Form Rct-132b - Pennsylvania Bank And Trust Company Shares Tax Report Page 2

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1322014205
Revenue ID
RCT-132B
PAGE 2 OF 4
(02-15)
Lines 7, 11 and 16 should be 1.000000 or less.
C
USE WHOLE DOLLARS ONLY
Calculation of End of Year Taxable Shares
1.
Total Bank Equity Capital
1.
2.
Total Assets
2.
3.
Goodwill (See instructions)
3.
4.
Net Bank Equity (Line 1 minus Line 3)
4.
5.
Net Assets (Line 2 minus Line 3)
5.
6.
U. S. Obligations
6.
7.
Divide Line 6 by Line 5 (Carry to 6 decimal places)
7.
8.
Deduction for U. S. Obligations (Multiply Line 4 by Line 7)
8.
9.
Current End of Year Value of Shares (Subtract Line 8 from Line 4)
9.
Calculation of Shares Tax
10.
Current End of Year Value of Shares (Line 9 above)
10.
11.
Shares Tax Apportionment (Line 16 below)
11.
12.
Total Amount of Shares Subject to Tax (Line 10 times Line 11)
12.
13.
Tax (Line 12 times tax rate – See Instructions)
13.
Calculation of Shares Tax Apportionment
14.
Total Receipts Inside PA (from Page 3, Schedule A, Line 16a)
14.
15.
Total Receipts Everywhere (from Page 3, Schedule A, Line 16b)
15.
16.
Receipts Factor (Line 14 divided by Line 15)
16.
1322014205
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
RETURN TO PAGE 1
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PRINT FORM

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