Form Rct-127 A - Public Utility Realty Tax Report

Form Rct-127 A - Public Utility Realty Tax Report - 2011

RCT-127 A (10-11) (I)

1271011101

PUBLIC UTILITY REALTY

2011 TAX REPORT

Bureau of Corporation Taxes

PO BOX 280704

Harrisburg PA 17128-0704

TAX ACCOUNT ID

NAME

(Department Use Only)

Date Received

ADDRESS

FEDERAL ID (EIN)

CITY

STATE

ZIP CODE

Check to indicate a change of address

Check to send all correspondence to preparer.

First Report

Last Report (Out-of-Existence as of ___________________.)

ANNUAL PAYMENTS

TAX YEAR ENDING

DUE DATE

12/31/11

05/01/12

(NO EXTENSIONS)

REVENUE USE ONLY

B. Estimated

A. Tax Liability

C. Restricted

Remittance

TAX TYPE

Payments & Credits

from Tax Report

Credit

A minus B minus C

TYPE

BUDGET

on Deposit

CODE

PUBLIC UTILITY REALTY TAX

124101

-0-

GRAND TOTALS

NO REAL PROPERTY CLASSIFIED AS PURTA PROPERTY WAS OWNED AS OF DEC. 31, 2011. NO TAX DUE.

A public utility is responsible for all of its PURTA property being properly reported by each county, including correct parcel number, name and mailing address.

If the county is not reporting this information correctly, it is the utility’s responsibility to make all corrections with the county.

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. This declaration is based on all information of which I have any knowledge.

Signature of Officer

Title

Date

Telephone Number

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.

PRINT Individual Preparer or Firm’s Name

Signature of Preparer

Fax Number

PRINT Individual Preparer or Firm’s Street Address

Title

Telephone Number

City

State

ZIP Code

Email Address

Date