Fillable Form Rct-101-I - Inactive Pa Corporate Tax Report printable pdf download

Form Rct-101-I - Inactive Pa Corporate Tax Report

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FILL IN FORM USING ALL CAPS.

DO NOT USE DASHES (-) OR SLASHES (/) IN ANY FIELD. ENTER DATES AS MMDDYYYY. USE WHOLE DOLLARS ONLY.

1019015105

DEPARTMENT USE ONLY

INACTIVE

START

20_ _

RCT-101-I

PAGE 1 OF 3 INACTIVE PA CORPORATE TAX REPORT

(FI) (06-15)

PLEASE ENTER ALL DATES AS MMDDYYYY

STEP A

Tax Year Beginning

Tax Year Ending

STEP B

52-53 Week Filer

Change Fed Group

File Period Change

Address Change

First Report

STEP C

Revenue ID

Parent Corporation EIN

Federal EIN

Corporation Name

Address Line 1

Address Line 2

City

State

ZIP

USE WHOLE DOLLARS ONLY

STEP E:

B. Estimated

Payment Due/Overpayment

STEP D

A. Tax Liability

C. Restricted

Payments &

Calculation: A minus B minus C

from Tax Report

Credits

Credits on Deposit

See instructions.

CS/FF

LOANS

CNI

TOTAL

STEP F: Transfer/Refund Method (See instructions.)

E-File Opt Out (See instructions.)

Transfer: Amount to be credited to the next

tax year after offsetting all unpaid liabilities

Refund: Amount to be refunded after

offsetting all unpaid liabilities

STEP G: Corporate Officer (Must sign affirmation below)

NAME

PHONE

FORM

BARCODE

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

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

Corporate Officer Signature

Date

PLEASE SIGN THIS RETURN AFTER PRINTING.

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