Form Bpt-Ez - Business Privilege Tax - 2003
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2MAKE NO MARKS IN THIS AREA
CITY OF PHILADELPHIA
2003
0 1 0 3
BUSINESS PRIVILEGE TAX - EZ
BPT-EZ
DUE BY APRIL 15, 2004
DO NOT STAPLE THIS RETURN
CITY ACCOUNT NUMBER
TAXPAYER NAME & ADDRESS
PLACE LABEL HERE
Always enter your account number
FEDERAL IDENTIFICATION NUMBER
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Use the Change Form to report an address change. Do not
SOCIAL SECURITY NUMBER
make changes on the above label. See Instruction Sheet I.
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If your business terminated in 2003, do not enter an amount
on Line 4 for the 2004 BPT Estimated Payment. Instead, you
→
must indicate the termination date in the space provided. If
If your business terminated in 2003,
you fail to do this and Line 4 does not equal Line 3, you will
enter the termination date here:
be billed for the amount of the 2004 Estimated Business
Privilege Tax due.
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m
d
d
y
y
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y
COMPUTATION OF TAX DUE OR REFUND
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1. NET INCOME PORTION OF TAX (from Page 2, Line 5).
If there is no tax due, enter "0".....................................................................................1.
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2. GROSS RECEIPTS PORTION OF TAX (from Page 2, Line 8).
If there is no tax due, enter "0".................................................................................... 2.
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3. TAX DUE for the 2003 Business Privilege Tax (Line 1 plus Line 2)..............................3.
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4. MANDATORY 2004 BPT Estimated Payment (repeat Line 3)...................................4.
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5. Total Due by 4/15/2004 (Line 3 plus Line 4).................................................................5.
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6. Estimated payments and other credits:
a. Credit from overpayment of 2002 or 2003 Net Profits Tax......................................6a.
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b. Any estimated payment of 2003 BPT previously made and / or
credit from overpayment of the Actual 2002 BPT return............................6b.
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c. Total Payments and Credits (Line 6a plus 6b).......................................................6c.
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7. Net Tax Due (Line 5 less Line 6c)................................................................................7.
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00
8. Interest and Penalty
(Cumulative % from Instruction Sheet III multiplied by Line 7).....................................8.
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00
9. TOTAL DUE including Interest and Penalty (Line 7 plus Line 8).
Use Payment Coupon, make check payable to: "City of Philadelphia".................9.
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00
10. Overpayment options. If Line 6c is larger than Line 5, enter:
a. Amount to be refunded to taxpayer. Do not file a separate Refund Petition....10a.
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b. Amount of overpayment to be applied up to the tax due to the
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2003 Net Profits tax.............................................................................................10b.
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c. Amount of overpayment to be applied to the
00
2004 Business Privilege tax.................................................................................10c.
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 #____________________
Preparer Signature________________________________________ Date________________ Phone #____________________
DO NOT STAPLE THIS RETURN
Page 1
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