Business Privilege And/or Mercantile Tax License Form - Lehigh(Valley

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BUSINESS PRIVILEGE AND/OR MERCANTILE TAX LICENSE
TAX YEAR
RE:
DISTRICT
ACCOUNT NUMBER
This license is issued in accordance with the Tax Ordinance
£
v PLEASE DETACH AND AND DISPLAY YOUR LICENSE v
General Instructions for Filing License
License Fee:
If the district you are located in requires you to procure a license the rate will be listed below.
This payment is to be forwarded to Berkheimer Associates by the due date, with the LI ENSE FEE stub at
the bottom of this page. Above is The License. This copy is to be conspicuously posted at the place of business or
each of the places of business at all times. If there is more than one place of business within the district it is
necessary to procure a license for each location.
Each person, partnership, association, or corporation, engaged in any business within the district, is liable
for a Business Privilege and / or Mercantile Tax.
Please make all checks payable to HAB-BPT and return by the due date. NO CASH PAYMENTS WILL BE
ACCEPTED.  If a receipt is needed, a self addressed stamped envelope must accompany payment. There will be a $20
fee for returned checks for insufficient funds.
Website:
You are entitled to receive a written explanation of your rights with regard to the audit, appeal, enforcement, refund and collection of local taxes by
calling Berkheimer at 610-599-3140, during the hours of 9:00 a.m. through 4:00 p.m., Monday through Friday. If Berkheimer is not the appointed
tax hearing officer for your taxing district, you must contact your taxing district about the proper procedures and forms necessary to file an appeal.
w PLEASE DETACH AND RETURN THIS STUB WITH YOUR PAYMENT w
LICENSE FEE
Tax Year:
WEB
Business Name:
Re:
District:
Account Number:
Make check payable to and remit to:
Amount of Payment: $ _____________________
Check box for License(s) being remitted.
180021810108
q Service
q Rental
q Retail
q Wholesale
HAB-BPT
PO BOX 21810
DO NOT WRITE BELOW THIS LINE
LEHIGH VALLEY, PA 18002-1810
merclic.qxd 071112

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