School Income Tax - City Of Philadelphia - 2003
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1MAKE NO MARKS IN THIS AREA
City of Philadelphia
DUE DATE: APRIL 15, 2004
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2003 School Income Tax
To file online, click on "Online Services" at
Your Social Security Number
Your Name
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Spouse's Name
Spouse's Social Security Number
Address
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If this is an amended return,
place an "X" here:.........................
If you were a partial year resident, enter date
from__________to__________, and place an "X" here:................
(See page 4 of the instruction booklet.)
The instructions for lines 1 through 15 are on pages 2 and 3 of the instruction booklet.
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1. Net Taxable Dividends..............................................................................................1.
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2. Taxable Interest........................................................................................................2.
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3. "Subchapter S" Corporation (if loss, enter "0").........................................................3.
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4. Limited Partnership Income (if loss, enter "0").........................................................4.
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5. Taxable Income received as a Beneficiary from an Estate or Trust.........................5.
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6. Net Short Term Capital Gains (Held 6 months or less) (if loss, enter "0").............6.
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7. Net Rental Income (if loss, enter "0")......................................................................7.
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8. Other Taxable Income..............................................................................................8.
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9. Total Taxable Income (add lines 1 through 8)..........................................................9.
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10. Deductible Expenses ............................................................................................10.
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11. Total Taxable Income (line 9 less line 10).............................................................11.
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12. Gross Tax Due (4.4625% of line 11)....................................................................12.
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13. Credits or Tax previously paid with an extension coupon.....................................13.
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14. TAX DUE If line 12 is greater than line 13, enter the difference here..................14.
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15. OVERPAYMENT If line 13 is greater than line 12, enter the balance to be:
Applied to the 2004 School Income Tax
OR Refunded
...........................15.
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 #____________________
SIT03 www/gen (10/2003)
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