Instructions For Pa-41 Schedule Rk-1 - 2013 Page 2

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Canada Address Example.
number, enter it after the street ad-
purposes, enter it here. Otherwise,
dress. Eliminate all punctuation such as
leave this field blank.
SAUNDERS HELEN ESTATE OF
apostrophes, commas, periods and hy-
JANET SAUNDERS ADMIN
Amended Schedule
phens.
10 BOW ST OTTAWA ON K1A 0B1
If the estate or trust is filing an amended
CANADA
The U.S. Postal Service preference is
PA-41, Fiduciary Tax Return, and the
to put the actual delivery address on the
Foreign Address Example.
amount of income distributed to a resi-
line immediately above the city, state
DIETRIC-FISCHER INGE TRUST
dent beneficiary changes, fill in the
and ZIP Code.
PATRIK FISCHER TTEE
amended schedule oval.
NOTE: If the street address
WEIMARER STR 7 5300 BONN 1
along with the apartment num-
Final
GERMANY
ber, suite or RR number does not fit on
If this is the final year of distributions to
If the estate or trust’s address does not
the first line of address, then enter the
the beneficiary from the estate or trust,
fit in the available spaces on the PA-41
street address on the second line of ad-
Schedule RK-1 using this format,
fill in the final oval.
dress and the apartment number, suite
please include a separate statement
or RR number on the first line of ad-
Beneficiary’s Year-End
with the return showing the complete
dress.
Distribution
address.
Enter the beneficiary’s percentage of
Second Line of Address
PART I
year-end distributions from the estate or
Enter the post office box, if appropriate,
of the individual or entity beneficiary re-
trust for the ratio of the beneficiary’s tax-
ceiving the PA-41 Schedule RK-1. If
able distribution as reported on PA-41
GENERAL INFORMATION
there is no post office box, leave the
Schedule RK-1, Line 6 to the total dis-
second line of the address blank. Elim-
SSN
tribution as reported on PA-41, Fiduci-
inate all punctuation such as apostro-
Enter the nine-digit Social Security
ary Income Tax Return, Line 8.
phes, commas, periods and hyphens.
number (SSN) if the beneficiary of the
If a beneficiary who is an individual and
estate or trust is an individual receiving
For a foreign address, enter the city or
the PA-41 Schedule RK-1.
part-year resident or an entity benefici-
municipal designation. See the exam-
ple for
Foreign Address
Example.
ary, calculate and enter the percentage
Last Name, Suffix, First Name,
Middle Initial
as if a resident taxpayer.
For a Canadian address, enter the city
Enter the last name; suffix such as Jr.,
and postal delivery zone number. See
Sr., etc; first name and middle initial of
the example for Canada.
the individual beneficiary who is receiv-
Valid values are: “00000” to
ing the PA-41 Schedule RK-1.
IMPORTANT: If the address has
“10000”, where 10000 = 100%
only a post office box, enter on
Spouse’s SSN
Decimal point is implied after 3rd
the first line of address.
Enter the nine-digit SSN of the spouse
character from the left
of the beneficiary (if jointly held) receiv-
City, State and ZIP Code
e.g. to indicate 33.33%, the value
ing the PA-41 Schedule RK-1.
Enter the appropriate information of the
should be “03333”
individual or entity beneficiary receiving
FEIN
e.g. to indicate 25%, the values
the PA-41 Schedule RK-1 in each box.
Enter the nine-digit federal employer
should be “02500”
Eliminate all punctuation such as apos-
identification number (FEIN) of the en-
trophes, commas, periods and hy-
tity beneficiary receiving the PA-41
Schedule RK-1.
phens.
Owner
Fill in the oval that designates what type
Name of Owner Receiving
Name of Entity Issuing RK-1
RK-1 (Other Than an Individual)
of beneficiary received the PA-41 RK-1.
Enter the name of the estate or trust is-
If the beneficiary of the estate or trust is
suing the PA-41 Schedule RK-1.
Fill in one oval only.
an estate, trust a partnership, PA S cor-
City, State and ZIP Code
Entity
poration or entity formed as a limited li-
Enter the appropriate information of the
ability
company
classified
as
a
Fill in the estate or trust oval only.
estate or trust issuing the PA-41 Sched-
partnership or PA S corporation for fed-
Fiscal Year
ule RK-1 in each box. Eliminate all
eral income tax purposes, enter the
FEIN and name of the entity receiving
punctuation such as apostrophes, com-
If the estate or trust does not file on a
the PA-41 Schedule RK-1. If the PA
mas, periods and hyphens.
calendar-year basis, fill in the oval.
Schedule RK-1 is being issued to an in-
FEIN
dividual beneficiary, leave this field
Enter month, day and year (MMDDYY)
Enter the nine-digit FEIN of the
blank.
when the fiscal year begins and ends.
estate or trust issuing the PA-41 Sched-
First Line of Address
ule RK-1.
Short Year
Enter the street address of the individ-
A short year is an accounting period
Revenue ID
ual or entity beneficiary receiving the
shorter than one year (and not a 52-53
If the estate or trust has a Revenue ID
PA-41 Schedule RK-1. If the address
has an apartment number, suite or RR
or PA Tax Account ID for corporation tax
week taxable year).
2
PA-41 Schedule RK-1

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