Form Rct-900 - Public Utility Realty Report By Local Taxing Authorities - 2012
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6RCT-900 (01-12)
PA DEPARTMENT OF REVENUE
BUREAU OF CORPORATION TAXES
9000011101
PO BOX 280704
PUBLIC UTILITY REALTY REPORT
HARRISBURG PA 17128-0704
BY LOCAL TAXING AUTHORITIES
(DEPARTMENT USE ONLY)
LTA NUMBER
COUNTY
DATE RECEIVED
NAME
ADDRESS LINE 1
TAX YEAR ENDING 2011
ADDRESS LINE 2
DUE DATE April 1, 2012
CITY
STATE
ZIP CODE
ABOVE ADDRESS WILL BE USED TO MAIL THE DISTRIBUTION CHECK.
£
Check to indicate a change of address
REAL ESTATE TAX RATES
LOCAL TAXING AUTHORITY
DEPARTMENT USE ONLY
(ALL local taxing authorities must complete)
(Use Whole Dollars Only)
1a. Local real estate tax rate in mills
1a.
1b. Local real estate tax rate in decimal form (Divide mills by 1,000.)
1b.
2. Assessed value of all PURTA property (effective 12/31/2011)
2.
3. Realty Tax Equivalent (RTE) (Multiply Line 2 by Line 1b.)
3.
4. Common Level Ratio Factor (See enclosed schedule.)
4.
5. State Taxable Value (STV) (Multiply Line 2 by Line 4.)
5.
TAX RECEIPTS (All local taxing authorities must complete)
Use Whole Dollars Only
The PURTA program is restricted by law to include only jurisdictionally
allowable tax receipts. Include delinquent tax receipts collected.
6a. Real Estate Taxes:
6a.
b. Per Capita Taxes:
b.
c. Wage Taxes:
c.
d. Earned Income Taxes:
d.
e. Occupational Privilege Taxes/EMS Tax:
e.
f. Occupational Assessment Taxes:
f.
g. Realty Transfer Taxes:
g.
h. Other (Provide description)
h.
i. Other (Provide description)
i.
j. Other (Provide description)
j.
6. TOTAL TAX RECEIPTS (Add Lines 6a through 6j):
6.
AFFIRMATION BY RESPONSIBLE OFFICIAL AND CONTACT INFORMATION (ALL local taxing authorities must complete)
I affirm under penalties prescribed by law that 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.
Signature of Responsible Official
Date
Printed Name of Official
Title of Official
Email Address
Phone Number
Fax Number
Federal ID (EIN)
9000011101
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