Application For A Real Estate Tax Credit For Active Duty Reserve And National Guard Members On Active Duty Outside Of Pennsylvania - City Of Philadelphia Department Of Revenue - 2010

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City of Philadelphia Department of Revenue
2010 Application for a Real Estate Tax Credit
for Active Duty Reserve and National Guard Members
on Active Duty Outside of Pennsylvania
See instructions on reverse side before completing this application.
Property Address
Real Estate Tax Account Number
-
-
Print Applicant's Name
Applicant's Phone Number
-
-
,
. 0 0
1. Total Real Estate Tax from 2010 Tax Bill, Line 6...............................................1.
0.39993
2. City Tax Factor (see instructions).......................................................................2.
,
. 0 0
3. Maximum Real Estate Tax Credit Available (Line 1 times Line 2)....................3.
4. Number of Days on Active Duty Outside of Pennsylvania in 2009..................4.
365
5. Number of Days in 2009.......................................................................................5.
%
6. Active Duty Percentage (Line 4 divided by Line 5)............................................6.
,
. 0 0
7. Actual Real Estate Tax Credit for 2010 (Line 6 times Line 3)............................7.
If property is owned by Tenants in Common, see instructions on
%
reverse and indicate applicant's ownership percentage here:
8. Net Real Estate Tax Due for 2010 (Line 1 minus Line 7)
,
. 0 0
Make payment payable to "City of Philadelphia"...............................................8.
Official Certification
I certify that the data shown above supporting the applicant's claim is correct based on available duty records.
Officer's Signature________________________________________ Date_______________________Phone #_________________________
I certify that the data shown above is correct and that this is my principal residence.
Applicant's Signature______________________________________ Date_______________________
MAIL TO: PHILADELPHIA DEPARTMENT OF REVENUE
ACTIVE DUTY CREDIT
ROOM 530 - MUNICIPAL SERVICES BUILDING
1401 JOHN F. KENNEDY BOULEVARD
PHILADELPHIA, PA 19102
12-17-2009

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