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

This version of the form is not currently in use and is provided for reference only.
Download this version of Form PA-41 Schedule A for the current year.

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 May 1, 2018;
  • 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.

ADVERTISEMENT
ADVERTISEMENT

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

Download PDF

Fill PDF online

Rate (4.8 / 5) 47 votes
Page background image
1804310058
PA-41 SCHEDULE A
Interest Income and Gambling
and Lottery Winnings
PA-41 A 05-18
(FI)
2018
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. $
1804310058
1804310058
Reset Entire Form
TOP OF PAGE
NEXT PAGE
PRINT
1804310058
PA-41 SCHEDULE A
Interest Income and Gambling
and Lottery Winnings
PA-41 A 05-18
(FI)
2018
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. $
1804310058
1804310058
Reset Entire Form
TOP OF PAGE
NEXT PAGE
PRINT
THIS PAGE DOES NOT PRINT
2018
Pennsylvania Department of Revenue
Instructions for PA-41 Schedule A
Interest Income and Gambling and Lottery Winnings
PA-41 A IN 05-18
federal Form 1041. If there are no
WHEN TO INCLUDE
LINE 4
amounts for Lines 2 through 14 (not
including subtotal Lines 4 and 10) of
If the estate or trust’s total PA-taxable
Add the amounts on Lines 1, 2 and 3.
PA-41 Schedule A, stop here. An estate
interest income is equal to the amount
or trust must report the amount on Line
reported on the estate or trust’s federal
LINE 5
1 of the PA-41 form but the estate or
Form 1041 and there are no amounts for
trust is not required to include a copy of
Lines 2 through 14 (not including subtotal
If the estate or trust has any investments
PA-41 Schedule A with the PA-41.
Lines 4 and 10) of Schedule A, the estate
in partnerships or S corporations or any
or trust must report the interest income
interest income from other estates or
If the trust is not required to file a federal
on Line 1 of the PA-41, Fiduciary Income
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
If the estate or trust has any investments
reported for Line 1 of federal Form 1041
4 and 10) of Schedule A, the estate or
in tax-exempt bonds from states or local
from all federal Schedule(s) K-1.
trust must complete and submit Sched-
instrumentalities that are excluded from
ule A with the estate or trust’s PA-41,
taxation for federal income tax purposes,
LINE 6
Fiduciary Income Tax Return.
enter the total amount of total tax-exempt
If the estate or trust has investments in
interest from all state or local bonds. In-
GENERAL INFORMATION
clude amounts from all states and local
tax-exempt bonds, the amount of inter-
instrumentalities including Pennsylvania.
est from direct obligations of the com-
PURPOSE OF SCHEDULE
monwealth or its instrumentalities is tax
Use PA-41 Schedule A to report interest
CAUTION: Do not include exempt-
exempt for Pennsylvania purposes.
income and gambling and lottery win-
interest dividends in this amount.
Enter the amount of the estate or trust’s
nings of estates and trusts.
See the instructions for PA-41 Schedule
tax-exempt interest from direct obliga-
B.
tions of the Commonwealth of Pennsyl-
FORM INSTRUCTIONS
vania and/or direct obligations of political
LINE 3
Name
subdivisions of Pennsylvania. Include on
If the estate or trust has adjustments
this line any interest income from obliga-
Enter the complete name of the estate or
to federal taxable interest income that
tions issued by the commonwealth, a
trust as shown on the PA-41, Fiduciary
increase the amount of interest income
Income Tax Return.
public authority, commission, board or
reported for federal purposes, enter any
other agency created by the common-
FEIN or Decedent’s SSN
other adjustments for items that in-
wealth or political subdivision of the
Enter the nine-digit federal employer
crease PA-taxable interest income and
commonwealth.
identification number (FEIN) of the estate
provide a description of the amounts. If
or trust or the decedent’s Social Security
any expenses such as amortization of
LINE 7
number as shown on the PA-41, Fiduci-
bond premium, nominee interest, or ex-
ary Income Tax Return.
penses incurred to realize interest in-
An estate or trust that has interest in-
come were deducted against the income
come from direct obligations of the U.S.
An estate with a FEIN should
for federal income tax purposes, the es-
government must provide the amount
not use the decedent’s Social
tate or trust must include all adjustments
Security number.
of that interest as it is also tax exempt
that reduce federal income.
for Pennsylvania purposes. Enter the
LINE INSTRUCTIONS
amount of any interest income from di-
If the estate or trust is not required to file
rect obligations of the U.S. government
a federal return, enter the amount of
Please read the Line 1 Instructions on
(U.S. Treasury Bonds, Notes, Bills, Cer-
interest income reported to the trust in
Pages 16 and 17 of the Instructions for
tificates and Savings Bonds). See the
Box 1 of all federal Forms 1099-INT,
Form PA-41 prior to completing this
REV-1643 EX, Tax-Exempt Obligations
Interest Income, as well as any other
schedule.
for Pennsylvania Personal Income Tax
federally taxable interest income re-
Purposes, for additional information. Do
ceived by the trust (such as interest from
LINE 1
not include amounts from U.S. obliga-
U.S. government obligations) for federal
tions reported on federal Schedule K-
Enter the amount of interest income
grantor trusts or other trusts not required
reported on Line 1 of the estate or trust’s
to file a federal tax return.
1(s).
www.revenue.pa.gov
PA-41 A
1
PREVIOUS PAGE
NEXT PAGE
reported from all PA Schedule(s) RK-1, or
that is classified as a S corporation for
LINE 8
federal Schedule(s) K-1 if an RK-1 is not
federal income tax purposes. If the es-
provided. Include any U.S. government
tate or trust receives only a federal Form
Estates or trusts may need to record
interest from federal Schedule(s) K-1,
1120S Schedule K-1, the estate or trust
other adjustments to federal interest
where PA Schedule(s) RK-1 is/are not
must obtain a PA-20S/PA-65 Schedule
income to account for differences in
provided, on Line 8 of PA Schedule A.
RK-1 from the entity. The department will
Pennsylvania and federal tax laws and
only permit the estate or trust to adjust
where there is no specific line to record
If the estate or trust realizes income from
and reclassify the income from the fed-
that difference. Enter any other adjust-
more than one partnership, provide a
eral Form 1120S Schedule K-1 accord-
ments that decrease PA interest income
statement showing the FEIN, name and
ing to Pennsylvania rules in limited
and provide a description of the amounts.
amount of income by each partnership.
circumstances. See the PA PIT Guide,
Examples 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
K-1 if a PA-20S/PA-65 Schedule RK-1 is
description for interest income earned
not supplied by a partnership, or entity
LINE 14
while a nonresident would be “Forfeited
formed as a limited liability company
Interest Penalty”. Do not include expenses
Gambling and Lottery Winnings
that is classified as a partnership for fed-
incurred to realize interest income.
eral income tax purposes. If the estate
Enter the amount of any taxable
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 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
proper classification of income.
LINE 10
prize payments made by the Pennsylva-
nia Lottery in 2016. Cash prize pay-
Subtract Line 9 from Line 4.
LINE 13
ments also include any federal and state
Interest Income from S Corpora-
withholding tax payments, sales taxes
LINE 11
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, 7
its share of any interest income.
or C) purchased as a retirement annuity,
Resident Estates and Trusts
Enter the amount of interest income
or any distributions from a life insurance
from PA S corporations. Include the
Report the amount of any gambling win-
or 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
Submit all PA-20S/PA-65 Schedules
LINE 15
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
www.revenue.pa.gov
PREVIOUS PAGE
RETURN TO FORM
Page of 4