Form Pa-20s/pa-65 A - Pa Schedule A - Interest Income - 2012

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1208610053
PA SCHEDULE A
Interest Income
2012
PA-20S/PA-65 A
(05-12) (FI)
OFFICIAL USE ONLY
START
Name as shown on PA-20S/PA-65 Information Return
FEIN
9 DIGIT - NO DASH
If a loss, enter "0"
See the PA-20S/PA-65 Schedule A instructions and the PA PIT Guide on the department’s website.
1
Interest income from federal Schedule K
1
2
Less business or rental interest income (working capital) - report on PA-20S/PA-65 Schedule M, Part A
2
3
Adjusted federal interest income – subtract Line 2 from Line 1
3
4
Federal-exempt interest income taxable for PA PIT – itemize below
4
5
Other interest income not included on Line 3 and Line 4
5
6
Gross PA interest income – add Lines 3 through 5
6
7
PA-exempt interest income included on Line 6 – itemize below
7
PA-taxable interest income – subtract Line 7 from Line 6. Enter the result on the PA-20S/PA-65
8
Information Return, Page 1, Part III, Line 3.
8
Federal-exempt interest income – list sources and amounts
PA-exempt interest income – list sources and amounts
RETURN TO TOP
Reset Entire Form
PRINT FORM
1208610053
1208610053

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