City of Pittsburgh Department of Finance Business Registration Form 414 Grant Street Room 207 Pittsburgh, PA 15219 Complete this form to create a business account with the City of Pittsburgh. The City will assign your business a nine digit account Assistance? Call: 412 255-2543( ) number. This form will not be processed or considered complete until Email: registration@pittsburghpa.gov this form is signed and dated. Fax: 412 255-6821 ( ) CITY ID #: PARKING ID #: Section 1: Reason For Submitting Form New Business Change in Business Structure or Business Name - *Change in Business Status Form must be completed by the previous owner(s) and attached. Purchased Existing Business Other - Please describe reason for submitting form ______________________________________________________ _______________________________________________________________________________________________ Section 2: Business Information 1. Federal Identification Number* ______________________ 2. Social Security Number* _______________________ _ *Provide IRS 9 digit number assigned to your business & IRS EIN documentation *Enter Owner ,Primary Officer or Partner's SSN 3. Full Legal Name of Business (name associated with IRS FEIN) : __________________________________________________ 4. Trade Name (doing business as), if any: _______________________________________________________________ 5.Indicate Type of Business Structure: (For Non-Profit selections IRS determination, letter must be included) Sole Proprietor Limited Liability Company (LLC) Non-Profit * (provide IRS documentation) Partnership One Member Only Charitable Non-Profit *(provide IRS documentation) General Partnership Two or More Members Association Limited Liability Partnership (LLP) Limited Partnership (LP) Cooperative Other - Specify Below S Corporation Estate or Trust C Corporation Joint Venture 6. Business Start Date ___________________ 7. First Day of Business Activities in Pittsburgh _________________ 8. Enter the six-digit NAICS code(s) that best describes your business activities (enter at least one) __________________ If you do not know your NAICS code, go to https://www.naics.com/search/ to search. 9. Describe your business activities below, including the type of industry - manufacturing, services, retail or wholesale trade, etc. Also describe the nature of business being done in the City of Pittsburgh. List additional NAICS codes here: Section 3: Business Address and Contact Information 1. Pittsburgh Business Location and/or Home Based Employee Address - If there is more than one address,please attach on a separate sheet Street Address City State Zip Code 2. Mailing Address -All correspondence is sent to this address. If you would like your CPA/accountant to receive your tax forms please list address on separate sheet . Street Address City State Zip Code 3. Business Phone Number 4. Fax Number 5. Email Address 6. List INDIVIDUALS who are owners, officers, and members. (REQUIRED) Note: . Partnerships, LLPs and multi-member LLCs must have at least 2 owners/officers/individuals listed. Attach a separate sheet if necessary. 6A. Name (last name, first name, middle initial) Phone Number Social Security Number Address (street, city,state, zip code) Title 6B. Name (last name, first name, middle initial) Phone Number Social Security Number Address (street, city,state, zip code) Title Rev. 11/19 Continue to Section 4 on Page 2 Page 1 of 3 |
City of Pittsburgh Department of Finance Business Registration Form 414 Grant Street Room 207 Pittsburgh, PA 15219 Complete this form to create a business account with the City of Pittsburgh. The City will assign your business a nine digit account Assistance? Call: 412 255-2543( ) number. This form will not be processed or considered complete Email: registration@pittsburghpa.gov until this form is signed and dated. Fax: 412 255-6821( ) CITY ID #: PARKING ID #: Section 4: City Tax Liabilities City of Pittsburgh Tax Types Local Services A tax on individuals for the privilege of engaging in an occupation. The tax may be levied, assessed and collected by the Tax political subdivision of the taxpayer's primary place of employment. If the registrant is employed full time elsewhere, and the LST is being withheld, you MUST provide a copy of the paystub or W-2 that indicates LST. Every employer doing business in the City of Pittsburgh is required to pay a Payroll Tax on the gross payroll expense and on Payroll Expense net distribution from self-employed individuals, members of partnerships, associations, joint ventures or other entities who Tax perform work or provide services within the City of Pittsburgh. The ordinance imposes a Payroll Tax on all businesses that engage, hire, employ or contract with one or more individuals to perform work or render services within the City of Pittsburgh. All places of amusement and all producers of amusements are required to collect tax from the patrons and remit the collected Amusement Tax taxes to the City of Pittsburgh. If the entity is a charitable non profit performing arts, please provide a current copy of the Federal 990 tax return, Non profit Charter, and PA sales and use tax certificate of exemption with the completed registration. Parking Tax All persons or entities within the City ofPittsburgh who park or store motor vehicles for a consideration are required to register and collect the Parking Tax from patrons. Entities engaged in service in the medical, education, social, recreational, vocational or any other type of services where there is Institution & a charge collected, except elementary and secondary schools, are required to pay gross receipts. Exception is receipts from the Service Privilege sale of food, drink, or merchandise. Tax Every employer who employs one or more non-resident employee who earn scompensation as aresult of services performed a t Non-Resident a publically funded facility within the city, to engage in an athletic event or otherwise render performance for which a non- Sports Facility resident receives remuneration is required to withhold and remit the fee to the Treasurer as result of services performed at a Usage Fee publicly funded facility within the city. 1.Type of Taxes Check ALL of the business taxes you expect or are required to pay and/or collect: Payroll Expense Tax Local Service Tax s Non-Resident Sports Facility Usage Fee Parking Tax Amusement Tax Institution & Service Privilege Tax (Non-Profit Entities Only ) Employer Withheld Wage Tax: Please Contact Jordan Tax Service - (412) 345-7968 (www.jordantax.com/Act32/Employer.html) to register for a withholding account for the Earned Income Tax. For more information on City taxes, please visit our Finance website at: http://pittsburghpa.gov/finance/tax-descriptions For question scontact: Call Tax Payer Services at (412)255-8822 or Email : taxcompliance@pittsburghpa.gov Section 5: Additional Parking Tax Information *ONLY complete this section if you are liable for Parking tax 1. Operator's Name (last name, first name) 2. BBI Permit Number 3. Property Owner's Name (last name, first name) 4. Property Owner's Telephone Number 5. Property Owner's Address City State Zip Code 6. Parking Lot/ Garage Location* 7. Former Operator's Name Address should be identical to the one appeared on your Parking Permit and Application with the Bureau of Building Inspection 8. Check ALL that apply to your parking location below: Surface Lot Automatic Ticket-Spitter Computerized Reporting System Garage Manually Issued Tickets Leased Spaces Only 9.Max Vehicle. Capacity 10.Number of Free Spaces 1 .1How often does the rate change? Rev . 11/19 Continue to Section 5 on Page 3 Page 2 of 3 |
City of Pittsburgh Department of Finance Business Registration Form 414 Grant Street Room 207 Pittsburgh, PA 15219 Complete this form to create a business account with the City of Pittsburgh. The City will assign your business a 9 digit account number. Assistance? Call: 412 255-2543( ) This form will not be processed or considered complete until this form is Email: registration@pittsburghpa.gov signed and dated. CITY ID #: Fax: 412 255-6821( ) PARKING ID #: *ONLY complete this section if you are Continued Section 5: Additional Parking Tax Information liable for Parking Tax TAXPAYER IS REQUIRED TO NOTIFY CITY OF PITTSBURGH WHEN RATES CHANGE 1 .2Please List Weekly Hourly Rates 1-1 _____________ 3- _______________4 6- _______ _______7 _ 2- _____________ 2 4- _______________ 5 7- _______________8 5- _______________6 8+ _______________ 3- _____________ 3 1 .3Please List Fixed Rates Fixed/Flat Rate _______________ Night Rate _______________ Early Bird Rate _______________ Event Rate _______________ 1 .4Please List Weekend Rates 1 .5Please List Current Night Rates Saturday ______________ Monthly _____________ Daily ______________ Sunday ______________ Hourly ______________ 1 .6Please List Lease Rates 1 .7Other *Please specify below Lease Rates _____________ Monthly _____ _______ _ Section : Signature6 (REQUIRED) I, the undersigned, do hereby affirm that this official government document has been examined by me and to the best of my knowledge and belief, is true, correct and complete. 1. Signature of Owner / Officer 2. Print Full Name 3. Date Signed 4. Phone Number 5. Title Submission of Business Registration Form After completing and signing this business registration form, please submit your registration to: 1. Email : registration@pittsburghpa.gov 2. Mail to : Registration, City of Pittsburgh 414 Grant Street Room 207 Pittsburgh, PA 15219-2476 For Office Use ONLY: Select Application Type: Rev . 11/19 Page 3 of 3 |