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1 RCT-112 (06-12) PAGE 1 OF 6 GROSS RECEIPTS TAX (GRT) REPORT - ELECTRIC, HYDRO-ELECTRIC AND WATER POWER COMPANIES Federal ID (FEIN) Parent Corporation (FEIN) Taxpayer Name First Line of Address Second Line of Address City State ZIP Date Received (Official Use Only) Tax Year Begin: Tax Year End: 12/31/20 Due Date: March 15 Check to Indicate a Change of Address Send All Correspondence to the Preparer Amended Report First Report Payment Made Electronically Last Report * * Phone Out of Existence as of: * * USE WHOLE DOLLARS ONLY 1. Electric, Hydro-electric and Water Power Company GRT Liability (Page 2, Line 30) 2. Total Estimated Payments 3. Total Payments Carried Forward From Prior Year Return 4. Total Restricted Tax Credits 5. Total Credit: (Line 2 plus Line 3 plus Line 4) 6. Tax Due: (If Line 1 is more than Line 5, enter the difference here.) 7. Remittance: (Include interest and penalty, if applicable) 8. OVERPAYMENT: (If Line 5 is more than Line 1, enter the difference here.) 9. Refund: (Amount of Line 8 to be refunded after offsetting all unpaid liabilities) 10. Transfer: (Amount of Line 8 to be credited to the next tax year after offsetting all unpaid liabilities) Corporate Officer Information: Officer Last Name Officer First Name Title of Officer Social Security Number of Officer Phone 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
2 RCT-112 (06-12) PAGE 2 OF 6 SOURCE OF GROSS RECEIPTS USE WHOLE DOLLARS ONLY Total Taxable PA Receipts 1. FERC and Utility Plant and Allowances FERC Revenues Electric Plant Leased to Others FERC Other Utility Operating Income FERC Revenues Merchandising, Jobbing and Contract Work FERC Revenues Non-Utility Operations FERC Nonoperating Rental Income FERC Interest and Dividend Income FERC Miscellaneous Nonoperating Income FERC and Gain/Loss on Disposition of Property FERC Residential Sales FERC Commercial and Industrial Sales FERC Public Street and Highway Lighting FERC Other Sales to Public Authorities FERC Sales to Railroads and Railways FERC Sales for Resale FERC Interdepartmental Sales Other Sales, Nonmajor only FERC Provisions for Rate Refunds FERC Forfeited Discounts FERC Miscellaneous Service Revenues FERC Sales of Water and Water Power FERC Rent from Electric Property FERC Interdepartmental Rents FERC Other Electric Revenues FERC Revenues from Transmission of Electricity of Others FERC Regional Transmission Service Revenues FERC Miscellaneous Revenues All Other Sources Total Taxable Gross Receipts (Sum of Lines 1 through 28) Gross Receipts Tax (Line 29 times tax rate - See Instructions) Total Gross Receipts (From Page 4, Column A) Total Receipts from Business Conducted in Other States (From Page 4, Column B) Total PA Receipts (Line 31 minus Line 32) Adjustment for PA Bad Debts plus total Nontaxable PA Receipts and PA Sales for 34. Resale (From Page 4, total of Column C, Line 29 plus Column D, Line 29) * * Preparer s Information: 35. Source of Report Information (A=FERC, B=PUC, C=Federal Tax) Accounting method for GRT (A=Accrual, B=Cash, C=Other) 36. Firm Name Firm FEIN Address City State ZIP Individual Preparer Name Phone Social Security Number or PTIN * * 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
3 Taxpayer Name PA PUC - A #: RCT-112 (06-12) PAGE 3 OF GROSS RECEIPTS TAX ELECTRIC, HYDRO-ELECTRIC AND WATER POWER SCHEDULE A PA SALES FOR RESALE EXEMPTION USE WHOLE DOLLARS ONLY FOR TAX YEAR: 12/31/20 * * PA Sales PA Name of Reseller Tax Number FEIN Gross Receipts * * Total Sales for Resale: Notice to Taxpayer: Allowance of the Sales for Resale Exemption is contingent on the validation of the listed entities subjectivity to PA gross receipts tax
4 RCT-112 (06-12) PAGE 4 OF 6 ELECTRIC, HYDRO-ELECTRIC AND WATER POWER GROSS RECEIPTS TAX FOR TAX YEAR: 12/31/20100 L I N E FERC Acct # SOURCE OF GROSS RECEIPTS Utility Plant & Allowances (A) Total Gross Receipts (B) Receipts From Business Conducted In Other States (C) Adjustment For PA Bad Debts (D) Nontaxable PA Receipts & PA Sales For Resale Revenues - Electric Plant Leased to Others Other Utility Operating Income Revenues - Merchandising, Jobbing & Contract Work Revenues - Non-utility Operations Non-operating Rental Income Interest & Dividend Income Miscellaneous Non-operating Income Gain/Loss on Disposition of Property Residential Sales Commercial and Industrial Sales Public Street & Highway Lighting Other Sales to Public Authorities Sales to Railroads & Railways Sales for Resale (Complete Schedule A to Support the Amount in Column D) Interdepartmental Sales 17 Other Sales, Non-major Only Provision for Rate Refunds Forfeited Discounts Miscellaneous Service Revenues Sales of Water and Water Power Rent from Electric Property Interdepartmental Rents Other Electric Revenues Revenues From Transmission of Electricity of Others Regional Transmission Service Revenues Miscellaneous Revenues 28 All Other Sources 29 Totals of Each Column (Lines 1-28)
5 RCT-112 (06-12) PAGE 5 OF 6 Taxpayer Name PA PUC - A #: SUPPLIER NAME ELECTRIC, HYDRO-ELECTRIC AND WATER POWER GROSS RECEIPTS TAX SCHEDULE B FOR TAX YEAR: 12/31/20100 Electrical Distributors: Provide the following information for all your electrical suppliers. Federal EIN Supplier Duns # Supplier PA PUC - A # Gross Receipts (Combined Billing)* Kilowatt Hours Delivered** * Report all gross receipts collected from combined billings and remitted to each supplier. ** Indicate kilowatt hours of service distributed but billed direct by each supplier. Totals:
6 RCT-112 (06-12) PAGE 6 OF 6 Taxpayer Name PA PUC - A #: Electrical Suppliers: Provide the following information for all your electrical distributors. DISTRIBUTOR/ISO NAME ELECTRIC, HYDRO-ELECTRIC AND WATER POWER GROSS RECEIPTS TAX SCHEDULE C FOR TAX YEAR: 12/31/20100 Federal EIN Distributor/ISO Duns # Distributor/ISO PA PUC - A # Gross Receipts (Combined Billing)* Direct Billed Gross Receipts** Totals: * Report all gross receipts collected by each distribution company from combined billings. ** Report all direct billed gross receipts.
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