Fillable Form Rct-101 - Pa Corporate Tax Report (Page 6 of 6) in pdf

Form Rct-101 - Pa Corporate Tax Report Page 6

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1010014605

REVENUE ID

TAX YEAR END

NAME

RCT-101

PAGE 6 OF 6

PA CORPORATE TAX REPORT 20_ _

(FI)

SCHEDULE OF REAL PROPERTY IN PA (Attach a separate schedule if additional space is needed.)

Did you own or rent property in PA during this filing period? If yes, the below section must be completed.

O = Own

Street Address

City

County

KOZ/KOEZ

R = Rent

CORPORATE OFFICERS

SSN

Last Name

First Name

(See instructions.)

Must provide all officers.

President/Managing Partner

Vice President

Secretary

Treasurer/Tax Manager

PREPARER’S INFORMATION

Mail to Preparer

Firm Federal EIN

Firm Name

Address Line 1

Address Line 2

City

State

ZIP

I affirm under penalties prescribed by law, this report, including any accompanying schedules and statements, has been prepared by me and to the best of my

knowledge and belief is a true, correct and complete report.

Tax Preparer’s Signature

Date

PLEASE SIGN AFTER PRINTING.

INDIVIDUAL PREPARER

PHONE

PTIN/SSN

PRINT FORM

Reset Entire Form

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RETURN TO PAGE ONE

1010014605