Form Nbr - New Business Registration - 2000
ADVERTISEMENT
1WALK-IN
BATCH
MAIL
OTHER:___________
NEW BUSINESS REGISTRATION
CITY OF PITTSBURGH AND SCHOOL DISTRICT OF PITTSBURGH
NBR
CONTACT PERSON
Review Instructions On Reverse Side Before Completing This Form
Rev 3/2000
ACCOUNT NUMBER:
SIC CODE:
1) FEDERAL IDENTIFICATION NUMBER
2) SOCIAL SECURITY NUMBER
3) LEGAL NAME
4) TRADE NAME
5) BUSINESS
6) HOME
PHONE NUMBER
PHONE NUMBER
7) BUSINESS
Street Number
Street Name
MAIL ADDRESS
City
State
Zip Code + 4
Fax
E – Mail Address
Street Number
Street Name
8) PITTSBURGH
AREA ADDRESS
City
State
Zip Code + 4
(If more than one attach list)
9) INDICATE TYPE OF BUSINESS (FILL IN ONE OVAL ONLY)
)
LIMITED LIABILITY COMPANY
NON-PROFIT (Include Verification
INDIVIDUAL
CORPORATION
ASSOCIATION
OTHER (Include Explanation)
PARTNERSHIP
S-CORPORATION
LIMITED LIABILITY PARTNERSHIP
10)
DESCRIBE YOUR BUSINESS
11) BUSINESS
12) DATE STARTED IN
START DATE
PITTSBURGH
Month
Day
Year
Month
Day
Year
13) DOES YOUR BUSINESS EMPLOY CITY RESIDENTS?
YES
NO
14) INDICATE DATE BUSINESS BEGAN WITHHOLDING TAXES
FOR EMPLOYEES RESIDING IN
CITY OF PITTSBURGH AND/OR MT. OLIVER, OR THAT ARE NON-RESIDENTS OF PENNSYLVANIA LIABLE FOR PITTSBURGH TAX.
Month
Day
Year
15) INDICATE TAX LIABILITY
AND IF PAYMENT IS DUE OR LATE
(fill in ovals for all that apply)
fill in City/School block(s) and payment amount(s).
Tax Type
City
School
Amount
Please Note:
If payment is due or late, payment can be enclosed with
this registration form. Attach separate sheet with detailed breakdown for
Wage Tax (WT)
back years, back taxes or more than two (2) payments.
Occupation Tax (OT)
Mercantile License (ML)
A $
Types of Taxes Being Paid:
Mercantile Tax (MT)
FEE
WILL BE
Tax Type
Tax Period
Year
Business Privilege Tax (BP)
ASSESSED FOR
Institution Service Privilege Tax (ISP)
ANY CHECK
RETURNED FROM
Amusement Tax (AT)
THE BANK
Parking Tax (PT)
Net Profit (NP-5)
16) OWNERS. PARTNERS OR OFFICERS
(IF MORE THAN TWO [2], SUPPLY REQUIRED INFORMATION ON SEPARATE SHEET)
Name (Last Name, First Name, Middle Initial)
Social Security Number
1.
Street Number
Street Name
City
State
Zip Code + 4
2.
Social Security Number
Name (Last Name, First Name, Middle Initial)
Street Number
Street Name
City
State
Zip Code + 4
17)
SIGNATURE
TITLE
DATE
ADVERTISEMENT
0 votes
Related Articles
Related forms
Related Categories
Parent category: Legal