Form Rct-111 - Gross Receipts Tax (Grt) Report - Telecommunications Page 4

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RCT-111
PAGE 4 OF 7
Revenue ID
(12-14)
GROSS RECEIPTS TAX - TELECOMMUNICATIONS
Column 1
Column 2
Column 3
Total Gross
Receipts from Business
Adjustment for
Receipts
Conducted in
PA Bad Debts
Source of Gross Receipts
Everywhere
Other States
Local Network Service
1. FCC-5000 – Basic Local Service
(Class B Account)
2. FCC 5001 – Basic Area (Class A Account)
3. FCC 5002 – Optional Extended Area
(Class A Account)
4. FCC 5003 – Cellular Mobile (Class A Account)
5. FCC 5040 – Private Line (Class A Account)
6. FCC 5060 – Other Basic Area
(Class A Account)
Network Access Service
7. FCC 5081 – End User
8. FCC 5082 – Switched Access
9. FCC 5083 – Special Access
Long Distance Network Services
10. FCC 5100 – Long Distance Message
Miscellaneous – 5200
11. Transport and Termination of Local Telecom Traffic
12. Unbundled Network Elements
13. Private Mobile Telephone Services
14. Collections Overages
15. Charges Customer Checks Returned -
Nonpayment
16. Late Payment Charges
17. All Other Taxable Sources (Attach Schedule)
18. FCC 5230 – Directory (Class A Account)
19. FCC 5280 – Non-regulated Operating Income
20. FCC 7100 – Other Operating Income
21. FCC 7300 – Non-operating Income
22. All Other Non-taxable Sources (Attach Schedule)
23. Total (Sum of Line 1 through Line 22)
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