Form 4313 - School Income Tax - City Of Philadelphia - 2013

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CITY OF PHILADELPHIA
DUE DATE: APRIL 15, 2014
2013 SCHOOL INCOME TAX
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3
1
3
Your Social Security Number
Taxpayer Name and Address
Spouse's Social Security Number
If this is an amended return place an "X" here.
YOU MUST USE THE CHANGE FORM TO REPORT A CHANGE OF ADDRESS.
If you were a partial year resident in 2013,
mm-dd-yyyy
to
mm-dd-yyyy
refer to page 1 of instructions and enter dates of residency here:
mm-dd-yyyy
If you no longer have income subject to School Income Tax enter the termination date AND file a CHANGE FORM.
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1. Net Taxable Dividends (School Income Tax Regulation 203(a)).........................................1.
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2. Taxable Interest (Reg. 203(b)).............................................................................................2.
3. Distributive Shares "Subchapter S" Corporation Income (Regs. 202 and 203).
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If loss, enter "0" (zero)..........................................................................................................3.
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4. Limited Partnership Income (Reg. 203(i)). If loss, enter "0" (zero).....................................4.
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5. Taxable Income received by a Beneficiary of an Estate or Trust (Reg. 205).......................5.
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6. Net Short Term Capital Gains (held 6 months or less) If loss, enter "0" (zero)................6.
.00
7. Net Rental Income (Reg. 203(c)). If loss, enter "0" (zero)..................................................7.
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8. Other Taxable Income (Reg. 203(e, f, g and h))..................................................................8.
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9. Total Taxable Income (Add lines 1 through 8).....................................................................9.
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10. Deductible Expenses (Reg. 204(a))...................................................................................10.
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11. Net Taxable Income (Subtract line 10 from line 9).............................................................11.
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12. Gross Tax Due (Multiply line 11 by .039240).....................................................................12.
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13. Credit from overpayment of prior year or tax previously paid by extension.......................13.
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14. TAX DUE If Line 12 is greater than Line 13, enter the difference here ...........................14.
OVERPAYMENT OPTIONS If Line 12 is less than Line 13, enter the amount to be:
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15A. Refunded. Do not file a separate Refund Petition.....................................................15A.
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15B. Applied to the 2014 School Income Tax..........................................................................15B.
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 #_________________________
Spouse's Signature________________________________________ Date_______________________Phone #_________________________
Preparer Signature_________________________________________ Date_______________________Phone #_________________________
4313 Web 10-12-2013
Sign the return and mail to: Philadelphia Department of Revenue, P.O. Box 389, Philadelphia, PA 19105-0389

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