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Pennsylvania Free Printable 2021 PA Schedule A - Interest Income (PA-40 A) for 2022 Pennsylvania PA Schedule A - Interest Income

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PA Schedule A - Interest Income
2021 PA Schedule A - Interest Income (PA-40 A)

IMPORTANT: FILL IN FORM MUST BE DOWNLOADED ONTO YOUR COMPUTER PRIOR TO COMPLETING 2101210058 PA SCHEDULE A Interest Income PA-40 A (EX) 06-21 (FI) PA Department of Revenue START 2021 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. PA SCHEDULE A - PA-Taxable Interest Income Taxpayer Spouse (See the instructions.) Joint 1. $ 1. Interest income reported on your federal return. See instructions. 2. $ 2. Tax-exempt interest income included in Line 2a of your federal return. 3. Other addition adjustments. See instructions. 3. $ Description: 4. $ 4. Add Lines 1, 2 and 3. 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. 8. $ Description: 9. $ 9. Add Lines 5, 6, 7 and 8. 10. $ 10. Subtract Line 9 from Line 4. 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. 2101210058 Reset Entire Form TOP OF PAGE 16. $ 2101210058 NEXT PAGE PRINT 2021 Instructions for PA-40 Schedule A Interest Income PA-40 A (EX) IN 06-21 GENERAL INFORMATION PURPOSE OF SCHEDULE Use PA-40 Schedule A to report the amount of interest income 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 determine 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 contracts; ● Taxable distributions from Medical/ Health Savings accounts; and ● Various other increase and decrease adjustments included in the following instructions. Refer to the PA Personal Income Tax Guide – Interest section for additional information. RECORDING DOLLAR AMOUNTS 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. If there are no amounts on Lines 2 through 15 (not including subtotal Lines 4 and 10), do not complete and include PA40 Schedule A with the PA-40. However, the amount of interest 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 including 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. SCHEDULE INSTRUCTIONS 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 interest 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. WHO MUST COMPLETE SPOUSE OVAL Complete the spouse oval to indicate the interest income reported was earned by the spouse listed on a PA-40, Personal Income Tax Return, filed using the Married, Filing Jointly filing status. 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). 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. www.revenue.pa.gov PREVIOUS PAGE PA-40 A NEXT PAGE 1 NOTE: Do not use the joint oval to report joint interest income if any interest income is earned by the taxpayer and/or spouse separately. In such cases, the joint income must be split and the taxpayer and spouse must show the separate share of the joint interest income on the separate PA-40 Schedule A prepared for each. 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. LINE INSTRUCTIONS LINE 7 IMPORTANT: If a separate PA-40 Schedule A is prepared for a taxpayer and spouse, include only the taxpayer or spouse share of the interest income for each line. Enter the amount of any interest income from direct obligations 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 Pennsylvania Personal Income Tax Purposes, for additional information. LINE 1 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 separately, enter only the taxpayer or spouse’s portion of the interest 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. LINE 2 Enter the total amount of tax-exempt interest income included in Line 2a of federal Form 1040. CAUTION: Do not include the amount of exempt-interest dividends included in Line 2a of the federal return in this amount. See the instructions for PA-40 Schedule B. LINE 3 Enter any other adjustments for items that increase PA-taxable interest income and provide a description of the amounts. Examples of additions to or deductions from federal interest income that must be added back include, but are not limited to: taxable distributions from PA ABLE Savings Program Fund accounts; self-charged interest; amortization 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 income reported in Box 1 of all federal Forms 1099-INT, Interest 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 Schedule K-1s. LINE 4 Add the amounts on Lines 1 through 3 and enter the result. LINE 5 Enter the total amount of interest income included in the amounts reported in Line 1 of federal Schedule B from federal Schedule(s) K-1. LINE 6 Enter the amount of tax-exempt interest from direct obliga2 PA-40 A PREVIOUS PAGE LINE 8 Enter any other adjustments that decrease PA interest income 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 included as gain on the sale of property for PA purposes; forfeited 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. LINE 9 Add the amounts on Lines 5 through 8 and enter the result. LINE 10 Subtract the amount on Line 9 from the amount on Line 4 and enter the result. LINE 11 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. LINE 12 Enter the amount of charitable gift annuity income taxable for federal income tax purposes. LINE 13 Enter the amount of any distributions from IRC Section 529 plans that are for non-educational purposes. The cost recovery 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. www.revenue.pa.gov NEXT PAGE LINE 14 LINE 16 Enter the amount of any distributions from Health/Medical Savings accounts included as Other income on Line 21 of federal Form 1040, Schedule 1. Add the amounts on Lines 10 through 16 and enter the result. LINE 15 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 federal Schedule(s) K-1, where PA Schedule(s) RK-1 is/are not provided, on Line 8 of PA-40 Schedule A. www.revenue.pa.gov PREVIOUS PAGE 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. PA-40 A RETURN TO FORM 3
Extracted from PDF file 2021-pennsylvania-form-pa-40-a.pdf, last modified October 2011

More about the Pennsylvania Form PA-40 A Individual Income Tax TY 2021

Use this schedule to report taxable interest income. Rules are different from Federal interest taxation.

We last updated the PA Schedule A - Interest Income in January 2022, so this is the latest version of Form PA-40 A, fully updated for tax year 2021. You can download or print current or past-year PDFs of Form PA-40 A directly from TaxFormFinder. You can print other Pennsylvania tax forms here.

Related Pennsylvania Individual Income Tax Forms:

TaxFormFinder has an additional 174 Pennsylvania income tax forms that you may need, plus all federal income tax forms. These related forms may also be needed with the Pennsylvania Form PA-40 A.

Form Code Form Name
Form PA-40 Pennsylvania Income Tax Return
Form PA-40 PA-V PA-40 Payment Voucher
Form PA-40 SP PA Schedule SP - Special Tax Forgiveness
PA-40 Income Tax Return
Form PA-40 UE PA Schedule UE - Allowable Employee Business Expenses
Form PA-40 B PA Schedule B - Dividend Income
Form PA-40 ESR-I Declaration of Estimated Tax
Form PA-40 C PA Schedule C - Profit or Loss From Business or Profession
Form PA-40 E PA Schedule E - Rents and Royalty Income (Loss)
Form PA-40 T PA Schedule T - Gambling and Lottery Winnings

Download all PA tax forms View all 175 Pennsylvania Income Tax Forms


Form Sources:

Pennsylvania usually releases forms for the current tax year between January and April. We last updated Pennsylvania Form PA-40 A from the Department of Revenue in January 2022.

Show Sources >

About the Individual Income Tax

The IRS and most states collect a personal income tax, which is paid throughout the year via tax withholding or estimated income tax payments.

Most taxpayers are required to file a yearly income tax return in April to both the Internal Revenue Service and their state's revenue department, which will result in either a tax refund of excess withheld income or a tax payment if the withholding does not cover the taxpayer's entire liability. Every taxpayer's situation is different - please consult a CPA or licensed tax preparer to ensure that you are filing the correct tax forms!

Historical Past-Year Versions of Pennsylvania Form PA-40 A

We have a total of eight past-year versions of Form PA-40 A in the TaxFormFinder archives, including for the previous tax year. Download past year versions of this tax form as PDFs here:


2021 Form PA-40 A

2021 PA Schedule A - Interest Income (PA-40 A)

2020 Form PA-40 A

2020 PA Schedule A - Interest Income (PA-40 A)

2019 Form PA-40 A

2019 PA Schedule A - Interest Income (PA-40 A)

2018 Form PA-40 A

2018 PA Schedule A - Interest Income (PA-40 A)

2017 Form PA-40 A

2017 PA Schedule A - Interest Income (PA-40 A)

2016 Form PA-40 A

2016 PA Schedule A - Interest Income (PA-40 A)

Forms/Publications 2015 Form PA-40 A

2015 PA Schedule A - Interest Income (PA-40 A)

Forms/Publications 2014 Form PA-40 A

2014 PA Schedule A - Interest Income (PA-40 A)


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