Form Rct-132 - Shares Tax & Loans Tax Report - 2011 Page 4
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51320011401
RCT-132 (I)
Page 4
SCHEDULE B
CALCULATION OF TAXABLE AMOUNT OF TOTAL SHARES (
Complete Schedule A-1 for each prior year adjusted as a
)
result of Act No. 55 of 2007
1.
Current year value of shares (01/01/2012) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
2.
One year prior value of shares (01/01/2011) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
3.
Two years prior value of shares (01/01/2010) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
4.
Three years prior value of shares (01/01/2009) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
5.
Four years prior value of shares (01/01/2008) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
6.
Five years prior value of shares (01/01/2007) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
7.
Add Lines 1 thru 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
8.
Taxable amount of total shares . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
(Line 7 divided by 6 or the number of years in existence if less than six) Enter on Page 2, Calculation of Shares Tax, Line 1.
Identify banks, banks and trust companies, title insurance companies, trust companies and other financial institutions combined with the taxpayer during
the last six tax years; the dates combined; and the Pennsylvania corporation Account IDs of the nonsurviving entities. Submit copies of quarterly reports of con-
dition of combined entities disclosing amounts included in current-period-value calculation and a schedule disclosing amounts included in prior periods’ value cal-
culations.
NAME
DATE COMBINED
ACCOUNT ID
LOANS TAX - SCHEDULE OF TAXABLE INDEBTEDNESS - SCHEDULE C
o
o
1. (FOREIGN CORPORATIONS ONLY) DID THIS CORPORATION HAVE A FISCAL OFFICER RESIDENT IN PENNSYLVANIA?
1.
YES
NO
2. DID THIS CORPORATION HAVE INDEBTEDNESS OUTSTANDING TO INDIVIDUAL RESIDENTS AND/OR
o
o
PARTNERSHIPS RESIDENT IN PENNSYLVANIA?
2.
YES
NO
3. DID THIS CORPORATION HAVE INDEBTEDNESS OUTSTANDING HELD BY A TRUSTEE, AGENT OR GUARDIAN FOR A
RESIDENT INDIVIDUAL TAXABLE IN ITS OWN RIGHT OR BY AN EXECUTOR OR ADMINISTRATOR OF AN ESTATE
o
o
WHEREIN THE DECEDENT WAS A RESIDENT OF PENNSYLVANIA?
3.
YES
NO
List Outstanding Indebtedness.
Attach separate schedule if additional space is needed.
4.
AMOUNT OF INTEREST PAID
5.
RATE OF INTEREST APPLICABLE TO THE
6.
NOMINAL VALUE OF TAXABLE
ON THE INDEBTEDNESS IN QUESTION 2
INDEBTEDNESS IN QUESTION 2 OR 3
INDEBTEDNESS (DIVIDE 5 INTO 4)
OR 3 DURING THE TAX YEAR REPORTED
Total Nominal Value of Taxable Indebtedness (Sum of Column 6)
Enter this figure on Page 2, Calculation of Loans Tax, Line 1.
IF MORE THAN THREE INDEBTEDNESSES EXIST, ATTACH A SCHEDULE SHOWING THE FIGURES AND CALCULATIONS IN 4, 5 AND 6 ABOVE FOR
EACH INDEBTEDNESS.
1320011401
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