Pennsylvania Report of Change in Corporate Net Income Tax

Report of Change in Corporate Net Income Tax
2023 Report of Change in PA Corporate Net Income Tax (RCT-128C)
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RCT-128C 12-23 (FI) page 1 oF 4
RepoRT oF Change In pa CoRpoRaTe neT InCome Tax
START

2023

PLEASE ENTER ALL DATES AS MMDDYYYY

STep a:

➜ Tax Year Beginning

Tax Year Ending

STep B:
Revenue ID
Federal EIN
NAICS code
Corporation Name
Address Line 1
Address Line 2
City
State
ZIP
Province
Country Code
Foreign Postal Code
Address Change

Parent Corporation EIN

STep C:
52-53 Week Filer
S Corp filing as C Corp
KOZ/SDA Credit
Royalty/Related Interest Add-Back (Act 52 of 2013)

S Corp Taxable Built-in Gains
Section 381/382/Merger NOLs
Alternative Apportionment
Claiming P.L. 86-272 Protection

SeCTIon a:

USe WhoLe DoLLaRS onLy

As required by Section 406 of the Tax Reform Code of 1971, the above-named corporation reports the following
change(s) or correction(s) in its corporate net income as reported to or changed by the federal government.
1. PA taxable income after change or correction in federal return
2.

PA taxable income previously reported to the commonwealth

3.

PA corporate net income tax after change

4.

PA corporate net income tax before change

5.

Remittance made payable to the PA Department of Revenue

2a. Increase or decrease in PA taxable income

4a. Increase or decrease in PA corporate net income tax

1
2
2A
3
4
4A
5

ImpoRTanT:
noTICe oF FInaL Change WaS ReCeIVeD FRom The InTeRnaL ReVenUe SeRVICe oR amenDeD FeDeRaL ReTURn FILeD on
noTe: If the date is not provided, interest will be imposed from the original due date applicable to that tax year.
Also, a $5 a day penalty may be imposed for a late filed return.

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1283023205
ReVenUe ID
Tax yeaR enD

RCT-128C

12-23 (FI)

0943875097
11111111

name

IUYBIUDYBUAIBDHABDUBASUDBFUASVDGVASUIYVF

page 2 oF 4 RepoRT oF Change In pa CoRpoRaTe neT InCome Tax 2023

SeCTIon B: SCheDULe C-1: appoRTIonmenT SCheDULe FoR CoRpoRaTe neT InCome Tax (Include RCT-106.)
Sales Factor

Special apportionment

Sales - PA
Sales - Total

1A
1B

Numerator
Denominator

2A
2B

Sales Factor

1C

Special
Apportionment

2C

USe WhoLe DoLLaRS onLy

SeCTIon C: pa CoRpoRaTe neT InCome Tax
1.

Income or loss from federal return on a separate-company basis

2.

DeDUCTIonS:
2a. Corporate dividends received (from REV-798, Schedule C-2, Line 7).
2B. Interest on U.S. securities (GROSS INTEREST minus EXPENSES).
2C. Current yr. addtl. PA deprec. plus adjust. for sale (REV-1834, Sched. C-8, Line 8).
2D. Other (from REV-860, Schedule OD) See instructions.
ToTaL DeDUCTIonS - Add Lines 2A through 2D and enter the result on Line 2.

2A
2B
2C
2D
2

aDDITIonS:
3a. Taxes imposed on or measured by net income (from REV-860, Schedule C-5, Line 6).
3B. Current year bonus depreciation (REV-1834, Sched. C-8, Line 3).
3C. Intangible expense or related interest expense (REV-802, Sched. C-6; must include REV-802).
3D. Other (from REV-860, Schedule OA) See instructions.
ToTaL aDDITIonS - Add Lines 3A through 3D and enter the result on Line 3.

3A
3B
3C
3D
3

3.

4.
5.
6.
7.
8.
9.
10.
11.
12.
13.
14.
15.
16.
17.
18.
19.
20.

1

Income or loss with Pennsylvania adjustments (Line 1 minus Line 2 plus Line 3).
Total nonbusiness income or loss (from REV-934, Column C, Total; must include REV-934).
Income or loss to be apportioned (Line 4 minus Line 5).
Apportionment (from Schedule C-1, 1C, or 2C if using Special Apportionment).
Income or loss apportioned to PA (Line 6 times Line 7).
Nonbusiness income or loss allocated to PA (from REV-934, Column A, Total; must include REV-934).
PA taxable income or loss after apportionment (Line 8 plus Line 9).
Total net operating loss deduction (from RCT-103, Part A, Line 4).
PA taxable income or loss (Line 10 minus Line 11).
Qualified Manufacturing Innovation and Reinvestment Deduction (cannot reduce tax liability
by more than 50%).
PA CNI tax ((Line 12 – Line 13) times tax rate - See Instructions). If line 12 is less than zero , enter “0”.
Credit for tax paid by affiliate(s) for intangible expense or related interest expense
(from REV-803, Sch C-7: must include REV-803).
Tax Liability (Line 14 minus line 15).
Credit for CNI Tax Withholding (from PA Schedule CP, line 16).
Estimated Payments & Credits on Deposit.
Restricted Credits (cannot exceed line 16).
Total Due/Overpayment (Line 16 minus lines 17, 18 and 19).

14
15
16
17
18
19
20

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1283023305
ReVenUe ID
Tax yeaR enD

RCT-128C

12-23 (FI)

name

page 3 oF 4 RepoRT oF Change In pa CoRpoRaTe neT InCome Tax 2023

SeCTIon D: TRanSFeR/ReFUnD meThoD
1.
2.

Transfer (Amount to be credited to the next tax year after offsetting all unpaid liabilities).
Refund (Amount to be refunded after offsetting all unpaid liabilities).

1
2

DIReCT DepoSIT: Banking rules do not permit direct deposit to bank accounts outside the U.S. If your bank account is outside the U.S.,
do not complete the direct deposit field or bank routing and account number information below in this case, and you will receive a check from
the Department. If your refund will be going to a bank account within the U.S., you have the option to have your refund directly deposited.
Direct Deposit
C=Checking S=Savings

Routing #

Account #

SeCTIon e: CoRpoRaTe oFFICeR (Must sign affirmation below.)
CoRpoRaTe oFFICeRS
(See instructions.)
must provide requested information
for all filled officer positions.

SSn

Last name

First name

mI

President/Managing Partner
Vice President
Secretary
Treasurer/Tax Manager

name
phone
emaIL
I affirm under penalties prescribed by law, this report, including the accompanying explanations, is made in good faith and is a true and correct
statement of the PA taxable income after final changes or corrections, as determined or accepted by the federal government, to the corporation’s
federal income tax return for the period.

Corporate officer Signature

Date

PLEASE SIGN AFTER PRINTING.

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1283023405
ReVenUe ID
Tax yeaR enD

RCT-128C

12-23 (FI)

name

page 4 oF 4 RepoRT oF Change In pa CoRpoRaTe neT InCome Tax 2023

pRepaReR’S InFoRmaTIon
Firm Federal EIN
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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