Form Rct-132a - Pennsylvania Title Insurance Company Shares Tax Report Page 3
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1
2
3C
1321014305
Revenue ID
RCT-132A
PAGE 3 OF 3
(01-15)
USE WHOLE DOLLARS ONLY
SCHEDULE A – Calculation of Current Year – Taxable Shares
1st Quarter
1.
Book Value of Capital Stock Paid In
1.
2.
Book Value of Surplus
2.
3.
Book Value of Undivided Profits
3.
4.
Book Value of Unearned Premium Reserve
4.
5.
Total (Line 1+2+3+4)
5.
6.
Book Value of U. S. Obligations
6.
7.
Quarterly Book Value (Line 5 minus Line 6)
7.
2nd Quarter
8.
8.
Book Value of Capital Stock Paid In
9.
9.
Book Value of Surplus
10.
10. Book Value of Undivided Profits
11.
11. Book Value of Unearned Premium Reserve
12.
12. Total (Line 8+9+10+11)
13.
13. Book Value of U. S. Obligations
14.
14. Quarterly Book Value (Line 12 minus Line 13)
3rd Quarter
1
15.
5. Book Value of Capital Stock Paid In
16.
16. Book Value of Surplus
17.
17. Book Value of Undivided Profits
18.
18. Book Value of Unearned Premium Reserve
1
19.
9. Total (Line 15+16+17+18)
20.
20. Book Value of U. S. Obligations
21.
21. Quarterly Book Value (Line 19 minus Line 20)
4th Quarter
22.
22. Book Value of Capital Stock Paid In
23.
23. Book Value of Surplus
24.
24. Book Value of Undivided Profits
25.
25. Book Value of Unearned Premium Reserve
26.
26. Total (Line 22+23+24+25)
27.
27. Book Value of U. S. Obligations
28.
28. Quarterly Book Value (Line 26 minus Line 27)
CALCULATION
29.
29. Number of Quarters in Existence for Current Tax Year
30.
30. Total Book Value (Line 7+14+21+28)
31.
31. Current Year Value of Shares (Line 30 divided by Line 29)
Carry the amount on Line 31 to Page 2, Line 1.
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