2015 Business Tax Return Form - Municipality Of Monroeville
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1
22015 TAX YEAR
Municipality of Monroeville
Account #
Business Tax Return
READ THOROUGHLY BEFORE COMPLETING FORM
IF YOU DO NOT HAVE AN ACCOUNT, SUBMIT WITH YOUR RETURN A REGISTRATION FORM.
INCOMPLETE FORMS OR MISSING ACCOUNT # MAY BE TREATED AS FAILURE TO FILE RETURN.
TAX IDENTIFICATION # _______________
# of employees working in Monroeville _______________
Description of Business Activity _______________________________________________________________
Check one: Business operated as a _____ Individual/Proprietor _______ Partnership _________ Corporation or LLC
___________________________________________________________________ NAME
____________________________________________________________________ ADDRESS
____________________________________________________________________
____________________________________________________________________ CITY / ST / ZIP
Monroeville Location(s) (only if different than above address): __________________________________________
Explain any changes from last year ________________________________________________________________
Name / Address of new owner ____________________________________________________________________
If discontinued or sold provide date ____/_____/____ and forwarding address: ______________________________
Signature: _______________________________________ Job Title: _____________________________________
PRINT NAME HERE: _____________________________________ Date _______/______/_______
Phone # _________________________________ Email: ________________________ Fax #__________________
INSTRUCTIONS: This return does not contain all disclosures. See
for Tax Regulations
Line 1 and 2 -Complete and insert Gross Receipts / Volume from Schedule A and B on reverse side of form.
Submit a copy of documentation used to obtain amount reported on line 1 and line 2
Line 6 = 1% per month is a combined rate of interest @ 6% per annum and penalty @ ½% per month
Line 7 = $25 per location in Monroeville when reporting receipts for only one tax type.
$50 for each location reporting receipts from wholesale and retail activities.
When subject to payment of a Retail or Wholesale License, enter zero in the Service license spot.
Checks should be made payable to “Municipality of Monroeville”
TH
Post mark at the post office BY APRIL 15
* the return with appropriate documentation and payment
* Due Date and tax form is different if business commenced in Monroeville in current year.
Mail to: Business Tax Office 2700 Monroeville Blvd Monroeville, PA 15146-2388
LOCAL LAW DOES NOT PROVIDE FOR AN EXTENSION OF TIME TO FILE. It is recommended you file a
tentative return WITH payment then amend the return if necessary. Any balance due must include interest & penalty.
|Wholesale
|Retail
|Service
1) TOTAL GROSS RECEIPTS / VOLUME See Sched. A |$
|$
|$
2) EXCLUSIONS - complete Schedule B
|
|
|
3) TAXABLE GROSS RECEIPTS (Line 1- 2)
|
|
|
4) TAX RATE
|
0.002 |
0.0025 |
0.004
5) TAX DUE (Line 3 x Line 4)
|
|
|
6) INTEREST AND PENALTY (1% a mo) (Line 6 x rate) |
|
|
7) ADD 2015 LICENSE FEE IF NOT ALREADY PAID |
|
|
|
|
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8) TOTAL DUE (Line 5 + Line 6 + Line 7)
Check # _____________ Total Paid = COMBINED TOTAL ALL COLUMNS $________________
YOU MUST SUBMIT A COPY OF THE SOURCE DOCUMENT USED TO OBTAIN ALL AMOUNTS
REPORTED ON THE RETURN. ALL EXCLUSIONS WILL ALSO BE DENIED IF APPROPRIATE
DOCUMENTATION OF LINE 1 AND LINE 2 IS NOT PROVIDED WITH RETURN.
Page 1 of 2
2/10/2015
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