Schedule Da (Form Rev-861) - Disposition Of Assets

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REV-861 (05-12)
Schedule DA
DISPOSITION OF ASSETS
MMDDYYYY
TAX YEAR
BEGINNING
START
TAX YEAR
CORPORATION NAME
REVENUE ID
ENDING
GAIN ON DISPOSITION
SALES PRICE
OF ASSETS (SALES
REPORTED ON
OR
PRICE OR FAIR
FEDERAL
COST OF ASSET
FAIR MARKET VALUE
MARKET VALUE MINUS
SCHEDULE D
AS REPORTED ON
ON DATE OF
BOOK VALUE AND
OR FORM 4797
DESCRIPTION OF ASSET
BALANCE SHEETS
DISTRIBUTION
COST OF SALE)
(Y OR N)
Did the taxpayer distribute any receivables from installment sales?
If yes, what was/were the date(s) of sale(s)?
Total gain on installment sale(s) distributed.
Tax year(s) when the gain(s) on the sale(s) was/were included in net income per books
(Provide a schedule reflecting the amount of gain reported in each year.)
Was this transaction a liquidation under IRC Sec 332?
If yes, a copy of federal Form 966 must be included with RCT-101.
CORPORATIONS WITHDRAWING FROM PENNSYLVANIA BUT CONTINUING OPERATIONS OUTSIDE PA MUST
PROVIDE THE FOLLOWING INFORMATION AND/OR DOCUMENT(S).
1. Full details of disposition of Pennsylvania property; attach copies of federal Schedule D and/or federal Form 4797,
if applicable.
2. Please indicate if sales in Pennsylvania will continue after date of cessation. If so, how will they be negotiated and
by whom?
ATTACH SCHEDULE CONTAINING THE REQUIRED INFORMATION IF ADDITIONAL SPACE IS NEEDED.
IF ANY INDIVIDUAL OR CORPORATION OTHER THAN STOCKHOLDERS AND CREDITORS RECEIVED ASSETS, LIST
NAMES AND ADDRESSES OF EACH, AND AMOUNT OR VALUE RECEIVED BY EACH.
If any money or property remains undistributed, state amount, nature and value of same, and state why it has not been
distributed. Attach additional schedule(s) to this form.
It any real estate was distributed or sold within the final tax year, include documentation showing the recording of the title
transfer with local recorder of deeds.
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