1206510057
PA SCHEDULE D-II
Sale, Exchange or Disposition of Property
Within Pennsylvania
2012
PA-20S/PA-65 D
(05-12) (FI)
OFFICIAL USE ONLY
Name as shown on the PA-20S/PA-65 Information Return
FEIN
9 DIGIT - NO DASH
START
C
Part II.
Sale, Exchange or Disposition of Property within Pennsylvania. If any of the federal gain (loss) transactions require adjustment, list each
transaction and show the differences in federal gain (loss). The difference in PA/federal gain (loss) equals PA gain (loss) minus federal gain (loss). If the difference is
negative, fill in the loss oval. Copy PA-20S/PA-65 Schedule D-II to list additional properties. Enter whole dollars only.
Type of Property: R=Real P=Personal S=Security O=Other Intangible (not security)
Amended Schedule
If Part II is blank, fill in the oval
1 Type of Property
Description of Property:
Cost or other PA basis
Date acquired
MM/DD/YYYY
PA allowed or allowable depreciation
(MMDDYYYY)
If a loss, enter "0"
If a loss, enter "0"
DOLLARS ONLY. NO CENTS.
Gross sales price
Difference in PA/Fed Gain (Loss)
MM/DD/YYYY
Date sold
(MMDDYYYY)
LOSS
If a loss, enter "0"
2 Type of Property
Description of Property:
Date acquired
(MMDDYYYY)
MM/DD/YYYY
PA allowed or allowable depreciation
Cost or other PA basis
If a loss, enter "0"
If a loss, enter "0"
DOLLARS ONLY. NO CENTS.
Date sold
(MMDDYYYY)
MM/DD/YYYY
Gross sales price
Difference in PA/Fed Gain (Loss)
LOSS
If a loss, enter "0"
3 Type of Property
Description of Property:
(MMDDYYYY)
MM/DD/YYYY
Date acquired
PA allowed or allowable depreciation
Cost or other PA basis
If a loss, enter "0"
If a loss, enter "0"
DOLLARS ONLY. NO CENTS.
MM/DD/YYYY
Date sold
(MMDDYYYY)
Gross sales price
Difference in PA/Fed Gain (Loss)
LOSS
If a loss, enter "0"
4 Type of Property
Description of Property:
Date acquired
(MMDDYYYY)
PA allowed or allowable depreciation
Cost or other PA basis
MM/DD/YYYY
If a loss, enter "0"
If a loss, enter "0"
DOLLARS ONLY. NO CENTS.
Date sold
(MMDDYYYY)
Gross sales price
Difference in PA/Fed Gain (Loss)
MM/DD/YYYY
LOSS
If a loss, enter "0"
5 Type of Property
Description of Property:
Date acquired
(MMDDYYYY)
PA allowed or allowable depreciation
Cost or other PA basis
MM/DD/YYYY
If a loss, enter "0"
If a loss, enter "0"
DOLLARS ONLY. NO CENTS.
Date sold
(MMDDYYYY)
Gross sales price
Difference in PA/Fed Gain (Loss)
MM/DD/YYYY
LOSS
If a loss, enter "0"
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