READ INSTRUCTIONS ON THE BACK BEFORE COMPLETING FORM
2020
OFFICIAL USE ONLY
CITY OF BETHLEHEM &
BETHLEHEM AREA SCHOOL
DISTRICT
BUSINESS PRIVILEGE AND MERCANTILE TAX RETURN
DATE REC'D
AMT REC'D
FINAL RETURN FOR CALENDAR YEAR ENDED DECEMBER 31, 2020
VOLUME OF BUSINESS: JANUARY 1, 2020 THROUGH DECEMBER 31, 2020
LICENSE FEE PERIOD: MAY 1, 2021 THROUGH APRIL 30, 2022
CHECK NO
BATCH NO
Due Date May 3, 2021
BUSINESS ACCOUNT
NUMBER:
BUSINESS LOCATION:
DID YOU TERMINATE / MOVE THIS BUSINESS
IF MOVED, WHERE?
□ YES NO □ MOVED DATE:
NON-PROFIT □ MANUFACTURER
ENTER WHOLE DOLLAR AMOUNTS ONLY
DOLLARS
NO
CENTS
A return must be filed even if you have no gross receipts
1. Sales or Gross Receipts (January 2020 to December 2020 only)
1.
00
2. Exclusions (Must attach written proof)
2.
00
3. Taxable Gross Receipts (Line 1 Less Line 2)
3.
00
FINAL RETURN FOR YEAR ENDED DECEMBER 31, 2020
RECEIPTS FROM LINE ABOVE
TAX COMPUTATIONS
4. Wholesale
4.
x .001
4.
00
5. Retail
5.
x .0015
5.
00
6.Service
6.
x .0015
6.
00
7. Rental / Other Income
7.
x .0015
7.
00
8. Total (add Lines 4, 5, 6, & 7)
8.
8.
00
9. Deduct amount already paid on Musikfest, Celticfest, Christkindlmarket,
or other special events (see back of form)
9.
00
10. Total Tax Due, or Credit (Line 8 Less Line 9)
10.
00
ESTIMATED TAX RETURN FOR YEAR ENDING DECEMBER 31, 2021
11. Estimated Tax
11. N/A
00
TOTAL TAX DUE IF PAID BY MAY 3, 2021
12. Add Line 10 and Line 11
12.
00
PENALTY AND INTEREST IF TAX PAID AFTER MAY 3, 2021
13. Add: 10% Penalty if paid after May 3, 2021 (multiply Line 12 x 10%)
13.
00
14. Add: 1% Penalty per month or part thereof (multiply Line 12 x 1% x No. of months)
14.
00
15. TOTAL TAX, PENALTY AND INTEREST (Add Lines 12,13, & 14)
15.
00
LICENSE FEE
16. 2021 Annual License Fee or Non-Profit Admin Fee (separate License for each location, $25 per location)
(Exemption for HIC License, provide HIC #________________ and Expiration Date ___________)
16. 25 x ___ =
00
17. Total Amount Due (Add Lines 15 & 16)
17.
00
Any Work Papers containing calculations used to determine Gross Receipts and copies of Federal Returns shall be attached to this return.
Tax return will not be considered complete unless such documents are attached.
Make Check Payable to: CITY OF BETHLEHEM Mail Return and Payment to: TRI-STATE FINANCIAL GROUP
SEND ORIGINAL WITH PAYMENT - MAKE A COPY FOR YOUR RECORDS PO BOX 38
I declare under penalty of law that all statements made here and/or in supporting BRIDGEPORT, PA 19405
schedules are true, correct and complete to the best of my knowledge and belief. 610-270-9520
Print Name Telephone Number
Signature Date
Signature of Person Preparing Return (if other than taxpayer) Date
Address of Preparer Telephone Number
“As required by Pennsylvania law, Bethlehem City will provide upon
request a disclosure statement explaining to the taxpayer their rights in
certain tax proceedings involving the City.”
FORM MUST BE PREPARED IN ITS ENTIRETY, SIGNED AND DATED. IF
NOT THE FORM WILL BE RETURNED AND PENALTY AND INTEREST
ADDED UNTIL COMPLETED FORM IS RECEIVED.
BUSINESS PRIVILEGE AND MERCATILE TAX:
The City of Bethlehem levies a Business Privilege and Mercantile Tax for the general revenue purposes on the privilege of doing business
within the City of Bethlehem.
The rate of tax of the whole or gross volume of business transacted shall be calculated as follows:
On receipts attributable to the retail sales of merchandise the rate shall be one and one-half mills or one dollar and fifty
cents ($1.50) on every one thousand dollars ($1,000.00) of gross volume of business.
On receipts attributable to all other business, except wholesale sales, the rate shall be one and one-half mills or one
dollar and fifty cents ($1.50) on every thousand ($1,000.00) of gross volume of business.
On receipts attributable to wholesale sales of merchandise the rate shall be one mill or one dollar ($1.00) on every one thousand
dollars ($1,000.00) of gross volume of business.
Please attach a copy of your Schedule C, Schedule E, 1120, 1120S or 1065 form to the Business Privilege & Mercantile Tax Return.
FOR EXAMPLE The tax on retail sales would be computed as follows:
Gross Receipts = $ 1,000.00 Tax = $ 1.50
Gross Receipts = $ 5,000.00 Tax = $ 7.50
Gross Receipts = $ 10,000.00 Tax = $ 15.00
Gross Receipts = $ 100,000.00 Tax = $ 150.00
TAX PAID ON MUSIKFEST, CELTICFEST, CHRISTKINDLMARKT OR OTHER EVENTS:
If your business does not separate the gross receipts from festivals, fairs or “special events” from the gross receipts collected by
your principal place of business within the City of Bethlehem, please use this section to claim credit for tax paid at the conclusion of
the festivals, fairs or “special events” you have attended. NOTE: These amounts will be checked and verified Please be
accurate when claiming credit for tax already paid.
Please itemize below the Business Privilege & Mercantile Tax from “special events” that you have already paid during the tax year
for which you are filing this return (DO NOT INCLUDE LICENSE FEES):
Total Musikfest Business Privilege/Mercantile Tax paid ___________________________
Total Celticfest Business Privilege/Mercantile Tax paid ___________________________
Total Christkindlmarkt Business Privilege/Mercantile Tax paid ___________________________
Other Events Business Privilege / Mercantile Tax paid ___________________________
TOTAL TO BE ENTERED ON LINE 9 ON FRONT OF RETURN
EXEMPTIONS FROM THE TAX and/or LICENSE REQUIREMENT:
Pennsylvania Sales Tax may be excluded from the computation of gross receipts.
Organizations that meet the tests to qualify as a “purely public charity” are exempted from the tax. However, registrations must
be filed with the tax office for business registration purposes. The registration/annual return must be accompanied by the $25.00
administrative fee. Copies of the five-part test to qualify as a “purely public charity” are available from Tri-State Financial Group.
Contractors with a Current HIC License will be exempted from paying Bethlehem $25.00 administrative fee. Contractors must
still pay the gross receipts tax unless gross receipts tax.
PLEASE NOTE: Any business that is in default of payment of the tax due shall be refused a license until such tax is paid in full. Failure to
make payment may also result in the initiation of collection procedures and criminal prosecution.
If you should have any questions regarding the Business Privilege/Mercantile Tax or Business Privilege License, please do not hesitate
to contact Tri-State Financial Group. Our hours of operation are 8:30 am through 4:30 pm, Monday Friday. Telephone number (610) 270-9520.
If you desire an “Administrators Ruling” on a specific issue regarding the Business Privilege Tax or Business Privilege License
please submit all of the facts in writing to:
Tri-State Financial Group
PO Box 38 or by fax 610-270-9522
Bridgeport, PA 19405
Tri-State Financial Group has a Disclosure Statement of the City’s and Taxpayer’s Rights and Obligations during audits, appeals,
refunds, complaints and enforcement. This disclosure statement is available upon request, free of charge.