2019 - Scranton Single Tax Office – Scranton, PA
Name: Address:
Business Privilege & Mercantile Return/Bill
2019
Gross Receipts for Tax Year 2018
Original Due Date: 4/15/19
This Bill Due By:
Address:
Acct #:
City State Zip:______
Make Check Payable to Collector of Taxes
Type of Business:
Check:
ck number
FEIN or SS#:
Cash:
Contact #:
Online:
date pd
Bus/Rental Start Date:
If multiple units, please attach list with breakdown
Taxing Authority: Scranton School District
Wholesale
Retail
Total Gross Receipts $
-$
-
Tax Rate
X
0.000452
0.000679
If paid online you still must file form and all required attachments.
Service
$
-
0.00513
Total
Deduct $5 Sch EMS*
Net Tax Due
$
-$
-$
-
Int/Pen 1% per month
$
-
Total Due School $
-$
-$
-$
-
Taxing Authority: City of Scranton
Wholesale
Retail
Service
Total Gross Receipts
Tax Rate
X
0.001
0.001
0.001
Net Tax Due
$
-$
-$
-
Int/Pen 1% per month
$
-
Total Due City
$
-$
-$
-$
Grand Total Due
Add lines A and B
$
* $5.00 deduction if Scranton EMS paid for owner(s)
Total
-
Taxpayer Signature
Signature of Preparer if other than Taxpayer
I declare under penalties of law, that I have examined this completed return and it is true and correct to the best
of my knowledge.
Name:
Name:
Title:
Title:
Email:
Email:
Phone:
Phone:
Return will not be accepted if Proof of Gross Receipts is not included
................
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