Form Pa-40 G-R - Pa Schedule G-R - Reconciliation Of Taxes Paid To Other States Or Countries

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1102410055
PA SCHEDULE G-R
Reconciliation of Taxes Paid to
Other States or Countries
PA-40 G-R (10-11) (FI)
20
PA DEPARTMENT OF REVENUE
OFFICIAL USE ONLY
START
a. Name of taxpayer claiming the credit
Social Security Number (shown first on Form PA-40)
HERE
Social Security Number (of taxpayer claiming credit)
b. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
c. Total number of PA Schedules G-R . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
d. Totals for all PA
Schedules G-R
ENTER AMOUNTS IN WHOLE DOLLARS ONLY ON THIS FORM
A.
B.
C.
D.
E.
Two
Fill in Oval
Income Subject to Tax in Other State or Country –
Tax Paid to Other State or Country –
Credit Allowable for PA –
if from
Schedule G-S Total of Column B Lines 2c
Character
Schedule G-S and/or Schedule G-L line 4b
Schedule G-S and/or Schedule G-L Line 6
State
Consolidated
through 2e and/or Schedule G-L Total
Return
of Column B Lines 2c through 2j
Code
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TOTALS
(this page)
RETURN TO TOP
Reset Entire Form
PRINT FORM
1102410055
1102410055
INSTRUCTIONS

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