Form Rct-113 - Gross Receipts Tax Report Transportation Business - Commonwealth Of Pennsylvania Department Of Revenue

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GROSS RECEIPTS TAX REPORT
RCT-113 (9-97)
MAIL THIS FORM WITH REMITTANCE
TRANSPORTATION BUSINESS
PAYABLE TO THE PA DEPARTMENT OF
REVENUE ALONG WITH PAYMENT TRANS-
(Other than Motor Vehicle)
MITTAL FORM (REV-856S) TO THE PA
FIRST REPORT
AMENDED REPORT
DEPARTMENT OF REVENUE, DEPT. 280407,
(Newly Incorporated/
HARRISBURG, PA 17128-0407.
Franchised)
LAST REPORT (Going
COVERS LESS THAN
COMPOSITE
COMMONWEALTH OF PENNSYLVANIA
out-of-existence)
A FULL 12-MO. PERIOD
REPORT
DEPARTMENT OF REVENUE
NAME
(Place Preprinted Label Here)
Account ID
IMPORTANT
STREET ADDRESS
Entity ID (EIN)
THIS REPORT IS DUE ON OR BEFORE MARCH
15, FOR THE TWELVE MONTHS ENDED
DECEMBER 31 IMMEDIATELY PRECEDING.
A PENALTY FOR LATE FILING WILL BE
TAX PERIOD ENDING
CITY
STATE
ZIP CODE
IMPOSED IN THE AMOUNT OF 10% ON THE
FIRST $1000 OF TAX, 5% ON THE NEXT $4000
AND 1% ON EVERYTHING IN EXCESS OF $5000.
To the Commonwealth of Pennsylvania, Department of Revenue, Harrisburg, PA.
In compliance with the Act of March 4, 1971, P.L. 6 (Act No. 2), as amended, the following report is made of the gross receipts by the
above named Corporation, Association, Joint-Stock Association, Limited Partnership, Copartnership, Individual or Individuals for the period
mentioned above:
All questions must be answered either by appropriate figures of the use of the word “None,” or such statement of facts as is responsive to the question.
Gross receipts from all sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Gross receipts within the state from all sources . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
SCHEDULE OF GROSS RECEIPTS WITHIN THE STATE
GROSS RECEIPTS
GROSS RECEIPTS
TAXABLE
EXEMPT
Attach detailed explanation of the exemptions claimed under items 1 to 8 indicating item, amount
of exemption claimed and basis of such claim.
1 .
Fr o m t r a n s p o r t a t i o n o f f r e i g h t c o n s i g n e d f r o m p o i n t s w i t h i n t h e s t a t e t o p o i n t s w i t h i n t h e s t a t e . . . . . . . . . . . . . . . . .
$
$
2
Fr o m t r a n s p o r t a t i o n o f p a s s e n g e r s f r o m p o i n t s w i t h i n t h e s t a t e t o p o i n t s w i t h i n t h e s t a t e . . . . . . . . . . . . . . . . . . . .
3 .
Fr o m s w i t c h i n g . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 .
Fr o m e x c e s s b a g g a g e c h a r g e s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5 .
Fr o m r e n t a l o f e q u i p m e n t w h e r e r e n t a l c o n t r a c t a r r a n g e m e n t s i n c l u d e o p e r a t i o n o f r e n t e d e q u i p m e n t b y r e p o r t i n g
c o m p a n y ’s e m p l o y e e s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 .
Fr o m e x p r e s s c o m p a n i e s o r f r o m c o m p a n y ’s o w n e x p r e s s b u s i n e s s f r o m p o i n t s w i t h i n t h e s t a t e t o p o i n t s w i t h i n t h e s t a t e
7 .
Fr o m p a l a c e c a r o r s l e e p i n g c a r c o m p a n i e s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
8 .
Fr o m r e p o r t i n g c o m p a n y ’s o w n p a l a c e c a r o r s l e e p i n g c a r s e rv i c e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
9 .
Fr o m t e l e g r a p h o r t e l e p h o n e c o m p a n i e s o r f r o m c o m p a n y ’s o w n t e l e g r a p h o r t e l e p h o n e b u s i n e s s f r o m p o i n t s w i t h i n
t h e s t a t e t o p o i n t s w i t h i n t h e s t a t e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 0 . Fr o m c h a r g e s f o r u s e o f c o m p a n y ’s t r a c k s o r t e rm i n a l s b y o t h e r t r a n s p o r t a t i o n c o m p a n i e s . . . . . . . . . . . . . . . . . . .
1 1 . Fr o m p e r d i e m c h a r g e t o o t h e r t r a n s p o r t a t i o n c o m p a n i e s f o r u s e o f e q u i p m e n t . . . . . . . . . . . . . . . . . . . . . . . . . .
1 2 . From demurrage . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 3 . Fr o m r e n t a l o f r e a l e s t a t e . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 4 . Fr o m c a r ry i n g o f U n i t e d S t a t e s m a i l . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 5 . Fr o m s a l e s o f o l d e q u i p m e n t o r m a t e r i a l s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 6 . Fr o m w e i g h i n g o f c a r s . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1 7 . Fr o m s a l e o f e l e c t r i c i t y
Fr o m a l l o t h e r s o u r c e s ( S e p a r a t e l y l i s t e a c h s o u r c e.A l l r e c e i p t s m u s t b e s h o w n b y t h e i r s e v e r a l s o u r c e s.
M i s c e l l a n e o u s r e c e i p t s m u s t b e e x p l a i n e d . I f s p a c e i s i n s u f f i c i e n t a t t a c h a s h e e t a s p a r t o f t h e r e p o r t . ) . . . . . . . . . . .
a . Fr o m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
b .Fr o m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c .Fr o m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d . Fr o m . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
T O TAL GROSS RECEIPTS W I T H I N T H E S TAT E . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
$
COMPUTATION OF TAX BY TAXPAYER
GROSS RECEIPTS TAXABLE for the period covered by this report . . . . . . . . . . . . . . . . . . . . . . .
$
Tax at rate of 50 mills (.050) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Penalty (for failure to file report within time limit prescribed by law) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
Amount due Commonwealth. If remitting payment by Electronic Funds Transfer (EFT), place an “X” in this block . . . . . .
$
Mail completed tax report to the PA Department of Revenue at the address listed above. Beginning 01/01/94 payments of $20,000 or more must be
remitted by EFT. To participate in the EFT program, the Department first must receive your completed Authorization Agreement. For EFT questions
only, call 1-800-892-9816.
AFFIRMATION
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.
Date
Signature of Official
Print or Type Name of Official
Street Address
Title
City
State
Zip Code
Telephone Number
(
)

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