Form Rev-1175 Ct - Schedule Ar

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REV-1175 CT (12-14)
No dashes (-) or slashes (/) to be used in Date and Revenue ID fields. Use whole numbers, NO DECIMALS. Use ALL CAPS
SCHEDULE AR
START
EXPLANATION FOR FILING AMENDED
(ENTER THE TAX FORM NUMBER)
Must be filed when amending any Pennsylvania tax report.
MMDDYYYY
TAX YEAR
BEGINNING
TAX YEAR
CORPORATION NAME
REVENUE ID
ENDING
Please provide, in as much detail as possible, the reason(s) for filing the amended report. Attach a separate schedule if additional space is
needed.
NOTE: For corporate net income tax liabilities not settled prior to Jan. 1, 2008, changes in federal taxable income must be reported on
RCT-128C. An amended RCT-101 will not be accepted in these cases.
EXPLANATION
SUMMARY OF TAX CHANGE
Tax as Previously
Type of Tax
Tax as Amended
Change in Tax
Filed or Adjusted
While an amended PA corporate tax report may be filed to bring to the department’s attention correction(s) to an original report or additional information,
the department is not required to act on an amended report. To pursue appeal rights, a taxpayer must timely file a petition for reassessment or a petition
for refund. The filing of an amended report does not replace the filing of a petition for reassessment or a petition for refund.
Tax Preparer’s Signature
Date
MMDDYYYY
PRINT FORM
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