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Tax Unit at 717-783-6031 (Option

Column 2 - Enter the Gross Premiums.

Column 2 - Enter the Gross Losses.

7, then Option 2).

•

Column 3 - Enter the Return Premiums.

Column 3 - Enter the Reinsurance.

If you have general business tax

Column 4 - Net Premiums

Column 4 - Enter the Salvage.

questions, call 717-787-1064.

Enter the difference of Column 2 minus

Column 5 - Total of Reinsurance

Column 3.

LINE INSTRUCTIONS

and Salvage

Column 5 - Enter the Net Reinsurance.

Enter the sum of Column 3 plus

RCT-124 should be completed in

Column 4.

Column 6 - Total Net Premiums

the following order:

Enter the difference of Column 4 minus

Column 6 - Net Losses

(Page instructions start with Page 3

Column 5.

Enter the difference of Column 2 minus

below.)

Column 5.

Step 1 - Complete the taxpayer infor-

Enter the totals of Columns 2

mation section and any applicable ques-

through 6 on Item d.

Enter the totals of Columns 2

tions at the top of Page 1.

through 6 on Item d.

Schedule D - Unearned Premiums on

Step 2 - Indicate the type of insurance

Outstanding Marine Insurance Contracts

Schedule F - Specific Marine Expenses

company on Page 1, Domestic or For-

Written Within the U.S. at the Close of

Incurred on Business Transacted Within

eign. This information is required.

Business Dec. 31 for the Last Four Cal-

the U.S.

endar Years

Step 3 - Enter the Revenue ID and

NOTE: Schedule F includes the

other taxpayer information in the des-

NOTE: Schedule D includes the

following information for items a

ignated fields at the top of each page.

following information for items a

through c:

through d:

Step 4 - Complete Page 3, Schedules A-D.

Column 1 - Last Three Calendar Years

Column 1 - Last Four Calendar Years

Enter the years in chronological order.

Step 5 - Complete Page 4, Schedules E-G.

Enter the years in chronological order.

(earliest in Item a, etc.)

Step 6 - Complete Page 2, Calculation

(earliest in Item a, etc.)

Column 2 - Enter Agency Commissions

of Tax.

Trip (or Voyage) Contracts:

Including Brokerage.

Step 7 - Complete Page 1, Lines 1

Column 2 - Enter the Premiums in

Column 3 - Enter Agency Expenses.

through 10.

Force Less Reinsurance.

Column 4 - Enter Federal Taxes.

Step 8 - Complete the corporate officer

Column 3 - Enter the Net Unearned

information section, sign and date at

Premiums 100%.

Column 5 - Enter State & City Taxes

the bottom of Page 1.

and Fees.

Term Contracts:

Step 9 - Complete the preparer infor-

Column 4 - Enter the Premiums in

Column 6 - Enter Loss Adjustment Ex-

mation section, sign and date at the

Force Less Reinsurance.

pense.

bottom of Page 2, if applicable.

Column 5 - Enter the Net Unearned

Column 7 - Enter all Other Expenses.

Step 10 - Mail the completed report

Premiums 50%.

Column 8 - Total Marine Expenses

and any supporting schedules to the PA

Column 6 - Advance Premiums

Enter the sum of Columns 2 through 7.

Department of Revenue.

Enter the Net Unearned Premiums

Enter the totals of Columns 2

100%.

PAGE 3

through 8 on Item d.

Column 7 - Enter the Total Net Un-

Schedule G - General Expenses Not

Schedule A - Marine Premiums Written

earned Premiums for each year. (Col-

Chargeable Specifically to Any Particular

Within the U.S.

umn 3 plus Column 5 plus Column 6)

Class of Business

Schedule B - Marine Premiums Written

PAGE 4

NOTE: Schedule G includes the

in the Commonwealth of Pennsylvania

following information for items a

Schedule C - Premiums Written- All

Schedule E - Marine Losses Incurred

through c:

Classes of Business for the Last Three

on Business Written Within the U.S. for

Column 1 - Last Three Calendar Years

Calendar Years Within the U.S.

the Last Three Calendar Years

Enter the years in chronological order.

NOTE: Schedules A, B, and C in-

NOTE: Schedule E includes the

(earliest in Item a, etc.)

clude the following information for

following information for items a

items a through c:

through c:

Column 2 - Enter Salaries of Officers

and Employees.

Column 1 - Last Three Calendar Years

Column 3 - Enter Advertising and Sub-

Enter the years in chronological order.

(earliest in Item a, etc.)

scription Expenses.

RCT-124

Form Rct-124 - Underwriting Profits Tax - Domestic & Foreign Marine Insurance - Pennsylvania Department Of Revenue Page 3

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