Form PA-41 Schedule A "Interest Income and Gambling and Lottery Winnings" - Pennsylvania

What Is Form PA-41 Schedule A?

This is a legal form that was released by the Pennsylvania Department of Revenue - a government authority operating within Pennsylvania.The document is a supplement to Form PA-41, Pa Fiduciary Income Tax Return. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on June 1, 2019;
  • The latest edition provided by the Pennsylvania Department of Revenue;
  • Easy to use and ready to print;
  • Quick to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form PA-41 Schedule A by clicking the link below or browse more documents and templates provided by the Pennsylvania Department of Revenue.

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Download Form PA-41 Schedule A "Interest Income and Gambling and Lottery Winnings" - Pennsylvania

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1904310057
PA-41 SCHEDULE A
Interest Income and Gambling
and Lottery Winnings
PA-41 A 06-19
(FI)
2019
PA Department of Revenue
OFFICIAL USE ONLY
Name as shown on the PA-41
Federal EIN or Decedent’s SSN
START
Caution: If the estate or trust’s total PA-taxable interest income is equal to the amount reported on the estate or trust’s federal Form
1041 and there are no amounts for Lines 2 through 14 (not including subtotal Lines 4 and 10) of Schedule A, the estate or trust must
report the interest income on Line 1 of the PA-41, Fiduciary Income Tax Return, but the estate or trust does not have to submit Schedule
A. If there are any amounts for any of the Lines 2 through 14 (not including subtotal Lines 4 and 10) of Schedule A,
the estate or trust must complete and submit Schedule A with the estate or trust’s PA-41, Fiduciary Income Tax Return.
1. Interest income reported on federal Form 1041 Line 1.
1. $
2. Total tax-exempt interest income.
2. $
3. Other addition adjustments. See instructions.
Description:
3. $
4. Add Lines 1, 2 and 3.
4. $
5. Interest income from federal Schedule(s) K-1. See instructions.
5. $
6. Interest income from direct obligations of the Commonwealth of Pennsylvania
and/or its municipalities.
6. $
7. Interest income from direct obligations of the U.S. government.
7. $
8. Other reduction adjustments. See instructions.
Description:
8. $
9. Add Lines 5, 6, 7 and 8.
9. $
10. Subtract Line 9 from Line 4.
10. $
11. Distribution from life insurance, annuity, endowment contracts, or charitable gift
annuities included in federal taxable income. See instructions.
11. $
12. Interest income from partnership(s), from PA Schedule(s) RK-1 or federal
Schedule(s) K-1.
12. $
13. Interest income from PA S corporation(s), from PA Schedule(s) RK-1 or federal
Schedule(s) K-1.
13. $
14. Gambling and lottery winnings. See instructions.
14. $
15. Total interest income and gambling and lottery winnings
Add Lines 10, 11, 12, 13 and 14. Enter on Line 1 of the PA-41.
15. $
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1904310057
PA-41 SCHEDULE A
Interest Income and Gambling
and Lottery Winnings
PA-41 A 06-19
(FI)
2019
PA Department of Revenue
OFFICIAL USE ONLY
Name as shown on the PA-41
Federal EIN or Decedent’s SSN
START
Caution: If the estate or trust’s total PA-taxable interest income is equal to the amount reported on the estate or trust’s federal Form
1041 and there are no amounts for Lines 2 through 14 (not including subtotal Lines 4 and 10) of Schedule A, the estate or trust must
report the interest income on Line 1 of the PA-41, Fiduciary Income Tax Return, but the estate or trust does not have to submit Schedule
A. If there are any amounts for any of the Lines 2 through 14 (not including subtotal Lines 4 and 10) of Schedule A,
the estate or trust must complete and submit Schedule A with the estate or trust’s PA-41, Fiduciary Income Tax Return.
1. Interest income reported on federal Form 1041 Line 1.
1. $
2. Total tax-exempt interest income.
2. $
3. Other addition adjustments. See instructions.
Description:
3. $
4. Add Lines 1, 2 and 3.
4. $
5. Interest income from federal Schedule(s) K-1. See instructions.
5. $
6. Interest income from direct obligations of the Commonwealth of Pennsylvania
and/or its municipalities.
6. $
7. Interest income from direct obligations of the U.S. government.
7. $
8. Other reduction adjustments. See instructions.
Description:
8. $
9. Add Lines 5, 6, 7 and 8.
9. $
10. Subtract Line 9 from Line 4.
10. $
11. Distribution from life insurance, annuity, endowment contracts, or charitable gift
annuities included in federal taxable income. See instructions.
11. $
12. Interest income from partnership(s), from PA Schedule(s) RK-1 or federal
Schedule(s) K-1.
12. $
13. Interest income from PA S corporation(s), from PA Schedule(s) RK-1 or federal
Schedule(s) K-1.
13. $
14. Gambling and lottery winnings. See instructions.
14. $
15. Total interest income and gambling and lottery winnings
Add Lines 10, 11, 12, 13 and 14. Enter on Line 1 of the PA-41.
15. $
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2019
Pennsylvania Department of Revenue
Instructions for PA-41 Schedule A
Interest Income and Gambling and Lottery Winnings
PA-41 A IN 06-19
If the trust is not required to file a federal return, see the
WHEN TO INCLUDE
instructions for Line 3.
If the estate or trust’s total PA-taxable interest income is
LINE 2
equal to the amount reported on the estate or trust’s federal
Form 1041 and there are no amounts for Lines 2 through 14
If the estate or trust has any investments in tax-exempt
(not including subtotal Lines 4 and 10) of Schedule A, the
bonds from states or local instrumentalities that are
estate or trust must report the interest income on Line 1 of
excluded from taxation for federal income tax purposes,
the PA-41, Fiduciary Income Tax Return, but the estate or
enter the total amount of total tax-exempt interest from all
trust does not have to submit Schedule A. If there are any
state or local bonds. Include amounts from all states and
amounts for any of the Lines 2 through 14 (not including
local instrumentalities including Pennsylvania.
subtotal Lines 4 and 10) of Schedule A, the estate or trust
must complete and submit Schedule A with the estate or
CAUTION: Do not include exempt-interest dividends
trust’s PA-41, Fiduciary Income Tax Return.
in this amount. See the instructions for PA-41
Schedule B.
GENERAL INFORMATION
LINE 3
PURPOSE OF SCHEDULE
Use PA-41 Schedule A to report interest income and
If the estate or trust has adjustments to federal taxable
gambling and lottery winnings of estates and trusts.
interest income that increase the amount of interest income
reported for federal purposes, enter any other adjustments
FORM INSTRUCTIONS
for items that increase PA-taxable interest income and
provide a description of the amounts. If any expenses such
NAME
as amortization of bond premium, nominee interest, or
Enter the complete name of the estate or trust as shown on
expenses incurred to realize interest income were deducted
the PA-41, Fiduciary Income Tax Return.
against the income for federal income tax purposes, the
FEIN OR DECEDENT’S SSN
estate or trust must include all adjustments that reduce
Enter the nine-digit federal employer identification number
federal income.
(FEIN) of the estate or trust or the decedent’s Social
If the estate or trust is not required to file a federal return,
Security number as shown on the PA-41, Fiduciary Income
enter the amount of interest income reported to the trust in
Tax Return.
Box 1 of all federal Forms 1099-INT, Interest Income, as well
An estate with a FEIN should not use the decedent’s
as any other federally taxable interest income received by
Social Security number.
the trust (such as interest from U.S. government obligations)
for federal grantor trusts or other trusts not required to file a
LINE INSTRUCTIONS
federal tax return.
Please read the Line 1 Instructions on
Page 21
of the
LINE 4
Instructions for Form PA-41 prior to completing this
schedule.
Add the amounts on Lines 1, 2 and 3.
LINE 1
LINE 5
Enter the amount of interest income reported on Line 1 of
If the estate or trust has any investments in partnerships or
the estate or trust’s federal Form 1041. If there are no
S corporations or any interest income from other estates or
amounts for Lines 2 through 14 (not including subtotal Lines
trusts, the estate or trust must include the amount reported
4 and 10) of PA-41 Schedule A, stop here. An estate or trust
for federal income tax purposes. Enter the total amount of
must report the amount on Line 1 of the PA-41 form but the
interest income included in the amount reported for Line 1
estate or trust is not required to include a copy of PA-41
Schedule A with the PA-41.
of federal Form 1041 from all federal Schedule(s) K-1.
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PA-41 A
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Distributions from a commercial insurance or mutual
LINE 6
company annuity (code D also included with codes 1, 2, 3,
4, 7 or C) purchased as a retirement annuity, or any
If the estate or trust has investments in tax-exempt bonds,
distributions from a life insurance or endowment contract or
the amount of interest from direct obligations of the
charitable gift annuity that are included in federal gross
commonwealth or its instrumentalities is tax exempt for
taxable income are taxable as interest income for
Pennsylvania purposes. Enter the amount of the estate or
Pennsylvania personal income tax purposes for an estate
trust’s tax-exempt interest from direct obligations of the
or trust.
Commonwealth of Pennsylvania and/or direct obligations of
political subdivisions of Pennsylvania. Include on this line
LINE 12
any interest income from obligations issued by the
commonwealth, a public authority, commission, board or
INTEREST INCOME FROM PARTNERSHIPS FROM
other agency created by the commonwealth or political
PA SCHEDULES RK-1
subdivision of the commonwealth.
If the estate or trust is a partner in a partnership or a member
LINE 7
in an entity formed as a limited liability company that is
classified as a partnership for federal income tax purposes,
An estate or trust that has interest income from direct
the estate or trust will receive a PA-20S/PA-65 Schedule RK-
obligations of the U.S. government must provide the amount
1 showing its share of any interest income.
of that interest as it is also tax exempt for Pennsylvania
Enter the amount of interest income from partnerships.
purposes. Enter the amount of any interest income from
Include the amounts reported from all PA Schedule(s) RK-
direct obligations of the U.S. government (U.S. Treasury
1, or federal Schedule(s) K-1 if an RK-1 is not provided.
Bonds, Notes, Bills, Certificates and Savings Bonds). See
Include any U.S. government interest from federal
the REV-1643 EX, Tax-Exempt Obligations for Pennsylvania
Schedule(s) K-1, where PA Schedule(s) RK-1 is/are not
Personal Income Tax Purposes, for additional information.
provided, on Line 8 of PA Schedule A.
Do not include amounts from U.S. obligations reported on
federal Schedule K-1(s).
If the estate or trust realizes income from more than one
partnership, provide a statement showing the FEIN, name
LINE 8
and amount of income by each partnership.
Estates or trusts may need to record other adjustments to
Submit all PA-20S/PA-65 Schedules RK-1 to support the
federal interest income to account for differences in
amount reported on PA-41 Schedule A Line 12. Include a
Pennsylvania and federal tax laws and where there is no
copy of federal Form 1065 Schedule K-1 if a PA-20S/PA-65
specific line to record that difference. Enter any other
Schedule RK-1 is not supplied by a partnership, or entity
adjustments that decrease PA interest income and provide
formed as a limited liability company that is classified as a
a description of the amounts. Examples include: interest on
partnership for federal income tax purposes. If the estate or
installment obligations that are included as gain on the sale
trust receives only a federal Form 1065 Schedule K-1, the
of property for PA purposes; forfeited interest penalty; and
estate or trust must adjust and classify the income from the
amortization of bond premium. An example of the
federal Form 1065 Schedule K-1 according to Pennsylvania
description for interest income earned while a nonresident
rules. Refer to the PA Personal Income Tax Guide - Pass
would be “Forfeited Interest Penalty”. Do not include
Through Entities section, for additional information on the
expenses incurred to realize interest income. Include a
adjustents required and the proper classification of income.
statement providing the descriptions and amounts if more
than one type of adjustment is included in the amount
LINE 13
reported for this line.
INTEREST INCOME FROM S CORPORATIONS FROM
LINE 9
PA SCHEDULES RK-1
If the estate or trust is an owner of an S corporation or entity
Add the amounts on Lines 5, 6, 7 and 8.
formed as a limited liability company that is classified as a
S corporation for federal income tax purposes, the estate or
LINE 10
trust will receive a PA-20S/PA-65 Schedule RK-1 showing
Subtract Line 9 from Line 4.
its share of any interest income.
Enter the amount of interest income from PA S corporations.
LINE 11
Include the amounts reported from all PA Schedule(s) RK-
DISTRIBUTIONS FROM LIFE INSURANCE, ANNUITY
1, or federal Schedule(s) K-1 if an RK-1 is not provided.
Include any U.S. government interest from federal
OR ENDOWMENT CONTRACTS OR CHARITABLE
GIFT ANNUITIES INCLUDED IN FEDERAL TAXABLE
Schedule(s) K-1, where PA Schedule(s) RK-1 is/are not
INCOME
provided, on Line 8 of PA Schedule A.
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PA-41 A
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If the estate or trust realizes income from more than one PA
or after Jan. 1, 2016. Cash prize payments include all
S corporation, provide a statement showing the FEIN, name,
annuity prize payments made by the Pennsylvania Lottery
in 2016. Cash prize payments also include any federal and
and amount of income by each PA S corporation.
state withholding tax payments, sales taxes and any other
Submit all PA-20S/PA-65 Schedules RK-1 to support the
fees paid by the Pennsylvania Lottery on behalf of the
amount reported on PA-41 Schedule A Line 13. Include a
winner. Any PA personal income tax withholding on prize
copy of federal Form 1120S Schedule K-1 if a PA-20S/PA-
payments made after July 12, 2016, should be reported on
65 Schedule RK-1 is not supplied by the S corporation or
Line 17 of the PA-41, Fiduciary Income Tax Return when
entity formed as a limited liability company that is classified
included in Box 15 of federal Form W-2G, Certain Gambling
as a S corporation for federal income tax purposes. If the
Winnings.
estate or trust receives only a federal Form 1120S Schedule
RESIDENT ESTATES AND TRUSTS
K-1, the estate or trust must obtain a PA-20S/PA-65
Schedule RK-1 from the entity. The department will only
Report the amount of any gambling winnings from sources
permit the estate or trust to adjust and reclassify the income
inside and outside the commonwealth. Report the amount
from the federal Form 1120S Schedule K-1 according to
of any lottery winnings from all lotteries other than noncash
Pennsylvania rules in limited circumstances. Refer to the PA
prizes of the Pennsylvania Lottery.
Personal Income Tax Guide - Pass Through Entities section,
NONRESIDENT ESTATES AND TRUSTS
for additional information on the adjustments required and
Report the amount of any gambling winnings from
the proper classification of income.
Pennsylvania sources or lottery winnings from sources
within Pennsylvania other than noncash prizes of the
LINE 14
Pennsylvania Lottery.
GAMBLING AND LOTTERY WINNINGS
LINE 15
Enter the amount of any taxable gambling and lottery
winnings of the estate or trust.
TOTAL INTEREST INCOME AND GAMBLING
AND LOTTERY WINNINGS
As a result of Act 84 of 2016, Pennsylvania-taxable
gambling and lottery winnings for estates and trusts includes
Add Lines 10, 11, 12, 13 and 14. Enter on Line 1 of the PA-
cash prize payments made by the Pennsylvania Lottery on
41, Fiduciary Income Tax Return.
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