Form Rev-1186 - Neighborhood Improvement Zone Program Tax Report Page 4
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9REV-1186 (01-13)
EMPLOYER WITHHOLDING TAX SCHEDULE
Taxpayers must identify Pennsylvania personal income tax remitted in the form of a payment to the Department
of Revenue, which was withheld from compensation paid to:
(1) All employees within Pennsylvania; and
(2) Employees at business location(s) within the NIZ.
Businesses with locations inside and outside the NIZ must apportion employer withholding attributable to the
location(s) within the NIZ by calculating the number of employees at the business location(s) within the NIZ,
and determining Pennsylvania personal income tax remitted to the Department of Revenue, which was withheld
from the compensation of those employees.
Businesses are encouraged to consult W-3 filings, e-TIDES account information, payroll providers and company
accounting records to determine employer withholding paid to the commonwealth and refunded during the
calendar year.
Tax Payments
A) All Pennsylvania Locations
$
Total tax remitted in the form of a payment, received by the department for
consolidated employer withholding.
B) NIZ Location
$
Total employer withholding attributable to the location within the NIZ.
Tax Refunds
C) All Pennsylvania Locations
$
Refunds granted to the Consolidated Employer Withholding Account.
D) NIZ Location
$
Refunds granted attributable to the location within the NIZ for employer
withholding.
Tax Payment Apportionment Factor
Please provide the percentage of employer withholding attributable to the location within the NIZ:
%.
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