Form Rct-132a - Pennsylvania Title Insurance Company Shares And Loans Tax Report

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C
1321013101
RCT-132A
Date Received (Official Use Only)
(11-13)
PAGE 1 OF 4
PENNSYLVANIA TITLE INSURANCE COMPANY
SHARES AND LOANS TAX REPORT
(I)
Loans Tax Year Begin:
Revenue ID
Federal ID (FEIN)
Parent Corporation (FEIN)
12/31/20
Loans Tax Year End:
_ _
01/01/20
Shares Tax:
_ _
Taxpayer Name
Due Date: March 15
First Line of Address
Check to Indicate a Change of Address
Send All Correspondence to the Preparer
Second Line of Address
Amended Report
First Report
City
State
ZIP
Payment Made Electronically
KOZ/EIP
Phone
Last Report
Email
Out of Existence as of:
USE WHOLE DOLLARS ONLY
1a.
1a. Shares Tax (Page 2, Line 11)
1b.
1b. Loans Tax (Page 4, Line 10)
1c.
1c. Total Shares/Loans Tax (Line 1a plus Line 1b)
2.
2.
Total Estimated Payments
3.
3.
Total Payments Carried Forward From Prior Year Return
4.
4.
Total “Restricted” Tax Credits
5.
Total Credit: (Line 2 plus Line 3 plus Line 4)
5.
6.
Tax Due: (If Line 1c is more than Line 5, enter the difference here.)
6.
7.
Remittance: (Include interest and penalty, if applicable)
7.
8.
OVERPAYMENT: (If Line 5 is more than Line 1c, enter the difference here.)
8.
9.
Refund: (Amount of Line 8 to be refunded after offsetting all unpaid liabilities)
9.
10. Transfer: (Amount of Line 8 to be credited to the next tax year after offsetting
10.
all unpaid liabilities)
Corporate Officer Information:
Social Security
Number of Officer
Officer Last Name
Officer First Name
Phone
Title of Officer
Email
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.
Signature of Officer
Date

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