Fillable Pa Schedule 19 - Sale Of A Principal Residence (Page 4 of 4) in pdf

PA Schedule 19

0203420047

Taxable Sale of a

Principal Residence

START

Worksheet

PA-19 (09–08) (FI)

2003

PA DEPARTMENT OF REVENUE

The Department of Revenue requires this worksheet to be included with a PA tax return whenever there is a

gain or loss on the business or rental use portion of your principal residence.

Your Social Security Number

Name(s) as shown on PA-40

Spouse’s Social Security Number

Address of residence sold: (First Line of Address)

(Second Line of Address)

City

State

ZIP Code

General Information

1a. Date property was sold

1b. Date property was acquired

1c. Percentage ownership interest in property

% (calculated to two decimal places)

1d. Enter the face amount of any mortgage, note or other financial instrument on which you will receive periodic payments of principal

and/or interest from this sale: $

Computation of Taxable Gain or Loss

Computing the Taxable Gain or Loss

2. Enter your Residential Use Factor from page 3. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

3. Gross proceeds, less expenses of sale, for entire property . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

4. Multiply Line 3 by the percentage on Line 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

5. Subtract Line 4 from Line 3 (Enter zero if you answered “NO” to the Residential Use

Worksheet questions) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

6. Adjusted basis of entire property, including property used for nonresidential purposes . . . . . . . . . .

7. Adjusted basis of property used for nonresidential purposes. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

8. Subtract Line 7 from Line 6 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

Complete Lines 9, 10, and 11 only if you acquired your residence before June 1, 1971.

You must first complete PA Schedule D-71, REV-1742.

9. Alternative basis of entire property, including property used for nonresidential purposes. . . . . . . . .

10. Alternative basis of property used for nonresidential purposes . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

10.

11. Subtract Line 10 from Line 9 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .

11.

12. Net gain or loss on residential property. Read the instructions.

Fill in the oval if a loss. . . . .

12.

13. Net gain or a loss on nonresidential property. Read the instructions.

Fill in the oval if a loss. . . . .

13.

If you have a gain on Line 13, include the gain on your PA Schedule D.

If you have a loss on Line 13, include the loss on your PA Schedule D.

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