Did the taxpayer distribute any receivables from installment sales?
If yes, what was/were the date(s) of sale(s)?
Total gain on installment sale(s) distributed.
Tax year(s) when the gain(s) on the sale(s) was/were included in net income per books
(Include a schedule reflecting the amount of gain reported in each year.)
Was this transaction a liquidation under IRC Section 332?
If yes, a copy of federal Form 966 must be included with RCT-101, PA Corporate Net Income Tax Report.
CORPORATIONS WITHDRAWING FROM PENNSYLVANIA BUT CONTINUING OPERATIONS OUTSIDE PA MUST
INCLUDE THE FOLLOWING INFORMATION AND/OR DOCUMENT(S).
1. Full details of disposition of Pennsylvania property; include a copy of federal Schedule D and/or federal Form 4797,
if applicable.
2. Indicate if sales in Pennsylvania will continue after date of cessation. If so, how will they be negotiated and
by whom?
INCLUDE A SCHEDULE CONTAINING THE REQUIRED INFORMATION IF ADDITIONAL SPACE IS NEEDED.
IF ANY INDIVIDUAL OR CORPORATION OTHER THAN STOCKHOLDERS AND CREDITORS RECEIVED ASSETS, LIST
NAMES AND ADDRESSES OF EACH, AND AMOUNT OR VALUE RECEIVED BY EACH.
If any money or property remains undistributed, state amount, nature and value of same and state why it has not been
distributed. Include additional schedule(s) if necessary.
If any real estate was distributed or sold within the final tax year, include documentation showing the recording of the title
transfer with the local recorder of deeds.
DESCRIPTION OF ASSET
COST OF ASSET
AS REPORTED ON
BALANCE SHEETS
SALE PRICE
OR
FAIR MARKET VALUE
ON DATE OF
DISTRIBUTION
GAIN ON DISPOSITION
OF ASSETS (SALE
PRICE OR FAIR
MARKET VALUE MINUS
BOOK VALUE AND
COST OF SALE)
REPORTED ON
FEDERAL
SCHEDULE D
OR FORM 4797
(Y OR N)
TAX YEAR
BEGINNING
TAX YEAR
CORPORATION NAME REVENUE ID ENDING
REV-861
(CT) 03-17
SCHEDULE DA - DISPOSTITION OF ASSETS
FILL IN FORM USING ALL CAPS. DO NOT USE DASHES (-) OR SLASHES (/) IN ANY FIELD. ENTER DATES AS MMDDYYYY. USE WHOLE DOLLARS ONLY.
