Instructions For Pa20s/pa-65 Schedule Rk-1

If the entity’s address does not fit

immediately above the city, state

Amended Schedule

in the available spaces on the PA-

and ZIP code.

Fill in the oval if the PA-20S/PA-65

20S/PA-65 Schedule RK-1 using this

Note.

If the street address

Schedule RK-1 is an amended

format, please submit a separate

along with the apartment

schedule.

statement that includes the entity’s

Final

number, suite or RR number does

name, entity’s federal employer

not fit on the first line of address,

Fill in the oval if the PA-20S/PA-65

identification number, tax year and

then enter the street address on the

Schedule RK-1 is a final schedule.

complete address.

second line of address and the

apartment number, suite or RR

Shareholder’s Stock

number on the first line of address.

Ownership

Part I

Enter the shareholder’s percentage of

Second Line of Address

General Information

stock ownership in the PA S

Enter the post office box, if

corporation.

appropriate, of the owner receiving

SSN

the PA-20S/PA-65 Schedule RK-1. If

Enter the nine-digit Social Security

Valid values are: “00000” to “10000”,

there is no post office box, leave the

number (SSN) of the individual

where 10000 = 100%

second line of the address blank.

receiving the PA-20S/PA-65 Schedule

Decimal point is implied after 3

For a foreign address enter the

RK-1.

character from the left

city or municipal designation. See the

e.g. to indicate 33.33%, the value should

example for

Foreign Address

Last Name, Suffix, First

be “03333”

Example.

e.g. to indicate 25%, the values should

Name, Middle Initial

For a Canadian address, enter the

be “02500”

Enter the last name; suffix such as

city and postal delivery zone number.

Jr., Sr., etc; first name and middle

See

Canada Address Example.

Beneficiary’s Year-End

initial of the individual receiving the

Distribution

PA-20S/PA-65 Schedule RK-1.

Important.

If the address has

This line is for the PA-41 Schedule

only a post office box, enter

Spouse’s SSN

RK-1 and will never be used for the

on the first line of address.

PA-20S/PA-65 Information Return.

Enter the nine-digit SSN of the

The estate or trust submits this

spouse (if jointly held) receiving the

City, State and ZIP Code

information on the PA-41 Schedule

PA-20S/PA-65 Schedule RK-1.

Enter the appropriate information in

RK-1 with its PA-41 Fiduciary Income

each box. Eliminate all punctuation

Tax Return.

FEIN

such as apostrophes, commas,

periods and hyphens.

Enter the nine-digit federal employer

Partnership Percentage

identification number (FEIN) of the

Enter the partner’s percentage of

owner (if other than an individual)

Name of Entity Issuing RK-1

each of the following at the close of

receiving the PA-20S/PA-65 Schedule

the taxable year:

Enter the name of the entity issuing

RK-1.

●

Profit sharing

the PA-20S/PA-65 Schedule RK-1.

Loss sharing

●

Name of Owner Receiving

Ownership of capital

City, State and ZIP Code

●

RK-1 (If Other Than an

Enter the appropriate information of

Individual)

Valid values are: “00000” to “10000”,

the entity issuing the PA Schedule

If the owner of the entity is a

where 10000 = 100%

RK-1 in each box. Eliminate all

partnership, PA S corporation,

Decimal point is implied after 3

punctuation such as apostrophes,

estate, trust or entity formed as a

character from the left

commas, periods and hyphens.

limited liability company classified as

e.g. to indicate 33.33%, the value should

be “03333”

a partnership or PA S corporation for

FEIN

federal income tax purposes, enter

e.g. to indicate 25%, the values should

Enter the nine-digit FEIN of the entity

be “02500”

the name of the entity owner

issuing the PA-20S/PA-65 Schedule

receiving the PA-20S/PA-65

RK-1.

Owner

Schedule RK-1.

Fill in the oval that designates what

If the PA Schedule RK-1 is being

Revenue ID

type of owner received the PA-20S/

issued to an individual, leave this

Enter the Revenue ID of the PA S

PA-65 Schedule RK-1. Fill in one oval

field blank.

corporation or limited liability

only.

company. If a partnership issued the

First Line of Address

PA Schedule RK-1, leave this field

Partner

Enter the street address of the owner

blank.

Fill in the oval that designates what

receiving the PA-20S/PA-65 Schedule

type of partner received the PA-20S/

RK-1. If the address has an

Caution.

Do not enter the tax

PA-65 Schedule RK-1. Fill in one oval

apartment number, suite or RR

number assigned by the

only.

number, enter it after the street

Department of State.

address.

Entity

The U.S. Postal Service

preference is to put the actual

Fill in the oval that designates what

type of entity issued the PA-20S/PA-

delivery address on the line

Instructions For Pa20s/pa-65 Schedule Rk-1 - 2013 Page 3

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