RCT-125 (I)
Page 4
1250011401
GROSS RECEIPTS
(If more space is necessary, attach schedule)
ASSIGNABLE TO PENNSYLVANIA
ASSIGNABLE OUTSIDE PENNSYLVANIA
PLACE OF BUSINESS
AMOUNT
PLACE OF BUSINESS
AMOUNT
(a) TOTAL
(a)
(b) TOTAL
(b)
(c) TOTAL GROSS RECEIPTS FROM ALL BUSINESS [(a) + (b)]
(c)
DETERMINATION OF ALLOCATION DECIMAL
(Carry out decimal to six places)
Divide (a) by (c) to obtain decimal.
Use 1.000000 if entire business is transacted in Pennsylvania
(a) Total gross receipts assignable to Pennsylvania
$
=
•
(c) Total gross receipts from all business
$
CALCULATION OF TAX
1. Net income (dividends declared or declared and paid, Schedule A, Line 9.) . . . . . . . . . . . . . . . . . $
2. Allocation decimal (determination of decimal above.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
•
3. Net income allocated to Pennsylvania (Line 1 x Line 2.) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . $
(whole dollars only)
4. Tax (4 percent of Line 3) Enter this amount on Page 1, Column A. . . . . . . . . . . . . . . . . . . . . . . . $
GENERAL INFORMATION
Date of incorporation or organization
Created under the Act of
Located at
Street
City
State
ZIP Code
How many places of business does the association maintain inside Pennsylvania?
How many places of business does the association maintain outside Pennsylvania?
1250011401