Instructions For Form Pa-20s/pa-65 - Schedule A - Interest Income Page 2

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Line 3
Line 7
Adjusted Federal Interest
Pennsylvania-Exempt
Completing
Income
Interest Income included on
PA Schedule A
Subtract Line 2 from Line 1. Enter
Line 6
the result on Line 3.
Enter income reported as federal
interest income that has been taxed
Business Name
federally and is exempt for
Line 4
Enter the complete name of the
Pennsylvania purposes. This number
entity or business as shown on the
Federal-Exempt Interest
can be obtained from entity books
PA-20S/PA-65 Information Return.
Income Taxable for
and records. Refer to Pennsylvania
Pennsylvania Personal
form REV-1643, Tax-Exempt
FEIN
Obligations for Pennsylvania Personal
Income Tax
Enter the nine-digit federal employer
Income Tax Purposes.
Enter the amount reported on federal
identification number (FEIN) of the
Schedule K from line “Tax-exempt
entity or business as shown on the
Line 8
interest income.”
PA-20S/PA-65 Information Return.
Pennsylvania-Taxable
Line 5
Interest Income
Line Instructions
Other Interest Income not
Subtract Line 7 from Line 6. Enter
the result on Line 8. Enter this
included on Line 3 and
Line 1
amount on the PA-20S/PA-65
Line 4
Information Return, Page 1, Part III,
Interest Income from
If the entity received interest income
Line 3.
Federal Schedule K
reported on a line other than federal
Enter the amount reported on federal
1120S Schedule K, Line 4 or federal
Schedule K. This number will also
1065 Schedule K, Line 5 then report
agree to PA-20S/PA-65 Schedule M,
as interest income for Pennsylvania
Part A, Line 4, Column A. Include
personal income tax purposes on PA-
federal Schedule K-1 interest income
20S/PA-65 Schedule A, Line 5.
from other entities.
Line 6
Line 2
Gross Pennsylvania Interest
Less Business or Rental
Income
Interest Income (Working
Add Lines 3 through 5. Enter the
Capital)
result on Line 6.
Enter the amount reported on PA-
20S/PA-65 Schedule M, Part A, Line
4, Column (b) and/or Column (f).

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