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Pennsylvania Free Printable Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B) -- Print Only Version for 2022 Pennsylvania Gross Receipts Tax (GRT) Report

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Gross Receipts Tax (GRT) Report
Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B) -- Print Only Version

1130212101 RCT-113B (09-14) PAGE 1 OF 2 Date Received (Official Use Only) GROSS RECEIPTS TAX (GRT) REPORT MANAGED CARE ORGANIZATIONS C Tax Year Begin: Revenue ID Federal ID (FEIN) Parent Corporation (FEIN) 12/31/20_ _ Due Date: March 15 Tax Year End: Taxpayer Name Check to Indicate a Change of Address Send All Correspondence to the Preparer Amended Report First Report Payment Made Electronically First Line of Address Second Line of Address City State ZIP Last Report Phone Out of Existence as of: Email USE WHOLE DOLLARS ONLY 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. Gross Receipts Tax Managed Care Organizations (Page 2, Line 2) Total Estimated Payments Total Payments Carried Forward From Prior Year Return Total “Restricted” Tax Credits Total Credit: (Line 2 plus Line 3 plus Line 4) Tax Due: (If Line 1 is more than Line 5, enter the difference here.) Remittance: (Include interest and penalty, if applicable.) OVERPAYMENT: (If Line 5 is more than Line 1, enter the difference here.) Refund: (Amount of Line 8 to be refunded after offsetting all unpaid liabilities) Transfer: (Amount of Line 8 to be credited to the next tax year after offsetting all unpaid liabilities) 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 1130212101 Corporate Officer Information: Officer Last Name Social Security Number of Officer Officer First Name Title of Officer Phone Email 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 1130212201 RCT-113B (09-14) Revenue ID PAGE 2 OF 2 SOURCE OF GROSS RECEIPTS USE WHOLE DOLLARS ONLY 1. 2. Gross Receipts from GRT MMCO Revenue Report issued by the Department of Public Welfare Managed Care Organizations GRT (Line 1 times tax rate - See Instructions) 1. 2. 1130212201 Preparer’s Information: Firm Name Firm FEIN Address City State ZIP C Individual Preparer Name Phone Email 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
Extracted from PDF file 2020-pennsylvania-form-rct-113b.pdf, last modified January 2016

More about the Pennsylvania Form RCT-113B Other

We last updated the Gross Receipts Tax (GRT) Report in April 2021, and the latest form we have available is for tax year 2020. This means that we don't yet have the updated form for the current tax year. Please check this page regularly, as we will post the updated form as soon as it is released by the Pennsylvania Department of Revenue. You can print other Pennsylvania tax forms here.


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Other Pennsylvania Other Forms:

TaxFormFinder has an additional 174 Pennsylvania income tax forms that you may need, plus all federal income tax forms.

Form Code Form Name
Form REV-65 Board of Appeals Petition Form
Form REV-757 Employer Letter Template
Form RCT-111 Gross Receipts Tax (GRT) Report
Form RCT-123 Gross Premiums Tax Report
Form PA-19 PA Schedule 19 - Sale of a Principal Residence

Download all PA tax forms View all 175 Pennsylvania Income Tax Forms


Form Sources:

Pennsylvania usually releases forms for the current tax year between January and April. We last updated Pennsylvania Form RCT-113B from the Department of Revenue in April 2021.

Show Sources >

Historical Past-Year Versions of Pennsylvania Form RCT-113B

We have a total of nine past-year versions of Form RCT-113B in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2020 Form RCT-113B

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B) -- Print Only Version

2019 Form RCT-113B

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B) -- Print Only Version

2017 Form RCT-113B

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B) -- Print Only Version

2016 Form RCT-113B

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B)

Forms/Publications 2015 Form RCT-113B

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B)

Forms/Publications 2014 Form RCT-113B

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B)

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B) 2013 Form RCT-113B

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B)

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B) 2012 Form RCT-113B

Gross Receipts Tax (GRT) Report -- Managed Care Organizations (RCT-113B)


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