Title:  PA State Tax Form PA-40 for 2012

{ -- Initial Template -- Common 0 amounts filled-in as 0's, }
{               Important ???-amounts must be filled-in by most everyone. }

Status	   ???		{Single, Married/Joint, Married/Sep, Widow(er)}

L1a        ???		{Gross compensation.}
			 {spouse}
		;
L1b         0	;	{ Unreimbursed employee business expenses.}
L2	    ???		{ Interest Income. }
		;
L3	    ???		{ Dividend Income. }
		;
L4	    0	;	{ Income or loss for business operations. }
L5	    0	;	{ Net gain or loss from disposition of property. }
L6	    0	;	{ Net gain or loss rents, royalties, patents, or copyrights. }
L7	    0   ;	{ Estate or Trust Income. }
L8	    0   ;	{ Gambling or lottery winnings. }
L10	    0 	;	{ Other Deductions. }

L13	     ???	{ Total PA Tax withheld. }
	    		 {spouse}
		;

L14	    0   ;	{ Credit from 2011 PA income tax return. }
L15	    0 	;	{ 2012 Estimated Installment payments. }
L16	    0 	;	{ 2012 Extension payment. }
L17	    0   ;	{ Non-resident tax withheld. }
L21	    0   ;	{ Tax Back/Tax Forgiveness Credit (Part D line 16 Sched SP). }
L22	    0   ;	{ Resident credit (Scheds G/RK-1). }
L23	    0   ;	{ Other credits (Sched OC). }
L25	    0   ;	{ Use Tax }
L27         0   ;       { Penalties and underpayment interest. }
