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CITY OF PHILADELPHIA City Account Number
ANNUAL RECONCILIATION OF 2018 1 8 1 8
EMPLOYER WAGE TAX
DUE DATE: FEBRUARY 28, 2019 Federal Identification Number
Taxpayer Name and Address
To file online, go to
https://ework.phila.gov/revenue
DO NOT REPORT NEGATIVE NUMBERS ON THIS RETURN
If your business terminated in 2018, enter the termination date AND file a CHANGE FORM. -m m -d d y y y y
YOU MUST USE THE CHANGE FORM TO REPORT A CHANGE OF ADDRESS OR
TO CANCEL THIS ACCOUNT. If this is an amended return place an "X" here:
A. Enter the number of Philadelphia Residents for whom wage tax was remitted for the pay period including
March 12, 2018................................................................................................................................................... A.
B. Enter the number of nonresidents (employees living outside Philadelphia city limits) for whom wage tax
was remitted for the pay period including March 12, 2018................................................................................. B.
C. Total number of employees for all company locations reported on the Employer's Federal Quarterly
Tax Return for the first quarter of 2018 (for the pay period including March 12, 2018)...................................... C.
D. Number of employees working at company locations within Philadelphia city limits, for the pay period
including March 12, 2018.................................................................................................................................... D.
1. Gross Compensation per W-2 forms for all employees................................................ 1. .00
2. Non-Taxable Gross Compensation included in Line 1.
(Paid to nonresidents working outside of Philadelphia)................................................ 2. .00
3. Taxable income paid to employees earning tips on which City Wage Tax
was not withheld............................................................................................................ 3. .00
4. Gross Compensation per W-2 forms on which Philadelphia Wage Tax was
withheld or due (Line 1 minus [Line 2 plus Line 3])...................................................... 4. .00
5. Taxable Gross Compensation paid to residents of Philadelphia
January 1, 2018 to June 30, 2018.............................................................................. 5. .00
6. Tax Due (Line 5 times .038907).................................................................................... 6. .00
7. Taxable Gross Compensation paid to residents of Philadelphia
July 1, 2018 to December 31, 2018 ............................................................................ 7. .00
8. Tax Due (Line 7 times .038809).................................................................................... 8. .00
9. Taxable Gross Compensation paid to nonresidents of Philadelphia
January 1, 2018 to June 30, 2018............................................................................... 9. .00
10. Tax Due (Line 9 times .034654).................................................................................... 10. .00
11. Taxable Gross Compensation paid to nonresidents of Philadelphia
July 1, 2018 to December 31, 2018............................................................................. 11. .00
12. Tax Due (Line 11 times .034567).................................................................................. 12. .00
13. Total Tax Due (Add Lines 6, 8, 10 and 12).................................................................. 13. .00
14. Tax previously paid for 2018...................................................................................... 14. .00
15. ADDITIONAL TAX DUE If Line 13 is greater than Line 14, enter the amount here................15. .00
16. TAX OVERPAID If Line 14 is greater than Line 13, enter the amount here.
See instructions.........................................................................................................................16. .00
Under penalties of perjury, as set forth in 18 PA C.S. §§ 4902-4903 as amended, I swear that I have reviewed this return and
accompanying statements and schedules, and to the best of my knowledge and belief, they are true and complete.
Taxpayer Signature________________________________________ Date_______________________Phone #_________________________
Preparer Signature_________________________________________ Date_______________________Phone #_________________________
2018 Wage 10-2-2018
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