CITY OF HARRISBURG
PARKING LOT TAX
***FOR OFFICIAL USE ONLY***
REVENUE ACCOUNT CODES:
TAX -
- 0100-327-00
PENALTY & INTEREST - 0100-327-03
PENALTY AMOUNT IS 50% OF TAX DUE
AFTER DUE DATE AND INTEREST IS ____%
PER MONTH OF TAX AND PENALTY.
DUE DATES:
1ST QUARTER - APRIL 30TH
2ND QUARTER - JULY 30TH
3RD QUARTER - OCTOBER 30TH
4TH QUARTER - JANUARY 30TH
BUSINESS LOCATION
CITY TAX ACCOUNT #
TAX RETURN FOR 20________
NAME __________________________________________
ADDRESS_______________________________________
CITY,STATE,ZIP_________________________________
MAKE CHECKS PAYABLE TO:
TOTAL GROSS RECEIPTS FOR THE QUARTER $_______________
“CITY TREASURER”
MULTIPLY BY 15%
$_______________
MAIL TO :
TAX AND ENFORCEMENT OFFICE
50% PENALTY AND _____% INTEREST
THE MARTIN L. KING JR
PER MONTH IF PAID AFTER DUE DATE $_______________
CITY GOVERNMENT CENTER
CALL FOR CURRENT INTEREST RATE.
10 N 2ND ST. – SUITE 305A
HARRISBURG, PA 17101
TOTAL AMOUNT DUE
$_______________
PHONE: 717-255-6513
U.S. POSTAL SERVICE POSTMARK IS THE
ONLY PROOF OF TIMELY FILING ACCEPTED.
REMIT PAYMENT WITH THE APPROPRIATE QUARTERLY RETURN. IF YOU REQUIRE A RECEIPT, SEND A
SELF-ADDRESSED, STAMPED ENVELOPE.
I CERTIFY THAT ALL INFORMATION AND FIGURES GIVEN HERIN ARE, TO THE BEST OF MY KNOWLEDGE,
TRUE AND CORRECT.
_____________________________________
____________________
SIGNATURE
DATE
VERIFY QUARTER AND DUE DATE
_______ QUARTER PAYMENT REMIT PRIOR TO ______________________