Form Rct-132a - Pennsylvania Title Insurance Company Shares Tax Report Page 2
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1
2
3C
1321014205
Revenue ID
RCT-132A
PAGE 2 OF 3
(01-15)
Lines 9 and 14 should be 1.000000 or less.
USE WHOLE DOLLARS ONLY
Calculation of Shares Tax
1.
Current Year Value of Shares (Schedule A, Line 31)
1.
2.
First Prior Year Value of Shares
2.
3.
Second Prior Year Value of Shares
3.
4.
Third Prior Year Value of Shares
4.
5.
Fourth Prior Year Value of Shares
5.
6.
Fifth Prior Year Value of Shares
6.
7.
Sum of Value of Shares (Total Line 1 through Line 6)
7.
8.
Taxable Shares (Line 7 divided by 6 or number of years in existence if less than 6)
8.
9.
Shares Tax Apportionment (Line 14 below)
9.
10.
Total Amount of Shares Subject to Tax (Line 8 times Line 9)
10.
11.
Tax (Line 10 times tax rate – see instructions)
11.
Calculation of Shares Tax Apportionment
12.
Total Receipts Inside PA (Line 17a below)
12.
13.
Total Receipts Everywhere (Line 17b below)
13.
14.
Receipts Factor (Line 12 divided by Line 13; carry to 6 decimal places)
14.
INSIDE PENNSYLVANIA
EVERYWHERE
Receipts Factor
15.
Receipts from Issuance of Title Insurance
15a.
15b.
16.
Other Receipts (Attach schedule)
16a.
16b.
17.
Total Receipts (Line 15 plus Line 16)
17a.
17b.
Mergers (Complete only if applicable)
Non-surviving Entity
Date Combined
Revenue ID
1.
2.
3.
(Attach schedule if additional space is needed)
1321014205
Preparer’s Information:
Firm Name
Individual Preparer Name
Firm FEIN
Phone
Address
Email
City
Social Security Number
or PTIN
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.
Signature of Preparer
Date
Signature of Preparer – Please sign after printing
Reset Entire Form
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Parent category: Financial