D
O NOT WRITE IN BOX
R
ETURN THIS ENTIRE SHEET WITH YOUR PAYMENT
B
USINESS PRIVILEGE AND/OR MERCANTILE TAX RETURN
Re:
E.I.N. # _____________________ Please check one: Refund Due
BUSINESS TELEPHONE ____________________________ No Payment Due
DATE OPERATION BEGAN IN DISTRICT _______________ Payment Included
DO NOT TEAR APART
Office Hours: Monday thru Friday 9:00 am to 4:00 pm
PO BOX 21810 LEHIGH VALLEY, PA 18002-1810
(610) 599-3140
District:
Account Number:
Tax Year:
NATURE OF
B
USINESS
GROSS VOLUME OF BUSINESS
ROUND TO NEAREST DOLLAR
E
XEMPTIONS & EXCLUSIONS
ROUND TO NEAREST DOLLAR
TAXABLE VOLUME
ROUND TO NEAREST DOLLAR
TAX RATE
AMOUNT OF TAX DUE
ROUND TO NEAREST DOLLAR
1. Service
, , , , , ,
x
, ,
2. Rentals
, , , , , ,
x
, ,
3
. Retail
, , , , , ,
x
, ,
4. Wholesale
, , , , , ,
x
, ,
5. TOTAL TAX DUE (Add lines 1, 2, 3, & 4)
, ,
6. Less last year’s credit and/or estimated payment (excluding penalty & interest)
, ,
7. SUBTOTAL (Line 5 minus Line 6)
, ,
8. Add interest of (after due date)
, ,
9. Add penalty of (after due date)
, ,
10. TOTAL SECTION B (Add Lines 7, 8, & 9)
, ,
NATURE OF
BUSINESS
GROSS VOLUME OF BUSINESS
ROUND TO NEAREST DOLLAR
E
XEMPTIONS & EXCLUSIONS
ROUND TO NEAREST DOLLAR
TAXABLE VOLUME
ROUND TO NEAREST DOLLAR
TAX RATE
AMOUNT OF TAX DUE
ROUND TO NEAREST DOLLAR
11. Service
, , , , , ,
x
, ,
12. Rentals
, , , , , ,
x
, ,
13. Retail
, , , , , ,
x
, ,
14. Wholesale
, , , , , ,
x
, ,
15. TOTAL ESTIMATED TAX DUE (Add Lines 11, 12, 13, & 14)
, ,
16. Add interest of (after due date)
, ,
17. Add penalty of (after due date)
, ,
18. TOTAL SECTION C (Add Lines 15, 16 & 17)
, ,
19. TOTAL AMOUNT DUE (Add Lines 10 & 18) PAYMENT DUE BY
, ,
SECTION B: FINAL TAX - BUSINESS PRIVILEGE AND/OR MERCANTILE TAX RETURN
SECTION C: ESTIMATED TAX - BUSINESS PRIVILEGE AND/OR MERCANTILE TAX RETURN
SECTION A: COMPUTATION OF GROSS VOLUME OF BUSINESS ON REVERSE SIDE
TAX DUE ON OR BEFORE
DO NOT WRITE BELOW THIS LINE
BUSINESS PRIVILEGE AND/OR MERCANTILE TAX RETURN
Business Name:
Make check payable to and remit to:
Tax Year:
Re:
District:
Account Number:
Amount of Payment: $ _____________________
Make any corrections to Business Name & Address and check here.
mercre-web 042720
NO CASH PAYMENTS WILL BE ACCEPTED.
Your cancelled check is your receipt of payment.
There will be a $29 fee for returned checks.
*STD*
POSTMARK DATE OF POST OFFICE ACCEPTED NO EXTENSIONS
Failure to receive a tax return does not entitle owner to disregard the penalty or interest on taxes owed.
*STD*
*STD*
WEB
HAB-BPT
PO BOX 21810
LEHIGH VALLEY, PA 18002-1810
Name:
Address:
City,
State,
Zip
mercins-web 041218
Website: www.hab-inc.com
IMPORTANT NOTICE
ALL BUSINESSES MUST PROVIDE SUPPORTING SCHEDULES AND/OR DOCUMENTATION USED TO
ARRIVE AT THE FIGURES IN SECTIONS A & B. EXPLAIN FULLY ANY DIFFERENCES BETWEEN GROSS VOLUME AND TAXABLE VOLUME.
GENERAL INSTRUCTIONS FOR FILING A
M
ERCANTILE AND/OR BUSINESS PRIVILEGE TAX
L
ICENSE AND TAX RETURN
G
ENERAL INFORMATION
Be sure to submit all information requested by Berkheimer Tax Innovations. Be sure to include signature and date where applicable. Failure
to do so will constitute filing an incomplete return.
R
eturn the Form, any tax due, and required documentation. Make checks payable to HAB-BPT. NO CASH PAYMENTS WILL BE ACCEPTED.
Your cancelled check is your receipt of payment.
TAX RETURN INFORMATION
S
ection A Computation of Gross Volume of Business. Complete only where applicable.
Line (a) Enter total gross volume of business for period indicated.
L
ine (b) This line is to be completed if your business opened during the present tax year and an estimated gross volume is required by the
appropriate Ordinance and/or Resolution. Enter appropriate gross volume of business.
L
ine (c) This line is to be completed if your business opened during the tax year and you are required to file an initial estimated gross volume
for the first year. This section applies to those districts where Ordinances and/or Resolutions require a Final Return to be filed yearly, with the
exception of the first year.
L
ine (d) This line is to be completed if business is temporary, itinerant, or seasonal. Enter actual gross volume of business.
Section B Filing the Final Tax
In this section, your gross volume of business should be calculated according to the figure indicated in Section A. Again, this final tax amount
should be calculated on the actual business transacted for the period of time specified in Section A. Be sure to complete lines 1, 2, 3 and/or
4 as they apply to your type of business and tax levied at the rates indicated. Continue to complete lines 5 through 10 as they apply to your
respective tax situation.
Section C Filing the Estimated Tax
This section is to be completed if any estimated tax return is required. If no rates are shown in Section C, no estimate is due. To complete this
section, your estimated gross volume of business should be calculated. Be sure to complete Lines 11, 12, 13 and/or 14 as they apply to your
type of business and tax levied at the rate indicated. Continue to complete lines 15 through 19 as they apply to your respective tax obligations.
S
ECTION A: COMPUTATION OF GROSS VOLUME OF BUSINESS (fill in one only)
$ ____________________
$ ____________________
$ ____________________
$ ____________________
NATURE OF BUSINESS ____________________________________________________________________________________________________________
OWNER __________________________________________________________ TITLE __________________________________________________
SIGNATURE ______________________________________________________ DATE _________________________
NAME & ADDRESS OF LEASING AGENT, IF RENTING ___________________________________________________________________________________
If in business from , use total gross volume of business for period.
If business commenced after , indicate starting date (________________) and multiply your first
full months gross volume of business (_____________________) x 12.
If business commenced after , indicate starting date (________________) and multiply your first
full months gross volume of business (_______________________) by the number of months remaining
in year (_________________) include fractional months from starting date to .
If temporary, itinerant or seasonal, report actual income ($ _____________________) within seven days
of completion of business.
A.
B.
C.
D.