Form Pgh-40 - Individual Earned Income - City And School District Of Pittsburgh - 2007

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PGH-40 2007
CFD
CITY AND SCHOOL DISTRICT
OF PITTSBURGH
Individual Earned Income For Calendar
Year and/or Fiscal Year Ended _______
PRINT NEATLY in CAPITAL LETTERS, and use BLACK INK
Check if Amended Return
Check if you do not need a PGH-40 Tax Booklet next year
You MUST enter your complete 9-digit Social Security No.
If married, include your Spouse’s Name, Social Security No. and Occupation even if filing separately
Taxpayer’s Social Security No.
Spouse’s Social Security No.
Taxpayer’s Last Name
Taxpayer’s First Name
Spouse’s Last Name
Spouse’s First Name
Address
City
State
Zip Code
__________________________
___________________________
SIGNATURE & PHONE OF PREPARER-Other than taxpayer, based on all Information of which PREPARER has knowledge.
Taxpayer’s Occupation
Spouse’s Occupation
X ___________________________________
_____________________
Phone:
FILING
Single
Married filing Jointly
Married filing Separately
Deceased
Retired – No taxable income
STATUS
___ / ___ / ___
___ / ___ / ___
Date Deceased
Date retired
3-Non-Resident of Pennsylvania
4-Part-Year Resident of Pittsburgh
5-Non-Resident of Pittsburgh
1-Full-Year
2-Full-Year
RESIDENCY
Pittsburgh Resident
Mt. Oliver Resident
Residing in (State/Country) _____________
from ____ / ____ to ____ / ____
Residing within State of PA
STATUS
(Complete WTEX on back)
(Include visa or out-of-state return)
(Complete WTEX on back)
(Complete WTEX on back)
1.
EARNED INCOME - Gross wages, tips, salaries, commissions etc.
Enclose photocopy of IRS Forms W-2, 1099 etc. on 8-1/2 x 11 paper.
Instructions on pages 5 & 6
1
2.
DEDUCTION FOR UNREIMBURSED EMPLOYEE BUSINESS EXPENSES
Must include copies of State of PA Schedule UE and specify occupation above.
Instructions page 6
2
3.
TAXABLE EARNINGS
Line 1 minus Line 2
3
4.
NET PROFIT - From business, profession, partnerships etc.
Include copies of PA Schedules C, RK-1 etc.
See Instructions page 6
4
5.
TOTAL GROSS COMPENSATION/NET PROFIT
Line 3 plus Line 4 - If the result is a negative number enter 0
5
6.
TAX – Multiply Line 5 by the tax rate; DO NOT ROUND TO THE NEAREST DOLLAR
Pittsburgh Resident 3.0% (0.03) – Mt. Oliver Resident 2.0% (0.02) – Non-Resident of PA 1% (0.01)
6
7.
TOTAL LOCAL TAX WITHHELD PER W-2(s)
DO NOT INCLUDE THE $52.00 EMS TAX. Enclose photocopy of IRS Form W-2 on 8-1/2 x 11 paper
7
8.
TOTAL ESTIMATED TAX PAYMENTS ON NP-5
UNDER Social Security No: ___________ - ________ - ___________
8
9.
TOTAL PAYMENTS ON WT-4
UNDER Social Security No: ___________ - ________ - ___________
9
10. OTHER CREDITS
Include a copy State Tax Return (PA-40) AND a worksheet showing your calculations
See instructions on page 7
10
11. TOTAL TAX CREDITS
Add Lines 7, 8, 9 and 10
11
12. IF LINE 11 IS MORE THAN LINE 6 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -ENTER AMOUNT OVERPAID
CHECK ONE -
REFUND
CREDIT TOWARD 2008 TAXES. Amounts of $2.00 or less will not be refunded or credited
12
13. IF LINE 6 IS MORE THAN LINE 11 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - ENTER AMOUNT OWED
Amounts of $2.00 or less are not due
13
14. PENALTY AND INTEREST
If filed after APRIL 15, 2008, 1% per month of LINE 13
See instructions on page 7
14
15. TOTAL Add Line 13 and Line 14 - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -- TOTAL AMOUNT REMITTED
Make check payable to: TREASURER, CITY OF PITTSBURGH – DO NOT SEND CASH – SEE REVERSE SIDE FOR MAILING ADDRESS
15
A $30.00 service fee will be charged for any check returned from the bank for any reason.
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements. To the best of my knowledge and belief it is true, correct and complete.
SIGNATURE
DATE (MM/DD/YY)
DAYTIME PHONE NO.
SPOUSE’S SIGNATURE – IF FILING JOINTLY, BOTH MUST SIGN
X
(
)
X
SEE REVERSE SIDE FOR FORM WTEX, PLUS IMPORTANT INSTRUCTIONS ABOUT FILING YOUR RETURN

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