Form Rct-132 - Pennsylvania Shares And Loans Tax Report Page 2

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C
1320013205
Revenue ID
RCT-132
PAGE 2 OF 5
(10-13)
(FI)
Lines 9, 14, 17, 20 and 22 should be 1.000000 or less.
Line 21 can be 3.000000 or less.
USE WHOLE DOLLARS ONLY
Calculation of Shares Tax
1.
Current Year Value of Shares (Schedule B, Line 31)
1.
2.
First Prior Year Value of Shares
2.
3.
Second Prior Year Value of Shares
3.
4.
Third Prior Year Value of Shares
4.
5.
Fourth Prior Year Value of Shares
5.
6.
Fifth Prior Year Value of Shares
6.
7.
Sum of Value of Shares (Total Line 1 through Line 6)
7.
8.
Taxable Shares (Line 7 divided by 6 or number of years in existence if less than 6)
8.
9.
Shares Tax Apportionment (Line 22)
9.
10.
Total Amount of Shares Subject to Tax (Line 8 times Line 9)
10.
11.
Tax (Line 10 times tax rate – See Instructions)
11.
Calculation of Shares Tax Apportionment
12.
Payroll Inside PA (from Schedule C, Line 1a)
12.
13.
Total Payroll (from Schedule C, Line 1b)
13.
14.
Payroll Factor (Line 12 divided by Line 13)
14.
15.
Receipts Inside PA (from Schedule C, Line 11a)
15.
16.
Total Receipts (from Schedule C, Line 11b)
16.
17.
Receipts Factor (Line 15 divided by Line 16)
17.
18.
Average Deposits Inside PA (from Schedule C, Line 17a)
18.
19.
Average Total Deposits (from Schedule C, Line 17b)
19.
20.
Deposits Factor (Line 18 divided by Line 19)
20.
21.
Total of Proportions (Line 14 plus Line 17 plus Line 20)
21.
22.
Apportionment Factor (See Instructions)
22.
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
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