Form Rct-112 - Gross Receipts Tax (Grt) Report - Electric, Hydro-Electric And Water Power Companies Page 2

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1120012205

Revenue ID

RCT-112

(09-14)

PAGE 2 OF 6

SOURCE OF GROSS RECEIPTS

Total Taxable PA Receipts

USE WHOLE DOLLARS ONLY

FERC 411.6 and 411.9 – Utility Plant and Allowances

FERC 412.0 – Revenues – Electric Plant Leased to Others

FERC 414.0 – Other Utility Operating Income (Attach Schedule)

FERC 415.0 – Revenues – Merchandising, Jobbing and Contract Work

FERC 417.0 – Revenues – Non-Utility Operations

FERC 418.0 – Nonoperating Rental Income

FERC 419.0 – Interest and Dividend Income

FERC 421.0 – Miscellaneous Nonoperating Income

FERC 421.1 and 421.2 – Gain/Loss on Disposition of Property

10.

FERC 440.0 – Residential Sales

10.

11.

FERC 442.0 – Commercial and Industrial Sales

11.

12.

FERC 444.0 – Public Street and Highway Lighting

12.

13.

FERC 445.0 – Other Sales to Public Authorities

13.

14.

FERC 446.0 – Sales to Railroads and Railways

14.

15.

FERC 447.0 – Sales for Resale

15.

16.

FERC 448.0 – Interdepartmental Sales

16.

17.

Other Sales, Nonmajor only (Attach Schedule)

17.

18.

FERC 449.1 – Provisions for Rate Refunds

18.

19.

FERC 450.0 – Forfeited Discounts

19.

20.

FERC 451.0 – Miscellaneous Service Revenues

20.

21.

FERC 453.0 – Sales of Water and Water Power

21.

22.

FERC 454.0 – Rent from Electric Property

22.

23.

FERC 455.0 – Interdepartmental Rents

23.

24.

FERC 456.0 – Other Electric Revenues (Attach Schedule)

24.

25.

FERC 456.1 – Revenues from Transmission of Electricity of Others

25.

26.

FERC 457.1 – Regional Transmission Service Revenues

26.

27.

FERC 457.2 – Miscellaneous Revenues (Attach Schedule)

27.

28.

All Other Sources (Attach Schedule)

28.

29.

Total Taxable Gross Receipts (Sum of Lines 1 through 28)

29.

30.

Gross Receipts Tax (Line 29 times tax rate - See Instructions)

30.

31.

Total Gross Receipts (From Page 4, Column A)

31.

32.

Total Receipts from Business Conducted in Other States (From Page 4, Column B)

32.

33.

Total PA Receipts (Line 31 minus Line 32)

33.

34.

Adjustment for PA Bad Debts plus total Nontaxable PA Receipts and PA Sales for

34.

Resale (From Page 4, total of Column C, Line 29 plus Column D, Line 29)

35. Source of Report Information (A=FERC, B=PUC, C=Federal Tax)

35.

Preparer’s Information:

36. Accounting method for GRT (A=Accrual, B=Cash, C=Other)

36.

Firm Name

Individual Preparer Name

Firm FEIN

Phone

Address

City

Social Security Number

or PTIN

State

ZIP

1120012205

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

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