Form Mt - Mercantile Tax - City Of Pittsburgh - 2004
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1
2MT 2004
MERCANTILE TAX
CFD
CITY AND SCHOOL DISTRICT OF PITTSBURGH
REV 05/04 FOR OFFICIAL USE ONLY
CITY ID
FEDERAL ID
Amended Return ( )
Tax Return No Longer Needed ( )
See Section “E”
DUE ON OR BEFORE APRIL 15, 2004
SIGNATURE______________________________________________
TITLE ___________________________DATE___________________
PHONE (__________)_____________________________________
PREPARER’S NAME_______________________________________
PREPARER’S 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 correction above
MAKE SURE YOUR SIGNATURE AND DATE APPEAR ABOVE
USE BLACK INK ONLY ON THIS FORM
SECTION A
COMPUTATION OF TAX LIABILITY
MUST COMPLETE SECTION C
INSTRUCTIONS SEE PAGE 3
1. GROSS REVENUE
2. EXEMPTIONS & EXCLUSIONS
3. NET TAXABLE REVENUE
A Retail Vendors
& Dealers
1A
2A
3A
B Wholesale
Vendors
1B
2B
3B
C Restaurants
1C
2C
3C
D Places of
Amusement
1D
2D
3D
E Broker
1E
2E
3E
Rate in Mills: 1 mill (0.001) equals $1 per $1000
Enter all amounts in decimal point form. Ex: $1,000.00
4. TAX DUE PER REVENUE TYPE
4A _______________________________ . _______
A.
RETAIL VENDORS - Line 3A multiplied by appropriate tax rate
City Rate: 2 mills (0.002) and School Rate: 1 mill (0.001) - TOTAL 3 MILLS
4B _______________________________ . _______
B.
WHOLESALE VENDORS - Line 3B multiplied by appropriate tax rate
City Rate: 1 mill (0.001) and School Rate: 0.5 mill (0.0005) – TOTAL 1.5 MILLS
4C _______________________________ . _______
C.
RESTAURANTS - Line 3C multiplied by appropriate tax rate
City Rate: 2 mills (0.002) and School Rate: 1 mill (0.001) – TOTAL 3 MILLS
4D _______________________________ . _______
D.
PLACE OF AMUSEMENT - Line 3D multiplied by appropriate tax rate
City Rate: 2 mills (0.002) and School Rate: 1 mill (0.001) – TOTAL 3 MILLS
4E _______________________________ . _______
E.
BROKERS - Line 3E multiplied by appropriate tax rate
City Rate: 0 mills and School Rate: 0.5 mill (0.0005) – TOTAL 0.5 MILLS
5. NET TAX DUE (ADD LINES 4A THROUGH 4E)
5 ________________________________ . _______
6. OTHER PAYMENTS OR CREDITS (Attach explanation)
6 ________________________________ . _______
7. IF LINE 5 IS MORE THAN LINE 6, ENTER THE AMOUNT YOU OWE (LINE 5 MINUS LINE 6)
7 ________________________________ . _______
Amounts of $2.00 or less are not due.
8. IF LINE 6 IS MORE THAN LINE 5, ENTER AMOUNT OVERPAID (LINE 6 MINUS LINE 5)
8 ________________________________ . _______
Amounts of $2.00 or less are not refundable. CHECK ONE (
) REFUND or CREDIT (
)
9. PENALTY AND INTEREST PER MONTH
Total City Penalty & Interest equals 1.5 % - City Penalty 0.5 % (0.005) and Interest 1% (0.01)
9 _________________________________ . ______
Total School Penalty & Interest equals 1% - School Penalty 0.5 % (0.005) and Interest 0.5 % (0.005)
Payments made after due date must include penalty and interest for each month(s) that payment is late.
10. TOTAL AMOUNT DUE (ADD LINES 7 & 9)
10 _______________________________ . _______
Make check payable to: TREASURER, CITY OF PITTSBURGH - DO NOT SEND CASH
Mail to: MERCANTILE TAX DUE – PO BOX 642591 – PITTSBURGH PA 15264-2591
A $30.00 fee will be assessed for any check returned from the bank for any reason.
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