Form Pgh 40 PDF Details

Form Pgh 40 is a form that allows the City of Pittsburgh to assess and levy real estate taxes. The form must be completed by the owner of the property, or their authorized representative, and must be filed with the Tax Assessor's Office on or before March 31st of each year. The assessed value of the property is used to calculate the tax bill for that year. In order to complete Form Pgh 40, you will need to know the legal description of the property, as well as its assessed value and taxable status. You can find this information on your recent tax bill or from your local Tax Assessor.

QuestionAnswer
Form NameForm Pgh 40
Form Length2 pages
Fillable?No
Fillable fields0
Avg. time to fill out30 sec
Other names10_PGH 40_tax_form pgh 40 2012 form

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PGH-40 2010

CFD

CITY AND SCHOOL DISTRICT

 

OF PITTSBURGH

 

Individual Earned Income For Calendar

 

Year and/or Fiscal Year Ended _______

PRINT NEATLY in CAPITAL LETTERS, and use BLACK INK

Check if Amended Return

Check if you do not need a PGH-40 Tax Booklet next year

__________________________

___________________________

Taxpayer’s Occupation

Spouse’s Occupation

You MUST enter your complete 9-digit Social Security No.

If married, include your Spouse’s Name, Social Security No. and Occupation even if filing separately

Taxpayer’s Social Security No.

 

Spouse’s Social Security No.

 

 

 

 

 

Taxpayer’s Last Name

 

Taxpayer’s First Name

 

 

 

 

 

Spouse’s Last Name

 

Spouse’s First Name

 

 

 

 

 

Address

City

State

Zip Code

SIGNATURE & PHONE OF PREPARER-Other than taxpayer, based on all Information of which PREPARER has knowledge.

X ___________________________________ Phone: _____________________

FILING

Single Married filing Jointly

Married filing Separately

Deceased

 

Retired – No taxable income

STATUS

 

 

 

 

Date Deceased ___ / ___ / ___

Date retired___ / ___ / ___

 

 

 

 

 

 

RESIDENCY

1-Full-Year

2-Full-Year

3-Non-Resident of Pennsylvania

4-Part-Year Resident of Pittsburgh 5-Non-Resident of Pittsburgh

STATUS

Pittsburgh Resident

Mt. Oliver Resident

Residing in (State/Country) _____________

from ____ / ____ to ____ / ____

Residing within State of PA

 

(Complete WTEX on back)

(Include visa or out-of-state return)

 

(Complete WTEX on back)

 

(Complete WTEX on back)

 

 

 

 

 

 

 

 

 

 

 

1. EARNED INCOME - Gross wages, tips, salaries, commissions etc.

 

 

 

 

 

Enclose photocopy of IRS Forms W-2, 1099 etc. on 8-1/2 x 11 paper.

Instructions on pages 5 & 6

1

 

 

 

 

 

 

 

 

 

2. DEDUCTION FOR UNREIMBURSED EMPLOYEE BUSINESS EXPENSES

 

 

 

 

Must include copies of State of PA Schedule UE and specify occupation above.

 

Instructions page 6

2

 

 

 

 

 

 

 

 

 

3.TAXABLE EARNINGS

Line 1 minus Line 2

3

 

4.

NET PROFIT - From business, profession, partnerships etc.

 

 

 

Include copies of PA Schedules C, RK-1 etc., if a loss, enter zero

See Instructions page 6

4

 

 

 

5.

TOTAL GROSS COMPENSATION/NET PROFIT

 

 

 

Line 3 plus Line 4 - If the result is a negative number enter 0

 

5

 

 

 

6.

TAX – Multiply Line 5 by the tax rate; DO NOT ROUND TO THE NEAREST DOLLAR

 

 

 

Pittsburgh Resident 3.0% (0.03) – Mt. Oliver Resident 2.0% (0.02) – Non-Resident of PA 1% (0.01)

 

6

 

 

 

7.TOTAL LOCAL TAX WITHHELD PER W-2(s)

 

DO NOT INCLUDE THE $52.00 LST TAX. Enclose photocopy of IRS Form W-2 on 8-1/2 x 11 paper

 

 

 

 

 

 

 

 

7

8. TOTAL ESTIMATED TAX PAYMENTS ON NP-5

UNDER Social Security No: ___________ - ________ - ___________

 

 

 

 

 

 

 

8

9.

TOTAL PAYMENTS ON WT-4

UNDER Social Security No: ___________ - ________ - ___________

 

 

 

 

 

 

 

9

10.

OTHER CREDITS

 

 

 

 

 

 

Include a copy State Tax Return (PA-40) AND a worksheet showing your calculations

See instructions on page 7

 

 

 

 

 

 

 

10

11.

TOTAL TAX CREDITS

 

 

 

 

 

 

Add Lines 7, 8, 9 and 10

 

 

 

 

 

 

 

 

 

 

 

11

12.

IF LINE 11 IS MORE THAN LINE 6 - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - -

-ENTER AMOUNT OVERPAID

 

 

CHECK ONE - REFUND CREDIT TOWARD 2011 TAXES. Amounts of $2.00 or less will not be refunded or credited

 

 

 

 

 

 

 

12

13.

IF LINE 6 IS MORE THAN LINE 11 - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - -

- - - -

ENTER AMOUNT OWED

 

 

Amounts of $2.00 or less are not due

 

 

 

 

 

 

 

 

 

 

 

13

14.

PENALTY AND INTEREST

 

 

 

 

 

 

If filed after APRIL 15, 2011, 1% per month of LINE 13

 

See instructions on page 7

 

 

 

 

 

 

 

14

15.

TOTAL Add Line 13 and Line 14 - - - - - - - - - - - - -

- - - - - - - - - - - - - - - - - - -

- - - - - - - - - - - - --

TOTAL AMOUNT REMITTED

 

 

Make check payable to: TREASURER, CITY OF PITTSBURGH – DO NOT SEND CASH – SEE REVERSE SIDE FOR MAILING ADDRESS

 

 

A $30.00 service fee will be charged for any check returned from the bank for any reason.

 

 

 

15

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements. To the best of my knowledge and belief it is true, correct and complete.

SIGNATURE

DATE (MM/DD/YY)

DAYTIME PHONE NO.

SPOUSE’S SIGNATURE – IF FILING JOINTLY, BOTH MUST SIGN

X

 

 

 

 

X

 

 

SEE REVERSE SIDE FOR FORM WTEX, PLUS IMPORTANT INSTRUCTIONS ABOUT FILING YOUR RETURN

Form WTEX - NON-RESIDENT EXEMPTION CERTIFICATE

CLAIM FOR EXEMPTION FROM CITY OF PITTSBURGH AND/OR SCHOOL DISTRICT EARNED INCOME TAX

FOR FULL-YEAR OR PART-YEAR PENNSYLVANIA RESIDENTS ONLY

COMPLETE THIS FORM IF YOUR RESIDENCY STATUS IS ONE OF THE FOLLOWING:

2 - Full-Year Mt. Oliver Resident

4 – Part-Year Resident of Pittsburgh

 

residing within the State of PA

 

during all or part of 2010

5 - Non-Resident of Pittsburgh residing within the State of PA during all or part of 2010

If you lived in another state during any part of the year, include copies of your PA and out of state returns.

Taxpayer Name___________________________________Social Security No.___________________Daytime Phone________________

Current

Address__________________________________________City______________________State_________Zip_________________

I was a resident of (Boro or Township)_______________________________________________________for all or part of year 2010.

I lived in the above municipality from ___________/____________/_____________ to __________/______________/_______________

As a resident of this municipality I earned $_______________________and I owe/paid $_______________________in earned income tax.

Therefore I was not liable for City of Pittsburgh and/or School District of Pittsburgh Earned Income Tax.

MUST BE VERIFIED AND SIGNED BY YOUR LOCAL TAX COLLECTOR FROM A PENNSYLVANIA MUNICIPALITY

I certify that the person above was registered as a taxpayer in my jurisdiction for the tax year 2010 and owes or has paid the Earned Income Tax to his/her place of residence in the amount stated above.

____________________________________________________________

SEAL

Tax Collector’s Signature

Date

Phone

 

A completed PGH-40 must accompany all WTEX Forms

The balance of tax due on Form PGH-40 must be paid in full by the filing date by check. DO NOT SEND CASH. Make check payable to

TREASURER, CITY OF PITTSBURGH” and mail it with your return. Please write your Account Number (found in the upper left corner of the Taxpayer Information Box on Form PGH-40) or Social Security Number on your check.

DO NOT STAPLE ANY PAPERS TO THE RETURN

IF ALL APPLICABLE INFORMATION IS NOT PROVIDED, YOUR PGH-40 WILL BE RETURNED

Please mail your completed PGH-40 Income Tax Return in the envelope provided using

the correct color-coded label to the address indicated below.

 

REFUNDREQUESTED

 

 

 

CREDIITREQUESTED

 

 

 

NOTAXDUE–NOREFUND

 

 

 

 

 

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ATTENTION - REFUND

 

 

ATTENTION - CREDIT

 

 

ATTENTION – NO TAX DUE

 

 

TREASURER – CITY OF PITTSBURGH

 

 

TREASURER – CITY OF PITTSBURGH

 

 

TREASURER – CITY OF PITTSBURGH

 

414 GRANT ST

 

 

414 GRANT ST

 

 

 

 

PO BOX 2701

 

 

 

PITTSBURGH PA 15219-2476

 

 

PITTSBURGH PA 15219-2476

 

 

PITTSBURGH PA 15230-2701

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

- artial

ay e t

 

 

 

 

 

 

 

 

 

 

 

- artial

ay e t

 

 

 

 

 

 

 

 

 

 

 

TAXDUE -PartialORNoPayment

 

 

 

-

ll ay e t

cl se

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

-

ll ay e t

cl se

 

 

 

 

 

cl

se

 

 

 

TAXDUE -FullPaymentEnclosed

 

 

 

 

 

cl

se

 

 

 

 

 

 

 

 

 

 

 

Enclosed

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Returns sent to the incorrect address will

 

 

 

ATTENTION – PARTIAL or NO PAYMENT

 

 

ATTENTION – FULL PAYMENT

 

 

 

 

TREASURER – CITY OF PITTSBURGH

 

 

TREASURER – CITY OF PITTSBURGH

 

be delayed

 

 

 

 

 

 

 

 

 

414 GRANT ST

 

 

 

 

PO BOX 642583

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PITTSBURGH PA 15219-2476

 

 

PITTSBURGH PA 15264-2583