NSFUF_2025_Fillable.pdf

338 KB Posted

Attached to
Request for Information: Remittance Processing Solution
Solicitation number
2025-RFI-099
Issued by
Allegheny County, Philadelphia City, Pennsylvania

About this file

Written by GovTribe AI ·

The document is a UF-1 2025 Non-Resident Sports Facility Usage Fee form issued by the City of Pittsburgh, Pennsylvania. This tax form is designed for businesses to report and remit usage fees for non-resident employees who perform services in publicly funded facilities. The form requires detailed reporting of employee information, including social security numbers, addresses, income, and a 3% usage fee calculation for each employee.

The form consists of three pages: a cover page for overall tax computation, a second page for listing players or performers, and a third page for non-player staff. Businesses must attach a comprehensive list of employees with their social security numbers, names, addresses, Pittsburgh income, and the corresponding usage fee amount. The city imposes a 1% monthly penalty for late payments, and any checks returned by the bank will incur a $30.00 fee. Refunds are only issued to employers who can provide evidence that the usage fee was previously refunded to the employee. For assistance, businesses can contact the city at 412-255-2525.

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USE BLACK INK ONLY ON THIS FORM – DO NOT STAPLE ANYTHING TO THIS FORM

EVENT DATE(S) EVENT FACILITY

UF-1 2025 NON-RESIDENT SPORTS FACILITY

USAGE FEE

City of Pittsburgh Rev 12/24

COMPUTATION OF TAX

1. NO. OF EMPLOYEES FOR WHOM USAGE FEE IS BEING REMITTED

2. COMPENSATION ALLOCABLE TO PITTSBURGH – (Includes all forms of compensation based on profits or otherwise, earned by a person or personal representative for services rendered in a publicly funded facility) .

3. AMOUNT DUE – (multiply Line 2 by 3% - (0.03)) .

4. PENALTY– (City penalty 1% (0.01) per month) .

5. TOTAL DUE – (add Lines 3 through 4) .

Amounts under $2.00 are not due Make check payable to: TREASURER, CITY OF PITTSBURGH – DO NOT SEND CASH Mail to: USAGE FEE DUE – 414 GRANT ST RM 206 – PITTSBURGH PA 15219-2476

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

ATTACH A LIST INCLUDING THE SOCIAL SECURITY NUMBER, NAME, ADDRESS, PITTSBURGH INCOME AND THE

AMOUNT WITHHELD FOR EACH USER/EMPLOYEE/ENTERTAINER.

Refunds. Each user/employee/entertainer must pay the Usage Fee. The City of Pittsburgh will only issue refunds to the employer if the employer provides evidence that the Usage Fee was previously refunded to the user/employee/entertainer by the employer.

FOR ASSISTANCE CALL: 412-255-2525

${0004}_${0007} 060000000000000000000000000002025

ACCOUNT NO FEDERAL ID

QUARTER

CITY ID

Due on or before

Amended Return (Written Request Required – See Section 604 of the Payroll Tax Regulations)

Business Name:

Mailing Address:

City, State,Zip:

SIGNATURE _________________________________________________

TITLE _____________________ DATE ____________________________

PHONE _____________________________________________________

E-MAIL ADDRESS ____________________________________________

PREPARER’S NAME __________________________________________

PREPARER’S PHONE _________________________________________

I hereby certify, swear and aver that all statements herein are true and correct to the best of my knowledge and belief, being duly apprised of my duty under the law to submit honest and complete information or be subject to the penalties provided by law.

OMISSION OF THE ABOVE APPLICABLE INFORMATION

CONSTITUTES AN INCOMPLETE RETURN

UF-1 2025 NON-RESIDENT SPORTS FACILITY

PAGE 2 USAGE FEE – FOR PLAYERS OR PERFORMERS

CITY OF PITTSBURGH

Employee Social Security Number Address Income Usage Fee

3%

TOTAL

UF-1 2025 NON-RESIDENT SPORTS FACILITY

PAGE 3 USAGE FEE – FOR NON-PLAYERS OR STAFF

CITY OF PITTSBURGH

Employee Social

Security Number

Posititon Address Income Usage Fee 3%

TOTAL

Amended Return: Off
TITLE:
DATE:
PHONE:
EMAIL ADDRESS:
PREPARERS NAME:
PREPARERS PHONE:
EmployeeRow1:
Social Security NumberRow1:
AddressRow1:
IncomeRow1:
Usage Fee 3Row1:
EmployeeRow2:
Social Security NumberRow2:
AddressRow2:
IncomeRow2:
Usage Fee 3Row2:
EmployeeRow3:
Social Security NumberRow3:
AddressRow3:
IncomeRow3:
Usage Fee 3Row3:
EmployeeRow4:
Social Security NumberRow4:
AddressRow4:
IncomeRow4:
Usage Fee 3Row4:
EmployeeRow5:
Social Security NumberRow5:
AddressRow5:
IncomeRow5:
Usage Fee 3Row5:
EmployeeRow6:
Social Security NumberRow6:
AddressRow6:
IncomeRow6:
Usage Fee 3Row6:
EmployeeRow7:
Social Security NumberRow7:
AddressRow7:
IncomeRow7:
Usage Fee 3Row7:
EmployeeRow8:
Social Security NumberRow8:
AddressRow8:
IncomeRow8:
Usage Fee 3Row8:
EmployeeRow9:
Social Security NumberRow9:
AddressRow9:
IncomeRow9:
Usage Fee 3Row9:
EmployeeRow10:
Social Security NumberRow10:
AddressRow10:
IncomeRow10:
Usage Fee 3Row10:
EmployeeRow11:
Social Security NumberRow11:
AddressRow11:
IncomeRow11:
Usage Fee 3Row11:
EmployeeRow12:
Social Security NumberRow12:
AddressRow12:
IncomeRow12:
Usage Fee 3Row12:
EmployeeRow13:
Social Security NumberRow13:
AddressRow13:
IncomeRow13:
Usage Fee 3Row13:
EmployeeRow14:
Social Security NumberRow14:
AddressRow14:
IncomeRow14:
Usage Fee 3Row14:
EmployeeRow15:
Social Security NumberRow15:
AddressRow15:
IncomeRow15:
Usage Fee 3Row15:
Usage Fee 3TOTAL:
EmployeeRow1_2:
Social Security NumberRow1_2:
PosititonRow1:
AddressRow1_2:
IncomeRow1_2:
Usage Fee 3Row1_2:
EmployeeRow2_2:
Social Security NumberRow2_2:
PosititonRow2:
AddressRow2_2:
IncomeRow2_2:
Usage Fee 3Row2_2:
EmployeeRow3_2:
Social Security NumberRow3_2:
PosititonRow3:
AddressRow3_2:
IncomeRow3_2:
Usage Fee 3Row3_2:
EmployeeRow4_2:
Social Security NumberRow4_2:
PosititonRow4:
AddressRow4_2:
IncomeRow4_2:
Usage Fee 3Row4_2:
EmployeeRow5_2:
Social Security NumberRow5_2:
PosititonRow5:
AddressRow5_2:
IncomeRow5_2:
Usage Fee 3Row5_2:
EmployeeRow6_2:
Social Security NumberRow6_2:
PosititonRow6:
AddressRow6_2:
IncomeRow6_2:
Usage Fee 3Row6_2:
EmployeeRow7_2:
Social Security NumberRow7_2:
PosititonRow7:
AddressRow7_2:
IncomeRow7_2:
Usage Fee 3Row7_2:
EmployeeRow8_2:
Social Security NumberRow8_2:
PosititonRow8:
AddressRow8_2:
IncomeRow8_2:
Usage Fee 3Row8_2:
EmployeeRow9_2:
Social Security NumberRow9_2:
PosititonRow9:
AddressRow9_2:
IncomeRow9_2:
Usage Fee 3Row9_2:
EmployeeRow10_2:
Social Security NumberRow10_2:
PosititonRow10:
AddressRow10_2:
IncomeRow10_2:
Usage Fee 3Row10_2:
EmployeeRow11_2:
Social Security NumberRow11_2:
PosititonRow11:
AddressRow11_2:
IncomeRow11_2:
Usage Fee 3Row11_2:
EmployeeRow12_2:
Social Security NumberRow12_2:
PosititonRow12:
AddressRow12_2:
IncomeRow12_2:
Usage Fee 3Row12_2:
EmployeeRow13_2:
Social Security NumberRow13_2:
PosititonRow13:
AddressRow13_2:
IncomeRow13_2:
Usage Fee 3Row13_2:
EmployeeRow14_2:
Social Security NumberRow14_2:
PosititonRow14:
AddressRow14_2:
IncomeRow14_2:
Usage Fee 3Row14_2:
EmployeeRow15_2:
Social Security NumberRow15_2:
PosititonRow15:
AddressRow15_2:
IncomeRow15_2:
Usage Fee 3Row15_2:
Usage Fee 3TOTAL_2:
FEDERAL ID:
Due Date: [ -]
Business Name:
Mailing Address:
City, State, Zip:
Number of Employees:
Compensation:
Amount Due:
Penalty:
Total Due:
City ID:
Text1:
0:
1:
2:
3:
4:
5:
Text2:
0:
1:
2:
3:
4:
5:
Compensation 2:
Amount Due 2:
Penalty 2:
Total Due 3:
Quarter: [ -]

File details come from the government source that posted it. Updated .