Form Rct-127 A - Public Utility Realty Tax Report Form - Pa Department Of Revenue printable pdf download

Form Rct-127 A - Public Utility Realty Tax Report Form - Pa Department Of Revenue

1 2 7 1 0 0 6 1 0 1 9

(Department Use Only)

R C T-127 A ( 1 2 - 0 6 )

DLN

ACCOUNT ID

Commonwealth of Pennsylvania

(CORPORATE BOX NUMBER)

PA DEPARTMENT OF REVENUE

PUBLIC UTILITY REALTY

PURTA UNIT

PO BOX 280704

TAX REPORT

HARRISBURG, PA 17128-0704

(Department Use Only)

2006

Date Received

FEDERAL ID (EIN NUMBER )

NAME

MAKE ADDRESS CHANGES IN SPACE BELOW

ADDRESS

CITY

STATE

ZIP CODE

CITY

STATE

ZIP CODE



First Report

Amended Report

Last Report (out-of existence as of

)

TA X PERIOD ENDING

DUE DAT E

A N N U A L PAY M E N T S

05/01/07

12/31/06

(N O E X T E N S IO N S )

REVENUE USE ONLY

B. Estimated

C. Restricted

Remittance

A. Tax Liability

T/C 01-15

TAX TYPE

Payments & Credits

✔

TYPE

BUDGET

Credit

A minus B minus C

from Tax Report

on Deposit

CODE

✔

PUBLIC UTILITY REALTY TAX

124101

-0-

GRAND TOTALS



NO REAL PROPERTY CLASSIFIED AS PURTA PROPERTY WAS OWNED AS OF DECEMBER 31, 2006. NO TAX DUE.

A Public Utility is responsible for all of their PURTA property being properly reported by each County, i.e. the parcel number, the correct name and

mailing address. If the County is not reporting this information correctly, it is the Utility’s responsibility to make all corrections with the County.

I hereby affirm under penalties prescribed by law that this report (including any accompanying schedules and statements) has been examined by me and

to the best of my knowledge and belief is a true, correct and complete report. If prepared by a person other than the taxpayer, his declaration is based

on all information of which he has any knowledge

Signature of Officer of Company

Ti t l e

D a t e

Telephone Number

(

)

P R I N T Individual Preparer or Firm’s Name

S i g n a t u r e of Preparer

P R I N T Individual or Firm’s Street A d d r e s s

Ti t l e

Telephone Number