MAKE NO MARKS IN THIS AREA
CITY OF PHILADELPHIA
2004 NPT
N P 0 4
NET PROFITS TAX RETURN
DO NOT STAP LE THIS RETURN
CITY ACCOUNT NUMBER
DUE BY APRIL 15, 2005
TA XPAY ER NA ME & A DDRESS
PLA CE LA BEL HERE
Always enter your account number
FEDERA L IDENTIFICA TION NUMB ER
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SOCIA L SECURITY NUMBER
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Us e the Change Form to indicate a change of address.
Re fer to Instruction Sheet I.
If your business terminated in 2004,
%
If applicable, enter percentage from
enter the termination date here:
Page 3, Worksheet D, Line 3............... ....
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-
m
m
y
y
y
y
d
d
If this is an amended return
place an "X" here.......................
CORPORATIONS ARE NOT SUBJE CT TO THIS TAX.
Darken box to indicate a net loss.
00
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.
1. Residents Taxable Income or loss from Page 2, Worksheet A , Line 4.....................1.
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,
.
00
2. Line 1 X .044625. Do not calculate and enter an amount if Line 1 is a loss!.....2.
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,
.
00
3. Non-Residents Taxable Income or loss from Page 2, Worksheet B, Line 6...... .......3.
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.
00
4. Line 3 X .038801. Do not calculate and enter an amount if Line 3 is a loss!............ .......4.
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00
5. Total Tax Due (Line 2 plus Line 4)................... ............... ............... ............... ............... ........5.
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.
00
6a. 60% Business Privilege Tax credit from Page 3, W orksheet K, Line 4................. ..............6a.
00
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6b. Estimated payments and other credits from P age 3, Worksheet E, Line 4........ ............... ..6b.
00
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6c. Total payments and credits (Line 6a plus Line 6b)........................... ............... ............... ....6c.
7. A mount of Tax Due (Line 5 less Line 6c); if Line 6c is greater than Line 5
00
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enter dif ference on Line 10............. ............... ............... ............... ............... ............... ..........7.
00
8. Interest and Penalty
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(Cumulative % from Instruction Sheet III multiplied by Line 7)................. ............... ..............8.
9. TOTAL DUE including Interest and Penalty (Line 7 plus Line 8).
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M ake check payable to: "City of Philadelphia".................... ............... ............... ............9.
00
10. Tax Overpaid. If Line 6c is greater than Line 5, enter dif ference here and on
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.
the Estimated Tax Coupon (ENP-1), Page 8, Line 2... ............... ............... ............... ..........10.
11. Enter 50% of Page 2, W orksheet C, Line 3.
00
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This line is not used to remit estimated payments................. ............... ............... .........11.
12. If Line 10 is greater than Line 11, enter the dif ference as the:
00
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A. A mount to be refunded to the taxpayer. Do not file a separate Re fund Petition.....12A.
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00
B. A mount of overpayment to be applied, up to the tax due, to the
2004 Business Privilege Tax Return.......................... ............... ............... ............... ....12B.
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00
C. A mount of overpayment to be applied to the 2005 Net Prof its Tax............................. 12C.
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 #____________________
Preparer Signature_______________________________________ Date________________ Phone #____________________
DO NOT STAPLE THIS RETURN
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