Form Np-5 - Declaration Of Estimated Tax On Net Profits - 2004

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NP-5 2004
DECLARATION OF ESTIMATED
TAX ON NET PROFITS
CFD
City of Pittsburgh
School District of Pittsburgh
and
Rev 09/03
FOR OFFICIAL USE ONLY
( )Tax Return No Longer Needed
CITY ID
SOCIAL SECURITY
TAX PERIOD
QUARTER
SIGNATURE______________________________________________
Due on or before
DATE____________________________________________________
PHONE __(__________)_____________________________________
I hereby certify, swear and aver that all statements herein are true and correct to
the best of my knowledge and belief, being duly apprised of my duty under the law
to submit honest and complete information or be subject to the penalties provided
by law.
Make name/address corrections above
MAKE SURE YOUR SIGNATURE AND DATE APPEAR ABOVE
USE BLACK INK ONLY ON THIS FORM
CODE 1 = 3%
CODE 2 = 2%
CODE 3 = 1%
TAXPAYER IS A CODE
Resident of
Resident of
Non-Resident of
City of Pittsburgh
Mt. Oliver
PA or U.S.
1. ESTIMATED TAX DUE ON NET PROFITS FOR THE CURRENT QUARTER
2. TAX PAID THIS QUARTER
Net Profit earnings multiplied by appropriate rate
3. PENALTY and INTEREST = 1% PER MONTH
Penalty – City 0.5% (.005) and School 0.5% (.005) Interest - City 0.5% (.005) and School 0.5% (.005)
4. TOTAL REMITTANCE WITH THIS RETURN Add line 2 and line 3
Make check payable to: TREASURER – CITY OF PITTSBURGH – DO NOT SEND CASH
.
Mail to: CITY OF PITTSBURGH NET PROFIT – PO BOX 642589 – PITTSBURGH PA 15264-2589
A $30.00 fee will be assessed for any check returned from the bank for any reason.
Has business been sold or discontinued?
If YES, a BUSINESS DISCONTINUATION FORM must be completed and returned for processing.
Please call 412-255-2510 to request the form. For assistance with this form call 412-255-2508.
Form(s) can be downloaded at
INFORMATION & INSTRUCTIONS
ON REVERSE SIDE

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