REV-715 - Realty Transfer Tax Monthly Report
(1) Gross Tax Collections
(2) Commission @1% If commission was withheld, check this box Commission Withheld (-)
(3) Net Tax Collections
(4) Balance Due From Prior Report Month of: | Recorder of Deeds (-)
| Commonwealth (+)
(5) Audit Balance Due From To | Recorder of Deeds (-)
| Commonwealth (+)
(6) Total Amount Due
(7) Total Amount Deposited
CERTIFICATION
I certify that the information contained in this report is true and correct.
(Recorder of Deeds Signature) Date
OFFICIAL SETTLEMENT
(1) Gross Tax Collections
(2) Commission @ 1%
(3) Net Tax Collections
(4) Balance Due or Credit for Month of:
(5) Audit Settlement From To
(6) Total Amount Due
(7) Total Amount Deposited
(8) Balance Due Recorder Commonwealth
COMMISSION SUMMARY
Commission Due on Reported Collections
Commission Adjustment(s):
For Month of:
For Month of:
For Month of:
Commission Paid (Check # )
Department of Revenue Office of the Auditor General
Settled and Delivered Audited and Approved
For Secretary of Revenue For Auditor General
BUREAU OF IMAGING AND
DOCUMENT MANAGEMENT
PO BOX 280400
HARRISBURG, PA 17128-0400
REALTY TRANSFER TAX
MONTHLY REPORT
Date Received
County No.
Name
Month Year
REV-715 EX (12-10)
o
o
o
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