School Income Tax Form - City Of Philadelphia - 2005
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1CITY OF PHILADELPHIA
MAKE NO MARKS IN THIS AREA
DUE DATE: APRIL 17, 2006
2005 School Income Tax
To file online, click on "Online Services" at
If this is an amended return place an "X" here.
Taxpayer Name and Address
Your Social Security Number
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Spouse's Social Security Number
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To request a cancelation of this account, use a Change Form available at
Instructions for lines 1 through 15 are on pages 2 and 3 of the instruction booklet.
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If you were a partial year resident in 2005, refer to page 4 and enter dates of residency here:
to
.00
,
,
1. Net Taxable Dividends (School Income Tax Regulation 203(a))........................................1.
.00
,
,
2. Taxable Interest (Reg. 203(b))............................................................................................2.
.00
,
,
3. "Subchapter S" Corporation (Reg. 203(a)). If loss, enter "0" (zero)..................................3.
.00
,
,
4. Limited Partnership Income (Reg. 203(i)). If loss, enter "0" (zero)....................................4.
.00
,
,
5. Taxable Income received by a Beneficiary from an Estate or Trust (Reg. 205).................5.
6. Net Short Term Capital Gains (held 6 months or less) (Reg. 203(d)).
.00
,
,
If loss, enter "0" (zero).........................................................................................................6.
.00
,
,
7. Net Rental Income (Reg. 203(c)). If loss, enter "0" (zero).................................................7.
.00
,
,
8. Other Taxable Income (Reg. 203(e, f, g and h)).................................................................8.
.00
,
,
9. Total Taxable Income (Add lines 1 through 8)....................................................................9.
.00
,
,
10. Deductible Expenses (Reg. 204(a))................................................................................10.
.00
,
,
11. Net Taxable Income (Subtract line 10 from line 9)..........................................................11.
.00
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,
12. Gross Tax Due (Multiply line 11 by .04331)....................................................................12.
13. Credit from overpayment of prior year or tax previously paid
.00
,
,
with an extension coupon...............................................................................................13.
.00
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,
14. ADDITIONAL TAX DUE If Line 12 is greater than Line 13, enter here.........................14.
OVERPAYMENT OPTIONS If Line 12 is less than Line 13, enter the amount to be:
.00
,
,
15A. Refunded. Do not file a separate Refund Petition.................................................15A.
OR
.00
,
,
15B. Applied to the 2006 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 #_________________________
Generic SIT 10-5-2005
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