Form 6003 - Annual Reconciliation Of Employee Earnings Tax - 2003
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1MAKE NO MARKS IN THIS AREA
City of Philadelphia
Due Date: April 15, 2004
6 0 0 3
2003 Annual Reconciliation
of Employee Earnings Tax
SOCIAL SECURITY NUMBER
DO NOT STAPLE THIS RETURN
-
-
Name
Do not file this return if Philadelphia wage tax was
withheld on all compensation (Line 13 = Line 12). File
Address
a Change Form to cancel this account.
If wage tax was overwithheld by your employer, do not
file this return. File the Employee Wage Tax Refund
Petition.
The Change Form and Refund Petition can be
downloaded from
If this is an amended return, check here:
1. Gross Compensation received 1/1/2003 to 12/31/2003
,
,
. 0 0
Enclose W-2 form(s).........................................................................................1.
,
,
. 0 0
2. Non-taxable compensation from Page 2, Line 3................................................2.
,
,
. 0 0
3. Net taxable compensation (Line 1 minus Line 2)...............................................3.
4. Taxable Compensation received by a resident of Philadelphia
,
,
. 0 0
(1/1/2003 to 6/30/2003).....................................................................................4.
,
,
. 0 0
5. Tax Due (Line 4 X .045).....................................................................................5.
6. Taxable Compensation received by a resident of Philadelphia
,
,
. 0 0
(7/1/2003 to 12/31/2003)...................................................................................6.
,
,
. 0 0
7. Tax Due (Line 6 X .044625)...............................................................................7.
8. Taxable Compensation received by a non-resident of Philadelphia
,
,
. 0 0
(1/1/2003 to 6/30/2003).....................................................................................8.
,
,
. 0 0
9. Tax Due (Line 8 X .039127)...............................................................................9.
10. Taxable Compensation received by a non-resident of Philadelphia
,
,
. 0 0
(7/1/2003 to 12/31/2003)..................................................................................10.
,
,
. 0 0
11. Tax Due (Line 10 X .038801)............................................................................11.
,
,
. 0 0
12. Total Tax Due (Add lines 5, 7, 9 and 11)..........................................................12.
13. Tax withheld by employer per enclosed W-2 forms.
,
,
. 0 0
If line 13 is equal to line 12, STOP HERE. Do not file this return..............13.
,
,
. 0 0
14. Net Tax Due (Line 12 less Line 13)..................................................................14.
15. Tax that you, not your employer, previously paid for 2003
,
,
. 0 0
(Not included on W-2 forms).............................................................................15.
16. ADDITIONAL TAX DUE If Line 14 is greater than Line 15,
,
,
. 0 0
enter the difference here...................................................................................16.
,
,
. 0 0
17. If Line 14 is less than Line 15, enter the OVERPAYMENT to be:
applied to the 2004 Earnings Tax
OR Refunded
..............................17.
If claiming a refund on line 17, W-2 forms must accompany this return. Do not file a separate Refund Petition.
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 #____________________
Preparer Signature________________________________________ Date________________ Phone #____________________
DO NOT STAPLE THIS RETURN
Page 1
GEN-WEB - Oct '03
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