RCT-101-I — Inactive PA Corporate Net Income Tax Report

FILL IN FORM USING ALL CAPS.
DO NOT USE DASHES (-) OR SLASHES (/) IN ANY FIELD. ENTER DATES AS MMDDYYYY. USE WHOLE DOLLARS ONLY. inaCTive

DEPARTMENT USE ONLY
RCT-101-i 05-25 (Fi) page 1 oF 3 inaCTivepa CoRpoRaTe neT inCome Tax RepoRT 2025

PLEASE ENTER ALL DATES AS MMDDYYYY
STep a:
START
Tax Year Beginning
§
STep B:
Federal EIN
NAICS code
Corporation Name
Address Line 1
Address Line 2
City
State
ZIP
Province
Country Code
Foreign Postal Code
Address Change
STep C:
Initial Report
Final Report
Tax Year Ending
Parent Corporation FEIN
File Period Change
Change Fed Group
52-53 Week Filer
SeCTion a: geneRaL inFoRmaTion QUeSTionnaiRe

1. State of Incorporation:
2. Date of Incorporation: (MMDDYYYY)
3. Date Commenced Doing Business in PA:
4. Location of corporation records:
5. Corporation's records are in care of:
6. Has the corporation previously had business activity anywhere?
7. If the answer to 6 is "Yes", enter the last tax period the corporation had business activity (MMDDYYYY).
8. Name and SSN/FEIN of any individual or business entity owning all or a majority of the stock of the taxpayer. Name: SSN or FEIN:
9. Has the federal government changed taxable income as originally If yes, file the RCT-128C. reported for any period for which reports of change have not been filed?

10.Is this taxpayer a partnership that elects to file federal taxes as a corporation?
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name a. This Pennsylvania corporation, to which a charter was granted by the
Commonwealth of Pennsylvania, did not conduct any business, had no assets or income and did not exercise any corporate rights or privileges during the tax period ended (MMDDYYYY):
B. This foreign corporation, chartered under the laws of a state other than Pennsylvania, did not conduct any business, own property or exercise any corporate rights or privileges during the tax period ended (MMDDYYYY):
If neither of these statements applies to the corporation, a RCT-101, PA Corporate Net Income Tax Report, must be completed and filed.
Specifically, a corporation with business activity outside Pennsylvania must file RCT-101.
See the REV-1200, PA Corporate Net Income Tax Instructions, found at www.revenue.pa.gov for instruction on completing the RCT-101-I and RCT-101.
Reinstatement Effective Date of
Reinstatement
SeCTion C: CoRpoRaTe STaTUS ChangeS
SeCTion B: inaCTive deCLaRaTion
CheCk one Box in SUppoRT oF FiLing The inaCTive RepoRT, RCT-101-i.
Fein
Tax yeaR end
RCT-101-i 05-25 (Fi) page 2 oF 3 inaCTivepa CoRpoRaTe neT inCome Tax RepoRT 2025
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Fein
Tax yeaR end name
RCT-101-i 05-25 (Fi) page 3 oF 3 inaCTivepa CoRpoRaTe neT inCome Tax RepoRT 2025
SeCTion d: CoRpoRaTe oFFiCeR (Must sign affirmation below.)
CoRpoRaTe oFFiCeRS
SSn
(See instructions.) must provide requested information for all filled officer positions.
President/Managing Partner
Vice President
Secretary
Treasurer/Tax Manager name phone emaiL
Last name First name mi
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.
Corporate officer Signature date
PLEASE SIGN AFTER PRINTING. pRepaReR'S inFoRmaTion
Firm FEIN
Firm Name
Preparer's Name
Preparer's SSN/PTIN
Phone
Email
Address Line 1
Address Line 2
City
State
ZIP
Province
Country Code
Foreign Postal Code
FoRm
BaRCode
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.
Tax preparer's Signature date
PLEASE SIGN AFTER PRINTING.
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