Form Pa-41 Schedule A - Interest Income And Gambling And Lottery Winnings - 2014

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1404310052
PA-41 SCHEDULE A
Interest Income and Gambling
and Lottery Winnings
2014
OFFICIAL USE ONLY
PA-41A (03–14)
Name as shown on the PA-41
Federal EIN or Decedent’s SSN
START
Caution: If the estate or trust’s total PA-taxable interest income is equal to the amount reported on the estate or trust’s federal Form
1041 and there are no amounts for Lines 2 through 13 of Schedule A, the estate or trust must report the interest income on Line 1
of the PA-41, Fiduciary Income Tax Return, but the estate or trust does not have to submit Schedule A. If there are any amounts for
any of the Lines 2 through 13 of Schedule A, the estate or trust must complete and submit Schedule A with the estate or trust’s
PA-41, Fiduciary Income Tax Return.
1. $
1. Interest income reported on federal Form 1041 Line 1.
2. $
2. Total tax-exempt interest income.
3. Other addition adjustments. See instructions.
3. $
Description:
4. $
4. Add Lines 1, 2 and 3.
5. $
5. Interest income from federal Schedule(s) K-1. See instructions.
6. Interest income from direct obligations of the Commonwealth of Pennsylvania
6. $
and/or its municipalities.
7. $
7. Interest income from direct obligations of the U.S. government.
8. Other reduction adjustments. See instructions.
8. $
Description:
9. $
9. Add Lines 5, 6, 7 and 8.
10. $
10. Subtract Line 9 from Line 4.
11. $
11. Interest income from partnership(s), from PA Schedule(s) RK-1 or federal Schedule(s) K-1.
12. $
12. Interest income from PA S corporation(s), from PA Schedule(s) RK-1 or federal Schedule(s) K-1.
13. $
13. Gambling and lottery winnings. See instructions.
14. Total interest income and gambling and lottery winnings
14. $
Add Lines 10, 11, 12, and 13. Enter on Line 1 of the PA-41.
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1404310052
1404310052

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