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

What Is Form PA-41A Schedule A?

This is a legal form that was released by the Pennsylvania Department of Revenue - a government authority operating within Pennsylvania. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on April 1, 2017;
  • 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-41A 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-41A Schedule A "Interest Income and Gambling and Lottery Winnings" - Pennsylvania

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PA-41 SCHEDULE A
Interest Income and Gambling
and Lottery Winnings
PA-41 A 04-17
FI)
PA Department of Revenue
2017
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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59
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17 431
59
PA-41 SCHEDULE A
Interest Income and Gambling
and Lottery Winnings
PA-41 A 04-17
FI)
PA Department of Revenue
2017
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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THIS PAGE DOES NOT PRINT
2017
Pennsylvania Department of Revenue
Instructions for PA-41 Schedule A
Interest Income and Gambling and Lottery Winnings
PA-41 A IN 04-17
U.S. government obligations) for federal
WHAT’S NEW
LINE 1
grantor trusts or other trusts not required
to file a federal tax return.
This space intentionally left blank.
Enter the amount of interest income
reported on Line 1 of the estate or trust’s
WHEN TO INCLUDE
LINE 4
federal Form 1041. If there are no
amounts for Lines 2 through 14 (not
If the estate or trust’s total PA-taxable
Add the amounts on Lines 1, 2 and 3.
including subtotal Lines 4 and 10) of
interest income is equal to the amount
PA-41 Schedule A, stop here. An estate
LINE 5
reported on the estate or trust’s federal
or trust must report the amount on Line
Form 1041 and there are no amounts for
1 of the PA-41 form but the estate or
If the estate or trust has any investments
Lines 2 through 14 (not including subtotal
trust is not required to include a copy of
in partnerships or S corporations or any
Lines 4 and 10) of Schedule A, the estate
PA-41 Schedule A with the PA-41.
or trust must report the interest income
interest income from other estates or
on Line 1 of the PA-41, Fiduciary Income
If the trust is not required to file a federal
trusts, the estate or trust must include
return, see the instructions for Line 3.
Tax Return, but the estate or trust does
the amount reported for federal income
not have to submit Schedule A. If there
tax purposes. Enter the total amount of
LINE 2
are any amounts for any of the Lines 2
interest income included in the amount
through 14 (not including subtotal Lines
reported for Line 1 of federal Form 1041
If the estate or trust has any investments
4 and 10) of Schedule A, the estate or
from all federal Schedule(s) K-1.
in tax-exempt bonds from states or local
trust must complete and submit Sched-
instrumentalities that are excluded from
ule A with the estate or trust’s PA-41,
LINE 6
taxation for federal income tax purposes,
Fiduciary Income Tax Return.
enter the total amount of total tax-exempt
If the estate or trust has investments in
GENERAL INFORMATION
interest from all state or local bonds. In-
tax-exempt bonds, the amount of inter-
clude amounts from all states and local
est from direct obligations of the com-
PURPOSE OF SCHEDULE
instrumentalities including Pennsylvania.
monwealth or its instrumentalities is tax
Use PA-41 Schedule A to report interest
exempt for Pennsylvania purposes.
CAUTION: Do not include exempt-
income and gambling and lottery win-
Enter the amount of the estate or trust’s
interest dividends in this amount.
nings of estates and trusts.
tax-exempt interest from direct obliga-
LINE 3
tions of the Commonwealth of Pennsyl-
FORM INSTRUCTIONS
vania and/or direct obligations of political
If the estate or trust has adjustments
subdivisions of Pennsylvania. Include on
Name
to federal taxable interest income that
this line any interest income from obliga-
Enter the complete name of the estate or
increase the amount of interest income
tions issued by the commonwealth, a
trust as shown on the PA-41, Fiduciary
reported for federal purposes, enter any
public authority, commission, board or
Income Tax Return.
other adjustments for items that in-
other agency created by the common-
crease PA-taxable interest income and
FEIN or Decedent’s SSN
wealth or political subdivision of the
provide a description of the amounts. If
Enter the nine-digit federal employer
commonwealth.
any expenses such as amortization of
identification number (FEIN) of the estate
bond premium, nominee interest, or ex-
LINE 7
or trust or the decedent’s Social Security
penses incurred to realize interest in-
number as shown on the PA-41, Fiduci-
come were deducted against the income
An estate or trust that has interest in-
ary Income Tax Return.
for federal income tax purposes, the es-
come from direct obligations of the U.S.
An estate with a FEIN should
tate or trust must include all adjustments
government must provide the amount
not use the decedent’s Social
that reduce federal income.
of that interest as it is also tax exempt
Security number.
for Pennsylvania purposes. Enter the
If the estate or trust is not required to file
amount of any interest income from di-
a federal return, enter the amount of
LINE INSTRUCTIONS
rect obligations of the U.S. government
interest income reported to the trust in
(U.S. Treasury Bonds, Notes, Bills, Cer-
Box 1 of all federal Forms 1099-INT,
Please read the Line 1 Instructions on
Interest Income, as well as any other
tificates and Savings Bonds). Do not
Pages 16 and 17 of the Instructions for
Form PA-41 prior to completing this
federally taxable interest income re-
include amounts from U.S. obligations
schedule.
ceived by the trust (such as interest from
reported on federal Schedule K-1(s).
www.revenue.pa.gov
PA-41 A
1
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reported from all PA Schedule(s) RK-1,
that is classified as a S corporation for
LINE 8
or federal Schedule(s) K-1 if an RK-1 is
federal income tax purposes. If the es-
not provided. Include any U.S. govern-
tate or trust receives only a federal Form
Estates or trusts may need to record
ment interest from federal Schedule(s)
1120S Schedule K-1, the estate or trust
other adjustments to federal interest in-
K-1, where PA Schedule(s) RK-1 is/ are
must obtain a PA-20S/PA-65 Schedule
come to account for differences in Penn-
not provided, on Line 8 of PA Schedule A.
RK-1 from the entity. The department will
sylvania and federal tax laws and where
only permit the estate or trust to adjust
there is no specific line to record that dif-
If the estate or trust realizes income from
and reclassify the income from the fed-
ference. Enter any other adjustments
more than one partnership, provide a
eral Form 1120S Schedule K-1 accord-
that decrease PA interest income and
statement showing the FEIN, name and
ing to Pennsylvania rules in limited
provide a description of the amounts. Ex-
amount of income by each partnership.
circumstances. See the PA PIT Guide,
amples include: interest on installment
Submit all PA-20S/PA-65 Schedules
Chapter 16, Pass Through Entities, for
obligations that are included as gain on
RK-1 to support the amount reported on
additional information on the adjust-
the sale of property for PA purposes; for-
PA-41 Schedule A Line 12. Include a
ments required and the proper classifi-
feited interest penalty; and amortization
copy of federal Form 1065 Schedule
cation of income.
of bond premium. An example of the de-
K-1 if a PA-20S/PA-65 Schedule RK-1 is
scription for interest income earned
LINE 14
not supplied by a partnership, or entity
while a nonresident would be “Forfeited
formed as a limited liability company
Interest Penalty”. Do not include ex-
Gambling and Lottery Winnings
that is classified as a partnership for fed-
penses incurred to realize interest in-
eral income tax purposes. If the estate
Enter the amount of any taxable
come. Include a statement providing the
or trust receives only a federal Form
gambling and lottery winnings of the
descriptions and amounts if more than
1065 Schedule K-1, the estate or trust
estate or trust.
one type of adjustment is included in the
must adjust and classify the income from
amount reported for this line.
As a result of Act 84 of 2016, Pennsyl-
the federal Form 1065 Schedule K-1
vania-taxable gambling and lottery win-
according to Pennsylvania rules. See
LINE 9
nings for estates and trusts now includes
the PA PIT Guide, Chapter 16, Pass
cash prize payments made by the Penn-
Through Entities, for additional informa-
Add the amounts on Lines 5, 6, 7 and 8.
sylvania Lottery on or after Jan. 1, 2016.
tion on the adjustents required and the
Cash prize payments include all annuity
LINE 10
proper classification of income.
prize payments made by the Pennsylva-
LINE 13
nia Lottery in 2016. Cash prize pay-
Subtract Line 9 from Line 4.
ments also include any federal and state
LINE 11
Interest Income from S Corpora-
withholding tax payments, sales taxes
tions from PA Schedules RK-1
and any other fees paid by the Pennsyl-
Distributions from life insurance,
vania Lottery on behalf of the winner.
If the estate or trust is an owner of an S
annuity or endowment contracts or
Any PA personal income tax withholding
corporation or entity formed as a limited
charitable gift annuities included in
on prize payments made after July 12,
liability company that is classified as a S
federal taxable income
2016, should be reported on Line 17 of
corporation for federal income tax pur-
the PA-41, Fiduciary Income Tax Return
Distributions from a commercial insur-
poses, the estate or trust will receive a
when included in Box 15 of federal Form
ance or mutual company annuity (code
PA-20S/PA-65 Schedule RK-1 showing
W-2G, Certain Gambling Winnings.
D also included with codes 1, 2, 3, 4 and
its share of any interest income.
7) purchased as a retirement annuity, or
Resident Estates and Trusts
Enter the amount of interest income
any distributions from a life insurance or
from PA S corporations. Include the
Report the amount of any gambling win-
endowment contract or charitable gift
amounts reported from all PA Sched-
nings from sources inside and outside
annuity that are included in federal gross
ule(s) RK-1, or federal Schedule(s) K-1
the commonwealth. Report the amount
taxable income are taxable as interest
if an RK-1 is not provided. Include any
of any lottery winnings from all lotteries
income for Pennsylvania personal in-
U.S. government interest from federal
other than noncash prizes of the Penn-
come tax purposes for an estate or trust.
Schedule(s) K-1, where PA Schedule(s)
sylvania Lottery.
RK-1 is/are not provided, on Line 8 of PA
LINE 12
Nonresident Estates and Trusts
Schedule A.
Report the amount of any gambling
Interest Income from Partnerships
If the estate or trust realizes income from
winnings from Pennsylvania sources or
from PA Schedules RK-1
more than one PA S corporation, provide
lottery winnings from sources within
If the estate or trust is a partner in a
a statement showing the FEIN, name,
Pennsylvania other than noncash prizes
partnership or a member in an entity
and amount of income by each PA S
of the Pennsylvania Lottery.
formed as a limited liability company that
corporation.
is classified as a partnership for federal
LINE 15
Submit all PA-20S/PA-65 Schedules
income tax purposes, the estate or trust
RK-1 to support the amount reported on
will receive a PA-20S/PA-65 Schedule
Total Interest Income and
PA-41 Schedule A Line 13. Include a
RK-1 showing its share of any interest
Gambling and Lottery Winnings
copy of federal Form 1120S Schedule
income.
Add Lines 10, 11, 12, 13 and 14. Enter
K-1 if a PA-20S/PA-65 Schedule RK-1 is
Enter the amount of interest income
not supplied by the S corporation or en-
on Line 1 of the PA-41, Fiduciary Income
from partnerships. Include the amounts
tity formed as a limited liability company
Tax Return.
2
PA-41 A
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