Fill - Free fillable Form 2020: PA SCHEDULE A 2001210059 no amounts (Pennsylvania) PDF form

OFFICIAL USE ONLY

Name shown first on the PA-40 (if filing jointly) Social Security Number (shown first)

CAUTION: Federal and PA rules for taxable interest income are different. Read the instructions.

If your total PA-taxable interest income (taxpayer, spouse and/or joint) is equal to the amount reported on your federal return and you have

no amounts for Lines 2 through 15 (not including subtotal Lines 4 and 10) of PA Schedule A, you must report your income on Line 2

of the PA-40, but you do not have to submit PA Schedule A. If there are any amounts (taxpayer, spouse and/or joint) for any of the

Lines 2 through 15 (not including subtotal Lines 4 and 10) of the schedule, you must complete and submit PA Schedule A with your

PA-40. A taxpayer and spouse must complete separate schedules to report their income if any amounts are reported on Lines 2 through

15 (not including subtotal Lines 4 and 10) of Schedule A. However, if all the income is earned on a joint basis, one schedule may be

completed. Complete the oval to indicate whether the income included on the schedule is from the taxpayer, spouse or joint. If a separate

PA Schedule A is prepared for a taxpayer and spouse, include only the taxpayer or spouse share of the income for each line.

Interest income reported on your federal return. See instructions.

Tax-exempt interest income included in Line 2a of your federal return.

Other addition adjustments. See instructions.

Description:

Add Lines 1, 2 and 3.

Interest income from federal Schedule(s) K-1. See instructions.

Interest income from direct obligations of the Commonwealth of Pennsylvania

and/or its municipalities.

Interest income from direct obligations of the U.S. government.

Other reduction adjustments. See instructions.

Description:

Add Lines 5, 6, 7 and 8.

10.

Subtract Line 9 from Line 4.

10.

11.

Distributions from Life Insurance, Annuity or Endowment Contracts included in

federal taxable income.

11.

12.

Distributions from Charitable Gift Annuities included in federal taxable income.

12.

13.

Distributions from IRC Section 529 Qualified Tuition Programs for

non-educational purposes.

13.

14.

Distributions from Health/Medical Savings Accounts included in federal

taxable income.

14.

15.

Interest income from PA S corporations and partnership(s), reported on your

PA Schedule(s) RK-1 or federal Schedule(s) K-1.

15.

16.

Total PA-Taxable Interest Income. Add Lines 10 through 15. Enter on Line 2 of your PA-40.

16.

PA SCHEDULE A - PA-Taxable Interest Income

(See the instructions.)

Taxpayer Spouse Joint

PA SCHEDULE A

Interest Income

2020

PA-40 A (EX) 06-20 (FI)

PA Department of Revenue

2001210059

START

➜

TOP OF PAGE

Reset Entire Form

IMPORTANT: FILL IN FORM MUST BE DOWNLOADED ONTO YOUR COMPUTER PRIOR TO COMPLETING

PA-40 A 1www.revenue.pa.gov

2020

Instructions for PA-40 Schedule A

Interest Income

PURPOSE OF SCHEDULE

Use PA-40 Schedule A to report the amount of interest in-

come earned and reported for federal income tax purposes

from:

● Bank deposits;

● Savings and loan associations;

● Credit unions;

● Bonds;

● Certificates of deposit;

● Interest bearing checking accounts;

● Interest on state, federal, local and foreign tax refunds;

● Mutual savings banks and cooperative banks;

● GNMA and FNMA certificates and other obligations that

are guaranteed by the U.S. government (but not direct

obligations of the U.S. government);

● Obligations of other states and countries; and

● Other deposits, investments, and obligations.

PA-40 Schedule A also adjusts the federal income to deter-

mine the PA-taxable interest income by reporting income

and adjustments from:

● Tax-exempt bonds for other states’ obligations;

● Direct obligation of the U.S. government;

● 529 plan distributions for non-educational purposes;

● Distributions from life insurance and endowment con-

tracts;

● Taxable distributions from Medical/ Health Savings ac-

counts; and

● Various other increase and decrease adjustments in-

cluded in the following instructions.

Refer to the PA Personal Income Tax Guide – Interest sec-

tion for additional information.

Show money amounts in whole-dollars only. Eliminate any

amount less than $0.50 and increase any amount that is

$0.50 or more to the next highest dollar.

PA resident and part-year resident taxpayers must complete

and include PA-40 Schedule A with an originally filed PA-40,

Personal Income Tax Return, if there are any amounts on

Lines 2 through 15 (not including subtotal Lines 4 and 10).

If there are no amounts on Lines 2 through 15 (not including

subtotal Lines 4 and 10), do not complete and include PA-

40 Schedule A with the PA-40. However, the amount of in-

terest income received must be reported on Line 2 of the

PA-40. Nonresident taxpayers are not required to complete

PA-40 Schedule A.

Separate schedules must be completed for a taxpayer and

spouse if either has income on Lines 2 through 15 (not in-

cluding subtotal Lines 4 and 10). Both schedules must be

completed and included even if only one had amounts on

those lines. A joint PA-40 Schedule A may be completed only

if all amounts of interest income are earned on a joint basis.

If some income is earned on a joint basis while other income

is not, the joint income must be split and the taxpayer and

spouse must report their separate share of the income from

the jointly owned accounts on each PA-40 Schedule A.

An amended PA Schedule A must be included with Schedule

PA-40 X if increases or decreases in income amounts on PA

Schedule A are discovered after an original or other amended

return is filed with the department. Section III on Page 2 of

Schedule PA-40 X must be completed to explain any increase

or decrease to the amount of interest income reported on an

amended PA-40, Personal Income Tax Return.

IDENTIFICATION INFORMATION

NAME

Enter the name of the taxpayer. If a jointly filed return, enter the

name of the primary taxpayer (name shown first on the PA-40,

Personal Income Tax Return). Enter the primary taxpayer’s

name when reporting the interest income for the spouse.

SOCIAL SECURITY NUMBER

Enter the Social Security number (SSN) of the taxpayer.

Enter the primary taxpayer’s SSN also when reporting inter-

est income for the spouse.

TAXPAYER OVAL

Complete the taxpayer oval to indicate the interest income

reported is from the taxpayer whose name appears on the

name line.

SPOUSE OVAL

Complete the spouse oval to indicate the interest income re-

ported was earned by the spouse listed on a PA-40, Per-

sonal Income Tax Return, filed using the Married, Filing

Jointly filing status.

JOINT OVAL

Complete the joint oval if all the interest income reported by

the taxpayer and spouse is earned and being reported on a

joint basis.

GENERAL INFORMATION

RECORDING DOLLAR AMOUNTS

WHO MUST COMPLETE

SCHEDULE INSTRUCTIONS

PA-40 A (EX) IN 06-20

PA-40 A2 www.revenue.pa.gov

NOTE: Do not use the joint oval to report joint interest

income if any interest income is earned by the tax-

payer and/or spouse separately. In such cases, the joint in-

come must be split and the taxpayer and spouse must show

the separate share of the joint interest income on the sepa-

rate PA-40 Schedule A prepared for each.

IMPORTANT: If a separate PA-40 Schedule A is pre-

pared for a taxpayer and spouse, include only the tax-

payer or spouse share of the interest income for each line.

Enter the amount of interest income reported on Line 2b of

the federal return. If filing a joint return and are required to

show the interest income for a taxpayer and spouse sepa-

rately, enter only the taxpayer or spouse’s portion of the in-

terest income reported on Line 2b of the federal return. If a

federal return is not required to be filed, see the instructions

for Line 3.

Enter the total amount of tax-exempt interest income in-

cluded in Line 2a of federal Form 1040.

CAUTION: Do not include the amount of exempt-in-

terest dividends included in Line 2a of the federal re-

turn in this amount. See the instructions for PA-40 Schedule

Enter any other adjustments for items that increase PA-tax-

able interest income and provide a description of the

amounts. Examples of additions to or deductions from fed-

eral interest income that must be added back include, but

are not limited to: taxable distributions from PA ABLE Sav-

ings Program Fund accounts; self-charged interest; amorti-

zation of bond premium; nominee interest; or expenses

incurred to realize interest income.

IMPORTANT: If a federal return is not required to be

filed, enter on this line the amount of any interest in-

come reported in Box 1 of all federal Forms 1099-INT, Inter-

est Income, as well as any other federally taxable interest

income received from all sources including, but not limited

to, U.S. government interest or interest from federal Sched-

ule K-1s.

Add the amounts on Lines 1 through 3 and enter the result.

Enter the total amount of interest income included in the

amounts reported in Line 1 of federal Schedule B from fed-

eral Schedule(s) K-1.

Enter the amount of tax-exempt interest from direct obliga-

tions of the Commonwealth of Pennsylvania and/or direct

obligations of political subdivisions of Pennsylvania. Include

on this line any interest income from obligations issued by

the commonwealth, a public authority, commission, board

or other agency created by the commonwealth or political

subdivision of the commonwealth.

Enter the amount of any interest income from direct obliga-

tions of the U.S. Government (U.S. Treasury Bonds, Notes,

Bills, Certificates and Savings Bonds). Do not include

amounts from US obligations reported on federal Schedule

K-1(s) or on Line 3 of federal Schedule B in this amount.

See the REV-1643, Tax-Exempt Obligations for Pennsylva-

nia Personal Income Tax Purposes, for additional informa-

tion.

Enter any other adjustments that decrease PA interest in-

come and provide a description of the amounts. Examples

include, but are not limited to: interest income earned while

a nonresident; interest on installment obligations that are in-

cluded as gain on the sale of property for PA purposes; for-

feited interest penalty; interest income from an irrevocable

federal grantor trust that is required to file a PA-41, Fiduciary

Income Tax Return; and amortization of bond premium. An

example of the description for interest income earned while

a nonresident would be “Non-Residency Period Interest”.

Do not include expenses incurred to realize interest income.

Include a statement providing the descriptions and amounts

if more than one type of adjustment is included in the

amount reported for this line.

Add the amounts on Lines 5 through 8 and enter the result.

Subtract the amount on Line 9 from the amount on Line 4

and enter the result.

Enter amounts reported on federal Form 1099-R with Box 7

codes 1, 2, 3, 4, or 7 or C that also include code D.

Enter the amount of charitable gift annuity income taxable

for federal income tax purposes.

Enter the amount of any distributions from IRC Section 529

plans that are for non-educational purposes. The cost re-

covery method must be used to determine the taxable

amount for contributions made in tax years 2005 and earlier.

The total amount of distributions claimed as deductions for

tax years 2006 and later is taxable.

LINE INSTRUCTIONS

LINE 1

LINE 2

LINE 3

LINE 4

LINE 5

LINE 6

LINE 7

LINE 8

LINE 9

LINE 10

LINE 11

LINE 12

LINE 13

3www.revenue.pa.gov

Enter the amount of any distributions from Health/Medical

Savings accounts included as Other income on Line 21 of

federal Form 1040, Schedule 1.

Enter the amount of interest income from PA S corporations

and partnerships. Include the amounts reported from all PA

Schedule(s) RK-1, or federal Schedule(s) K-1 if an RK-1 is

not provided. Include any U.S. government interest from fed-

eral Schedule(s) K-1, where PA Schedule(s) RK-1 is/are not

provided, on Line 8 of PA-40 Schedule A.

Add the amounts on Lines 10 through 16 and enter the re-

sult.

This amount cannot be a negative number. If the result

is negative, an amount has not been included on an

addition line or excess adjustments have been recorded.

Include the total from Line 16 (or the combined Line 16

amounts for taxpayer and spouse using the Married, Filing

Jointly filing status) on Line 2 of the PA-40, Personal Income

Tax Return.

LINE 14

LINE 15

LINE 16

PA-40 A

RETURN TO FORM

Download
Save PDF to desktop

Email
Email completed PDF

Send for Signing
Email for others to sign

Print
Print document

NAME

Form 2020: PA SCHEDULE A 2001210059 no amounts (Pennsylvania)

View Audit Log
Print With Audit Log
Duplicate Document

Fill Online, Printable, Fillable, Blank Form 2020: PA SCHEDULE A 2001210059 no amounts (Pennsylvania) Form

Related forms

Fillable Form 2020: PA SCHEDULE A 2001210059 no amounts (Pennsylvania)

Fill Online, Printable, Fillable, Blank Form 2020: PA SCHEDULE A 2001210059 no amounts (Pennsylvania) Form

Related forms

First 20 documents completely FREE!