Instructions For Pa-40 Schedule A - Interest Income - Pennsylvania Department Of Revenue - 2016 Page 4

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Schedule B from federal Schedule(s)
1099-DIV, Dividends and Distributions,
LINE 6
K-1.
as well as any other federally taxable
dividend income received from all
Subtract Line 5 from Line 1 and enter
LINE 3
sources including, but not limited to,
the result. The amount reported for this
dividends from federal Schedule K-1s.
line may be a negative number.
Enter the total amount of any tax-exempt
LINE 9
dividends from direct obligations of
LINE 7
the Commonwealth of Pennsylvania,
Enter the amount of capital gains
direct obligations of political subdivi-
Enter the total amount of any exempt-
sions of Pennsylvania and/or direct
distributions included as capital gains
interest dividends reported in Box 10
obligations of the U.S. Government
on federal Schedule D.
of federal Form 1099-DIV, Dividends
(U.S. Treasury Bonds, Notes, Bills,
and Distributions, that are included in
LINE 10
Certificates and Savings Bonds)
Line 8b of the federal return.
included in any tax exempt fund or
CAUTION: Do not include the
money market fund dividends.
Enter the amount of dividend income
amount of tax-exempt interest
from PA S corporations and partner-
included in Line 8b of the federal return
LINE 4
ships. Include the amounts reported
in this amount.
from all PA Schedule(s) RK-1, or federal
Enter any other adjustments that
Schedule(s) K-1 if an RK-1 is not
LINE 8
provided.
decrease PA dividend income and
provide a description of the amounts.
Enter any other adjustments that
LINE 11
Examples would include, but are not
increase PA dividend income and
limited to: dividend income for a part-
provide a description of the amounts.
year resident taxpayer during the
Add Lines 6 through 10 and enter the
Examples include, but are not limited to:
period the taxpayer was a nonresident;
result.
excessive salary paid to a shareholder;
nominee capital gains distributions; and
This amount cannot be a negative
nominee capital gains distributions;
dividend income from an irrevocable
number. If the result is negative,
distributions from non-PA S corpora-
federal grantor trust that is required
an amount has not been included on
tions; tax-exempt interest dividends
to file a PA-41, Fiduciary Income Tax
an addition line or excess adjustments
reported in Box 10 of Form 1099-DIV
Return. Do not include expenses
and expenses incurred to realize
have been recorded.
incurred to realize dividend income.
dividend income.
Include the total from Line 11 (or the
LINE 5
combined Line 11 amounts for taxpayer
IMPORTANT: If a federal return is
not required to be filed, enter on
and spouse using the Married, Filing
Add the amounts on Lines 2, 3 and 4
this line the amount of dividend income
Jointly filing status) on Line 3 of the
and enter the result.
reported in Box 1 of all federal Forms
PA-40, Personal Income Tax Return.
2

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