Form Rct-101 - Pa Corporate Tax Report
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6FILL IN FORM USING ALL CAPS
DO NOT PLACE ANY DASHES (-) OR SLASHES (/) IN THE FIELDS
1010012105
*1 01 001 21 05*
RCT-101
PAGE 1 OF 6
(FI) (06-12)
DEPARTMENT USE ONLY
START
20
PA CORPORATE TAX REPORT
A = 1120
B = 1120S
C = 1120C
D = 1120F
E = 1120H
F = 1065
G = 1040
H = Other
PLEASE ENTER ALL DATES AS MMDDYYYY
STEP A
XX
XX
Tax Year Beginning
Tax Year Ending
STEP B
XX
XX
XX
Amended Report
52-53 Week Filer
First Report
XX
XX
XX
Federal Extension Granted
Address Change
KOZ/EIP/SDA Credit
XX
XX
XX
Regulated Inv. Co.
Change Fed Group
File Period Change
STEP C
XX
Revenue ID
Parent Corporation EIN
XX
Federal EIN
XX
Business Activity Code
XX
Corporation Name
XX
Address Line 1
XX
Address Line 2
XX
City
XX
State
XX
ZIP
USE WHOLE DOLLARS ONLY
STEP E:
Payment Due/Overpayment
A. Tax Liability
B. Estimated
STEP D
C. Restricted
from Tax Report
Payments &
Calculation: A minus B minus C
Credits
(can not be less than zero)
Credits on Deposit
See Instructions
CS/FF
LOANS
CNI
TOTAL
E-File Opt Out: See Instructions
STEP F: Transfer/Refund Method: 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 (Sign affirmation below)
NAME
PHONE
FORM
EMAIL
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. If this report is an amended report, the taxpayer hereby consents to the extension of the assessment period for this tax year to one year from
the date of filing of this amended report or three years from the filing of the original report, whichever period last expires, and agrees to retain all required records pertaining to that
tax and tax period until the end of the extended assessment period, regardless of any statutory provision providing for a shorter period of retention. For purposes of this extension,
an original report filed before the due date is deemed filed on the due date. I am authorized to execute this consent to the extension of the assessment period.
Corporate Officer Signature
Date
PLEASE SIGN THIS RETURN AFTER PRINTING.
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