FILL IN FORM USING ALL CAPS. DO NOT USE DASHES (-) OR SLASHES (/) IN ANY FIELD. ENTER DATES AS MMDDYYYY. USE WHOLE DOLLARS ONLY.
REV-1175 CT (12-14)

                       SCHEDULE AR
                  START
                  Ü EXPLANATION FOR FILING AMENDED
                         (ENTER THE TAX FORM NUMBER)
                       Must be filed when amending any Pennsylvania tax report.
                                                                                                                                  MMDDYYYY
                                        TAX YEAR
                                        BEGINNING
                                        TAX YEAR
CORPORATION NAME                                                                                                                  REVENUE ID               ENDING

Please provide, in as much detail as possible, the reason(s) for filing the amended report.  Attach a separate schedule if additional space is
needed.
NOTE: For corporate net income tax liabilities not settled prior to Jan. 1, 2008, changes in federal taxable income must be reported on
RCT-128C. An amended RCT-101 will not be accepted in these cases.

EXPLANATION

                       SUMMARY OF TAX CHANGE

                       Tax as Previously
Type of Tax              Tax as Amended                                                                                                       Change in Tax
                       Filed or Adjusted

While an amended PA corporate tax report may be filed to bring to the department’s attention correction(s) to an original report or additional information,
the department is not required to act on an amended report.  To pursue appeal rights, a taxpayer must timely file a petition for reassessment or a petition
for refund. The filing of an amended report does not replace  the filing of a petition for reassessment or a petition for refund. 

Tax Preparer’s Signature                                                                                                          DateMMDDYYYY

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