Long Form - Payroll Tax Statement - San Francisco Tax Collector - 2005
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1
2PAYROLL TAX STATEMENT
2005
SAN FRANCISCO TAX COLLECTOR
LONG
BUSINESS TAX SECTION
P.O. BOX 7425
FORM
DELINQUENT AFTER FEBRUARY 28, 2006
SAN FRANCISCO, CA 94120-7425
TAXPAYER ASSISTANCE: (415) 554-4400 TTY: (415) 554-4455
BUSINESS TAX ID NUMBER
CERTIFICATE NUMBER
TAX YEAR
2005
DO NOT WRITE IN PRE-PRINTED AREAS. USE BLACK INK AND STAY INSIDE BOXES.
PLEASE HAND PRINT. DO NOT TYPE. DO NOT SEND PHOTOCOPY.
_________________
Neighborhood Beautification Fund Designation
Final Statement: Date closed/sold
If sold, name, address, and phone number of new owner:
____________________________________
____________________________________
(_______)____________________________
Complete this form only if your 2005 taxable
San Francisco payroll was $66,666.34 or
more, or you are claiming a refund, or this is
a final statement. Otherwise, complete and
return the Business Registration Renewal
only.
-
-
CONTACT NUMBER
,
.
,
,
$
1.
Total PAYROLL EXPENSE
From Schedule C,
line 8, column A
,
.
,
,
$
2.
From Schedule C,
line 8, column B
Total EXEMPT PAYROLL
3.
From Schedule C,
line 8, column C
Total Taxable S.F. Payroll (Subtract line 2 from line 1)
$
,
.
,
,
4.
Payroll Tax Calculated (Multiply line 3 by Payroll Tax rate of 1.5% or .015)
$
5.
If line 4 is less than $1,000.00, complete and return the Registration Renewal only unless claiming a refund or filing a final statement.
6.
If line 4 is over $2,500.00 enter the amount from line 4, otherwise, enter
zero, and complete lines 7 to 16.
$
7.
Enter calculated Enterprise Zone Tax Credit AMOUNT and ATTACH WORKSHEET.
,
.
,
,
$
If none, put zero on line 7.
$
8.
Tax Liability after EZ Tax Credit (Subtract TOTAL of line 7 from line 6. If line 7 is greater than line
6, enter zero.)
$
9.
Enter 2005 PREPAYMENT PAID (Do not include Registration Fees). If none, enter zero.
$
10.
Amount due. (Subtract line 9 from line 8. If line 9 is larger than line 8, enter zero.)
,
,
.
Amount to be refunded to you. (If line 9 is larger than line 8, enter difference.) See instruction booklet.
$
11.
$
12.
If filed or postmarked after February 28, 2006, enter LATE FILING PENALTY. See instruction booklet.
13.
$
If paid after February 28, 2006, enter LATE PAYMENT PENALTY. See instruction booklet.
$
14.
If paid after February 28, 2006, enter INTEREST. See instruction booklet.
$
If filed or postmarked after February 28, 2006, enter ADMINISTRATIVE FEE of $35.00.
15.
$
16.
TOTAL DUE.
(Add Lines 10,12,13,14,15.) M ake check payable to San Francisco Tax Collector.
THIS STATEMENT MUST BE FILED BY FEBRUARY 28, 2006 OR YOU WILL BE SUBJECT TO FEES, PENALTIES, AND/OR INTEREST.
Under the laws of the State of California, I declare under penalty of perjury that I have read the foregoing and that it is true, correct, and complete to the
best of my knowledge and belief.
X
SIGN HERE
DATE
B106-05
Prepare only one STATEMENT (Long Form) even if you attach multiple Schedule Cs
PLEASE ATTACH SCHEDULE C TO STATEMENT WHEN FILING
41443
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