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Application For A Real Estate Tax Credit For Active Duty Reserve And National Guard Members Form - City Of Philadelphia Department Of Revenue - 2011

City of Philadelphia Department of Revenue

2011 Application for a Real Estate Tax Credit

for Active Duty Reserve and National Guard Members

See instructions on reverse side before completing this application.

Property Address

Real Estate Tax Account Number

Print Applicant's Name

Applicant's Phone Number

. 0 0

1. Total Real Estate Tax from 2011 Tax Bill, Line 6...............................................1.

0.453975

2. City Tax Factor (see instructions).......................................................................2.

. 0 0

3. Maximum Real Estate Tax Credit Available (Line 1 times Line 2)....................3.

4. Number of Days on Active Duty Outside of Pennsylvania in 2010..................4.

365

5. Number of Days in 2010.......................................................................................5.

6. Active Duty Percentage (Line 4 divided by Line 5)............................................6.

. 0 0

7. Actual Real Estate Tax Credit for 2011 (Line 6 times Line 3)............................7.

→

If property is owned by Tenants in Common, see instructions on

reverse and indicate applicant's ownership percentage here:

8. Net Real Estate Tax Due for 2011 (Line 1 minus Line 7)

. 0 0

Make payment payable to "City of Philadelphia"...............................................8.

Official Certification

I certify that the data shown above supporting the applicant's claim is correct based on available duty records.

Officer's Signature________________________________________ Date_______________________Phone #_________________________

I certify that the data shown above is correct and that this is my principal residence.

Applicant's Signature______________________________________ Date_______________________

MAIL TO: PHILADELPHIA DEPARTMENT OF REVENUE

ACTIVE DUTY CREDIT

ROOM 530 - MUNICIPAL SERVICES BUILDING

1401 JOHN F. KENNEDY BOULEVARD

PHILADELPHIA, PA 19102

9-16-2010

Application For A Real Estate Tax Credit For Active Duty Reserve And National Guard Members Form - City Of Philadelphia Department Of Revenue - 2011