Business Privilege & Mercantile Tax Return - 2012

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2012
William L. Courtright
Tax Collector
BUSINESS PRIVILEGE &
100 The Mall at Steamtown, Unit 216
Scranton, PA 18503
MERCANTILE TAX RETURN
SINGLE TAX OFFICE
BUSINESS PRIVILEGE & MERCANTILE RETURN
(570) 963-6756, Ext. 6
CITY OF SCRANTON & SCRANTON SCHOOL DISTRICT
Office Hours: 8:30 – 5:00
REMIT TO:
WILLIAM L. COURTRIGHT
COLLECTOR OF TAXES
Business Privilege & Mercantile
P. O. BOX 1338
SCRANTON, PA 18501
1. Owner’s Name:
Address:
Account Number:
2. Type of Business:
2011
3. Federal ID Number:
Gross Receipts for Year Ended:
4. Telephone Number:
4/16/12
Return Due Date:
5. Date Business Started:
Taxing Authority: SCRANTON SCHOOL DISTRICT
Wholesale
Retail
Services
Total
6. Total Gross Receipts
Tax Rate
0.000452
0.000679
0.005130
7. Tax
8. Deduct $5.00*
9. Net Tax Due
10. Int. & Penalty 1%/month
11. Total Tax Due
Taxing Authority: CITY OF SCRANTON
Wholesale
Retail
Services
Total
12. Total Gross Receipts
Tax Rate
0.000875
0.000875
0.000875
13. Tax
14. Int. & Penalty 1%/month
15. Total Tax Due
16.
Check Attached
Cash
Paid On-line
(If paying on-line, you still must file this form and all attachments)
(Add lines 11 & 15) GRAND TOTAL TAX DUE:
Make Checks Payable To: Collector of Taxes or On-Line by credit or debit card at our website:
*$5.00 if Scranton LST paid for owner(s) - not employees - service classification only.
DATE:
DATE:
TAXPAYER SIGNATURE
SIGNATURE OF PREPARER, IF OTHER THAN TAXPAYER
I DECLARE UNDER PENALTIES PROVIDED FOR BY LAW THAT I HAVE
I DECLARE UNDER PENALTIES PROVIDED FOR BY LAW THAT I HAVE EXAMINED THIS
COMPLETE RETURN AND IT IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE.
EXAMINED THIS COMPLETE RETURN AND IT IS TRUE AND CORRECT.
Name:
Name:
Title:
Title:
Address:
Address:
Telephone:
Telephone:
Audit may be required if Proof of Gross Receipts is not included.

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