLETE RETURN
MESSAGE BOX – WHEN TO FILE AND PAY
First quarter (03)
calculated on October, November, and December of preceding year
due February 28
Second quarter (06)
calculated on January, February, and March of the current year
due May 31
Third quarter (09)
calculated on April, May, and June
due August 31
Fourth quarter (12)
calculated on July, August, and September
due November 30
If you are a 501C-3 Purely Public Charity, see the instructions on the back and check this box if you qualify.
1. TAXABLE PAYROLL EXPENSE FOR 2015
a. The term “payroll expense” for employers shall mean, the compensation earned by
employees, irrespective of when paid, including salaries, wages, commissions, bonuses,
and other compensation, by an individual who, during any tax year, performs work or
renders service, in whole or in part in the city.
b. The term “payroll expense” for self-employed individuals shall mean, in addition to
the foregoing, the entire amount of distributions made to any self-employed individual from
their business for work or services performed in the City of Pittsburgh. The term “payroll
expense” for partnerships shall also mean, in addition to the foregoing, the entire amount of
distributions made to any person having an interest in such partnership for work or services
performed in the City of Pittsburgh.
2.
TOTAL PAYROLL EXPENSE
ADD LINES 1a & 1b
MULTIPLY LINE 2 BY TAX RATE .0055
3.
TAX DUE
4.
PENALTY & INTEREST IF FILED AFTER
Total 1½% per month
Penalty 1% (0.01)
Interest ½% (0.005)
5.
OVERPAYMENT
CHECK ONE
( ) REFUND or CREDIT ( )
Attach explanation
6.
TOTAL DUE WITH THIS RETURN
Add Lines 3 & 4
AMOUNTS OF $2.00 OR LESS ARE NOT DUE
Make check payable to: TREASURER, CITY OF PITTSBURGH – DO NOT SEND CASH
Mail to: PAYROLL EXPENSE TAX – 414 GRANT ST STE 224 – PITTSBURGH PA 15219-2476
A $30.00 service fee will be charged for any check returned from the bank for any reason.

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