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2016

Pennsylvania Department of Revenue

Instructions for PA-40 Schedule B

Dividend Income

PA-40 Schedule B (11-16)

Taxpayer Oval

through 9 (not including subtotal Line 6),

WHAT’S NEW

do not complete and include PA-40

Complete the taxpayer oval to indicate

Schedule B with the PA-40, Personal

the dividend income reported is from

Separate filing instructions for PA-40

Income Tax Return. However, the

the taxpayer whose name appears on

Schedule B, Dividend Income, have

amount of dividend income received

the name line.

been developed by the department.

must be reported on Line 3 of the PA-40.

Spouse Oval

GENERAL INFORMATION

Separate schedules must be completed

Complete the spouse oval to indicate

for a taxpayer and spouse if either has

the dividend income reported was

PURPOSE OF SCHEDULE

income on Lines 2 through 9 of PA

earned by the spouse listed on a PA-40,

Use PA-40 Schedule B to report the

Schedule B (not including subtotal Line

Personal Income Tax Return, filed using

amount of dividend income earned

6). Both schedules must be completed

the Married, Filing Jointly filing status.

and reported for federal income tax

and included even if only one had

purposes from:

Joint Oval

amounts on those lines. A joint PA-40

Schedule B may be completed only if

● U.S. corporations;

Complete the joint oval if all the dividend

all amounts of interest income are

income reported by the taxpayer and

● Foreign corporations;

earned on a joint basis. If some income

spouse is earned and being reported

● Mutual Funds;

is earned on a joint basis while other

on a joint basis.

income is not, the joint income must be

● Other corporate capital investments.

NOTE: Do not use the joint oval

split and the taxpayer and spouse

to report joint dividend income if

PA-40 Schedule B also adjusts the

must report their separate share of the

any dividend income is earned by the

federal income to determine the PA-

income from the jointly owned accounts

taxpayer and/or spouse separately. In

taxable dividend income by reporting

on each PA-40 Schedule B.

such cases, the joint income must be

income and adjustments from:

An amended PA Schedule B must

split and the taxpayer and spouse

● Capital gains distributions;

be included with Schedule PA-40X if

must show the separate share of the

● S corporations not electing to be

increases or decreases in income

joint dividend income on the separate

taxed as an S corporation for PA

amounts on PA Schedule B are discov-

PA-40 Schedule B prepared for each.

tax purposes;

ered after an original or other amended

● Exempt-interest dividends from

return is filed with the department. Part

LINE INSTRUCTIONS

other states bonds; and

III on Page 2 of Schedule PA-40X must

be completed to explain any increase

● Various other increase and

IMPORTANT: If a separate

or decrease to the amount of dividend

decrease adjustments included in

PA-40 Schedule B is prepared

income reported on an amended

the following instructions.

for a taxpayer and spouse, include

PA-40, Personal Income Tax Return.

only the taxpayer or spouse share of

Refer to Chapter 9 of the PA PIT Guide

the dividend income for each line.

for additional information.

SCHEDULE

LINE 1

INSTRUCTIONS

RECORDING DOLLAR

AMOUNTS

Enter the amount of dividend income

IDENTIFICATION INFORMATION

reported on Line 9 of the federal return.

Name

Show money amounts in whole-dollars

If filing a joint return and required

Enter the name of the taxpayer. If a

only. Eliminate any amount less than

to show the dividend income for a

jointly filed return, enter the name of

$0.50 and increase any amount that is

taxpayer and spouse separately, enter

the primary taxpayer (name shown first

$0.50 or more to the next highest dollar.

only the taxpayer or spouse’s portion

on the PA-40, Personal Income Tax

of the dividend income reported on

Return). Enter the primary taxpayer’s

WHO MUST COMPLETE

Line 9 of the federal return. If a federal

name when reporting the dividend

return is not required to be filed, see

income for the spouse.

the instructions for Line 8.

PA-40 Schedule B must be completed

Social Security Number

and included with an originally filed

LINE 2

PA-40, Personal Income Tax Return, if

Enter the Social Security number (SSN)

there are any amounts on Lines 2

of the taxpayer. Enter the primary

through 9 (not including subtotal Line 6).

taxpayer’s SSN also when reporting

Enter the total amount of dividend

If there are no amounts on Lines 2

dividend income for the spouse.

income included on Line 5 of federal

Instructions For Pa-40 Schedule A - Interest Income - Pennsylvania Department Of Revenue - 2016 Page 3

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