Form Rct-101 - Pa Corporate Net Income Tax Report - 2016 Page 3

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ReVeNue ID
Tax yeaR eND
NaMe
RCT-101
page 3 oF 4 pa CoRpoRaTe NeT INCoMe Tax RepoRT 2016
(FI) (08-16)
seCTIoN C: CoRpoRaTe sTaTus ChaNges
Final Report
pa Corporations:
If yes, enter date all business activity ceased
Did you ever transact business anywhere?
If yes, enter date of final disposition of assets*
Did you hold assets anywhere?
Foreign Corporations:
If yes, enter date PA business activity ceased
Did you ever transact business in PA on your own or through an unincorporated entity?
If yes, enter date of final disposition of
Did you hold assets in PA on your own or through an unincorporated entity?
PA assets*
*Schedule of Disposition of Assets, REV-861, must be completed and filed with this report.
Has the corporation sold or transferred in bulk, 51 percent or more of any class of assets? (See instructions.)
If yes, enter the following information. (Include a separate schedule if additional space is needed.)
Purchaser Name
Address Line 1
Address Line 2
City
Province
State
Country Code
ZIP
Foreign Postal Code
seCTIoN D: geNeRal INFoRMaTIoN QuesTIoNNaIRe
Describe corporate activity in PA
Describe corporate activity outside PA
Other states in which taxpayer has activity
State of Incorporation
Incorporation Date
1. Does any corporation, individual or other business entity hold all or a majority of the stock of this corporation?
1
2. Does this corporation own all or a majority of stock in other corporations?
2
3. Is this taxpayer a partnership or other unincorporated entity that elects to file federal taxes as a corporation?
3
4. Has the federal government changed taxable income as originally reported for any prior period for which reports of change
4
have not been filed in PA?
If yes: First Period End Date:
Last Period End Date:
Accounting Method - Federal Tax Return
Accounting Method - Financial Statements
A = Accrual
C = Cash
O = Other
A = Accrual
C = Cash
O = Other
Other
Other
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1010016305
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