Form Rtc-131 - Gross Receipts Tax Report Private Bankers - Pennsylvania Department Of Revenue - 2008

RCT-131 (09-08) (I)

1310007101

(Department Use Only)

DLN

ACCOUNT ID

(CORPORATE BOX NUMBER)

GROSS RECEIPTS TAX REPORT

_

Bureau of Corporation Taxes

PRIVATE BANKERS

(Department Use Only)

PO BOX 280407

Date Received

2008 REPORT

Harrisburg PA 17128-0407

FEDERAL ID (EIN)

NAME

_

MAKE ADDRESS CHANGES IN SPACE BELOW

ADDRESS

ADDRESS

CITY

STATE

ZIP CODE

CITY

STATE

ZIP CODE

First Report

Amended Report (See instructions.)

Last Report (Out-of existence as of ___________________________ .)

ANNUAL PAYMENTS

TAX PERIOD ENDING

DUE DATE

12/31/08

02/16/09



Fill in corresponding self-assessed tax, remittance amount and grand totals.

REVENUE USE ONLY

B. Estimated

A. Tax Liability

C. Restricted

Remittance



T/C 01-15 TAX TYPE

Payments & Credits

TYPE

BUDGET

from Tax Report

Credit

A minus B minus C

on Deposit

CODE

CODE



GROSS RECEIPTS-Private Bankers

10

127166

GRAND TOTALS

PLEASE CHECK THIS BLOCK ONLY IF THE TOTAL PAYMENT SHOWN ABOVE HAS BEEN OR WILL BE PAID BY ELECTRONIC FUNDS TRANSFER (EFT).

OVERPAYMENT INSTRUCTIONS

(CHECK ONLY ONE BOX)

A.

Automatically transfer overpayments to other current tax period underpaid taxes and the remaining portion of the overpayment(s) to the next tax period.

B.

Refund the overpayment(s) of the current tax period after paying any other current tax period underpaid taxes.

By checking the Amended box on this form, the taxpayer hereby consents to the extension of the assessment period for this tax year to one year from the date of filing of this amended report or three years from the fil-

ing of the original report, whichever period last expires. For purposes of this extension, an original report filed before the due date is deemed to have been filed on the due date. 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 and that I am authorized to

execute this consent to the extension of the assessment period. 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

Title

Date

Telephone Number

(

)

PRINT Individual Preparer or Firm’s Name

Signature of Preparer

Fax Number

(

)

PRINT Individual or Firm’s Street Address

Title

Telephone Number

(

)

City

State

ZIP Code

E-mail Address

1310007101