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RCT-102 (07-15)(FI)
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COLUMN a
COLUMN B
exeMPT TaNGIBLe aND
(1)
(2)
(3)
INTaNGIBLe aSSeTS.
NeT BOOK VaLUe
NeT BOOK VaLUe
aVeRaGe
(From Insert Sheet, RCT-106)
aSSeTS
BeGINNING
eNDING
NeT BOOK VaLUe
1.
Buildings, Net of Depreciation . . . . . . . . . . . . $
$
$
$
2.
Equip. and Fixt., Net of Depreciation . . . . . . .
3.
Other Fixed Assets, Net of Depreciation
. . . .
4.
Land . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
5.
Leasehold Improvements, Net of Depreciation .
6.
Vehicles and Other Rolling Equipment,
Net of Depreciation . . . . . . . . . . . . . . . . . . .
7.
Other Tangible Property . . . . . . . . . . . . . . . .
8.
Raw Materials . . . . . . . . . . . . . . . . . . . . . . .
9.
Work in Progress . . . . . . . . . . . . . . . . . . . . .
10. Finished Goods . . . . . . . . . . . . . . . . . . . . . .
11. Supplies . . . . . . . . . . . . . . . . . . . . . . . . . . .
12. TOTaL TaNGIBLe aSSeTS . . . . . . . . . . . . . $
$
$
$
13. Stocks of PA Corporations* . . . . . . . . . . . . .
14. Stocks of Foreign Corporations
(More than 50 percent Owned)* . . . . . . . . . .
15. Stocks of Other Foreign Corporations* . . . . . .
16. U.S. Securities . . . . . . . . . . . . . . . . . . . . . .
17. Other Government Securities* . . . . . . . . . . .
18. National Bank Shares . . . . . . . . . . . . . . . . .
19. Bonds, Mortgages or Notes* . . . . . . . . . . . . .
20. Miscellaneous* . . . . . . . . . . . . . . . . . . . . . .
21. Cash: In Drawer . . . . . . . . . . . . . . . . . . . . .
22. Time Deposits** . . . . . . . . . . . . . . . . . . . . .
23. Demand Deposits** . . . . . . . . . . . . . . . . . . .
24. Notes Receivable, Net of Reserves . . . . . . . .
25. Accounts Receivable from Customers,
Net of Reserves . . . . . . . . . . . . . . . . . . . . .
26. Advances to Other Companies*** . . . . . . . . .
27. Advances to Individuals*** . . . . . . . . . . . . .
28. Cash Surrender Value of Officers’
Life Insurance
. . . . . . . . . . . . . . . . . . . . . .
29. Prepayments and Accruals*** . . . . . . . . . . . .
30. OTHeR aSSeTS*** . . . . . . . . . . . . . . . . . .
31. TOTaL aSSeTS . . . . . . . . . . . . . . . . . . . . . $
$
$
$
32. TOTaL . . . . . . . . . . . . . . . . . . . . . . . . . . . .
$
*** attach schedule showing nature of investments, number of shares or face value of bonds, book values and actual or market values.
*** attach schedule showing all interest-bearing account balances at the end of each month.
*** explain in detail. attach additional schedule(s) if necessary.
Gross Receipts (sales only - not to include other income). If additional space is needed, attach schedule(s).
a. List each article or product manufactured by this company and the gross receipts derived from each.
Total Gross Receipts
articles
Gross Receipts
(1)
$
(2)
(3)
(4)
(5)
a = $
Total Gross Receipts - a
b. Gross Receipts derived by this company from the production of nonmanufactured articles:
b =
c. Gross Receipts derived by this company from goods, wares and merchandise purchased for resale:
(1) From inventories in PA
$
(2) From inventories outside PA
Total Gross Receipts - c
c =
Total Gross Receipts (a, b, c)
If this figure does not match gross receipts reflected on
$
Line 1(a), Page 1, of attached copy of federal Form 1120,
attach additional schedule(s) reconciling the difference.
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