Pa Schedule B - Dividend And Capital Gains Distributions Income - 2014

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1408710059
PA SCHEDULE B
Dividend and Capital Gains
Distributions Income
2014
PA-20S/PA-65 B
(05-14) (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 B instructions and the PA PIT Guide on the department’s website.
1
Ordinary dividend income from federal Schedule K
1
2
Less business or rental dividend income (working capital) - report on PA-20S/PA-65 Schedule M, Part A
2
3
Adjusted federal dividend income – subtract Line 2 from Line 1
3
4
Federal-exempt dividend income taxable for PA PIT – itemize below
4
5
Other dividend income not included on Line 3 and Line 4
5
6
Capital gains distributions income
6
7
Gross PA-taxable dividend income – add Lines 3 through 6
7
8
PA-exempt dividend income included on Line 7 – itemize below
8
PA-taxable dividend income and capital gains distributions income – subtract Line 8 from Line 7.
9
Enter the result on the PA-20S/PA-65 Information Return, Page 1, Part III, Line 4.
9
Federal-exempt dividend income – list sources and amounts
PA-exempt dividend income – list sources and amounts
RETURN TO TOP
PRINT FORM
Reset Entire Form
1408710059
1408710059

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