RETURN THIS ENTIRE SHEET WITH YOUR PAYMENT
                                                                                          BUSINESS PRIVILEGE AND/OR MERCANTILE TAX RETURN
                                                                                          Re:                                       Tax Year:
                                       PO BOX 21810   LEHIGH VALLEY, PA 18002-1810 
                                        
                                       Send documentation to eBPT@goberk.com 
                                        
                                                                                          District: 
                                                                                           
                                                                                           Account Number:
                                      Name: 
                                       
                                      Address:                                                                                                                         *STD*
                                       
                                      City, 
                                      State, 
                                      Zip                                                                                   DO NOT WRITE IN BOX
                                                                                          WEB

                                                             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.
SECTION A: COMPUTATION OF GROSS VOLUME OF BUSINESS ON REVERSE SIDE                                                            TAX DUE ON OR BEFORE  
SECTION B: FINAL TAX - BUSINESS PRIVILEGE AND/OR MERCANTILE TAX RETURN
NATURE OF                                      GROSS VOLUME OF BUSINESS      EXEMPTIONS &           TAXABLE VOLUME          TAX RATE                             AMOUNT OF TAX DUE 
                                      BUSINESS ROUND TO NEAREST DOLLAR       EXCLUSIONS             ROUND TO NEAREST DOLLAR                                      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)                                                                                                                        , ,
SECTION C: ESTIMATED TAX - BUSINESS PRIVILEGE AND/OR MERCANTILE TAX RETURN
NATURE OF                                      GROSS VOLUME OF BUSINESS      EXEMPTIONS &           TAXABLE VOLUME            TAX                                AMOUNT OF TAX DUE 
                                      BUSINESS ROUND TO NEAREST DOLLAR       EXCLUSIONS             ROUND TO NEAREST DOLLAR   RATE                               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                                                                , ,
                                      E.I.N. # _____________________                                Please check one:       Refund Due 
                                      BUSINESS TELEPHONE ____________________________                                       No Payment Due 
                                      DATE OPERATION BEGAN IN DISTRICT _______________              *STD*                   Payment Included

                                                                                     DO NOT TEAR APART               NO CASH PAYMENTS WILL BE ACCEPTED.  
BUSINESS PRIVILEGE AND/OR MERCANTILE TAX RETURN                                                                      Your cancelled check is your receipt of payment.  
                                                                                                                      There will be a $29 fee for returned checks.
Make any corrections to Business Name & Address and check here.
                                                                                                       Tax Year: 
Business Name:                                                                                          
                                                                                                        
                                                                                                       Re: 
                                                                                                        
                                                                                                       District: 
                                                                                                        
                                                                                                       Account Number: 
Make check payable to and remit to:                                                                      
                                                                                                        
                                               HAB-BPT                                                  
                                                                                                        
                                               PO BOX 21810                                            Amount of Payment:  $ _____________________
                                               LEHIGH VALLEY, PA   18002-1810

                                                                                                                      DO NOT WRITE BELOW THIS LINE
                   mercre-web   011823

                                       *STD*

                                                                     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 MERCANTILE AND/OR BUSINESS PRIVILEGE TAX LICENSE AND TAX RETURN 
                                                                           
GENERAL 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. 
                 
Return 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. 
 
If you file a return showing no tax due, you should provide a detailed explanation as to why no tax is owed. Your failure to provide an acceptable, accurate and 
complete explanation as to why no tax is due and owing may lead to a potential audit of your account. 
 
What is the Business Privilege/Mercantile Tax? 
Your municipality or school district may impose a tax on each dollar of gross annual receipts for a business within the municipality or school district, whether 
for gain or profit including financial businesses, professions, vocations, services, construction, or other commercial activities. 
 
What is the meaning of Gross Receipts? 
For purposes of computing the tax, Gross Receipts means any cash, credits or property of any kind received in exchange for merchandise sold or services performed 
in business activity. Do not deduct costs of property or merchandise sold, materials, labor or services furnished or used, or interest or discount paid. 
 
What supporting documentation should I include when I file the return? 
•  Include a copy of any Federal documentation such as a Schedule C, Form 1120 (S-Corp) or any like form used to file with the IRS. If your business does not  
    have these forms, then provide other documentation used to determine gross receipts (such as your sales spreadsheet). 
•  Normal business expenses are not to be used as exemptions. 
•   If you have moved business from one municipality to another during the tax year, you may have incurred an additional tax liability to that municipality. 
 
TAX RETURN INFORMATION 
 
Section A Computation of Gross Volume of Business.  Complete only where applicable. 
 
Line (a)  Enter total gross volume of business for period indicated. 
 
Line (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. 
 
Line (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. 
 
Line (d)  This line is to be completed if business is temporary, itinerant, or seasonal.  Enter actual gross volume of business.  

 SECTION A: COMPUTATION OF GROSS VOLUME OF BUSINESS (fill in               one only) 
 A. If in business from                                 , use total gross volume of business for period.                           $ ____________________      
                                                                                                                                                                     
    If business commenced after             , indicate starting date (________________) and multiply your first                                                      
 B. full months gross volume of business (_____________________) x 12.                                                             $ ____________________ 
    If business commenced after             , indicate starting date (________________) and multiply your first                                                      
 C. 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                                                            
 D. of completion of business.                                                                                                     $ ____________________
 
NATURE OF BUSINESS ____________________________________________________________________________________________________________ 
 
OWNER __________________________________________________________               TITLE __________________________________________________ 
 
EMAIL ____________________________________________________________              
 
SIGNATURE ______________________________________________________               DATE _________________________ 
 
NAME & ADDRESS OF LEASING AGENT, IF RENTING ___________________________________________________________________________________
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.

Website: www.hab-inc.com 

mercins-web   011823