Form Rct-900 - Public Utility Realty Report By Local Taxing Authorities
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6No dashes (-) or slashes (/) to be used in any fields, this includes Date, FEIN, Phone and ZIP. Use ALL CAPS
RCT-900 (10-14)
Page 1 of 6
9000014105
PUBLIC UTILITY REALTY REPORT
PA DEPARTMENT OF REVENUE
BY LOCAL TAXING AUTHORITIES
BUREAU OF CORPORATION TAXES
PO BOX 280704
HARRISBURG PA 17128-0704
START
(DEPARTMENT USE ONLY)
DATE RECEIVED
LTA NUMBER
COUNTY
NAME
ADDRESS LINE 1
TAX YEAR ENDING 2014
DUE DATE April 1, 2015
ADDRESS LINE 2
CITY
STATE
ZIP CODE
ABOVE ADDRESS WILL BE USED TO MAIL THE DISTRIBUTION CHECK.
£
Check to indicate a change of address
REAL ESTATE TAX RATES
LOCAL TAXING AUTHORITY
DEPARTMENT USE ONLY
(ALL local taxing authorities must complete)
(Use Whole Dollars Only)
1a. Local real estate tax rate in mills
1a.
1b. Local real estate tax rate in decimal form (Divide mills by 1,000.)
1b.
2. Assessed value of all PURTA property (effective 12/31/2014)
2.
3. Realty Tax Equivalent (RTE) (Multiply Line 2 by Line 1b.)
3.
4. Common Level Ratio Factor (See enclosed schedule.)
4.
5. State Taxable Value (STV) (Multiply Line 2 by Line 4.)
5.
TAX RECEIPTS (All local taxing authorities must complete)
Use Whole Dollars Only
The PURTA program is restricted by law to include only jurisdictionally
allowable tax receipts. Include delinquent tax receipts collected.
6a. Real Estate Taxes:
6a.
b. Per Capita Taxes:
b.
c. Wage Taxes:
c.
d. Earned Income Taxes:
d.
e. Occupational Privilege Taxes/EMS Tax:
e.
f. Occupational Assessment Taxes:
f.
g. Realty Transfer Taxes:
g.
h. Other (Provide description)
h.
i. Other (Provide description)
i.
j. Other (Provide description)
j.
6. TOTAL TAX RECEIPTS (Add Lines 6a through 6j):
6.
AFFIRMATION BY RESPONSIBLE OFFICIAL AND CONTACT INFORMATION (ALL local taxing authorities must complete)
I affirm under penalties prescribed by law, 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.
MM/DD/YYYY
Please sign after printing.
Signature of Responsible Official
Date
Printed Name of Official
Title of Official
Email Address
Telephone Number
Fax Number
Federal ID (FEIN)
PRINT
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9000014105
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